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Fall-Related Patient Education: An Essential Feature Of A Fall Prevention Program, Immaculata Okonkwo

Walden Dissertations and Doctoral Studies

This project documented the evaluation of a voluntary patient falls prevention education

program (VPFPEP) of a rehabilitative facility in a Mid-Atlantic US state and ascertained

its sustainability. The project was designed using the customized Moore et al. evaluation

model and Lippitt’s planned theory of change to encourage patient engagement in

physical activity (PA) through fall prevention education to allay patients’ fear of falling.

The sample included patients who opted into the facility’s VPFPEP. Evaluation was

performed using run charts to visually and quantitatively monitor trends and patterns of

fall incidents over time. Run charts also facilitated comparison of injuries sustained …

Stigma And The Life Experiences Of Recovering Counselors, Carroll Annette Beverly

Walden Dissertations and Doctoral Studies

Stigmatization, labelling, and stereotyping have been recognized through historical literature as categories that classify recovering counselors with the status of a second-class citizen. One of the subtle impacts of stigmatization on recovering counselors has been the reluctance of these counselors to share their substance abuse histories or admit they formerly used alcohol and other drugs. The purpose of this qualitative, multiple case study was to explore the impact of stigma on the life experiences of recovering counselors in the addiction and counseling fields. The social identity theory was the theoretical foundation of this study. Four participants (3 recovering counselors and …

Victims Of Intimate Partner Violence And Workplace Instability, Robert Boyd Cannon Jr

Walden Dissertations and Doctoral Studies

The effects of intimate partner violence (IPV) on victims’ employment status is well-documented. The purpose of this study was to examine the implications of domestic violence on the status and stability of employment for victims who work in the public sector. The study’s 2 research questions asked how victims’ perspectives on IPV could provide insights to (a) help public sector employers improve victims’ employment stability and (b) create policies and practices that support victim disclosure. A phenomenological approach was used to understand the experience of victims of IPV and unstable employment. The theoretical framework derived from feminist theory and focused …

Information Technology Disaster Recovery Planning By Florida Nonprofit Organizations, Derek Keith Erfourth

Walden Dissertations and Doctoral Studies

Inadequate information technology (IT) disaster recovery planning (DRP) by nonprofit organizations could lead to organizational failure post-large-scale natural disasters. Without proper funding and planning, organizations may not be able to withstand the effects of a natural disaster resulting in the closure and the community losing a critical need service. Grounded in resilience theory, the purpose of this qualitative multiple case study was to explore strategies utilized by Florida-based nonprofit organization technology managers to adopt and implement an IT DRP to aid in post-natural disaster recovery efforts. The data collection included interviews with 5 IT managers and reviews of 4 business …

Mental Health Needs In Schools As Predictors Of Burnout In School Counselors, Sondra Junek

Walden Dissertations and Doctoral Studies

Researchers have found an increasing number of students with mental health issues, and

school counselors are often the first resource available to students. School counselors are

faced with many job duties including supporting students’ academic, career, and

emotional needs. Maintaining these duties of school counseling can increase stress and

lead to burnout. The purpose of this quantitative study was to examine mental health

needs, mental health knowledge, and mental health skills as predictors of each of the

three subscales of burnout (emotional exhaustion, depersonalization, and personal

accomplishment) among early, middle, and late career school counselors. Lazarus and

Folkman’s transactional theory …

Does Counselor Type Affect A Manualized Treatment?, Cynthia C. Kay

Walden Dissertations and Doctoral Studies

This quantitative study was to determine whether there are differences in client treatment outcomes based upon the type of counselor who conducted an empirically supported treatment called Seeking Safety for persons diagnosed with posttraumatic stress disorder and substance use disorder. Many studies show that counselors’ personal attributes impact treatment; however, this study added to the literature by focusing on a standardized treatment for the co-occurrence disorder of substance use and posttraumatic stress disorder. Archival data from an outpatient treatment facility was used. Clients were provided integrated services, which included psychological and substance use treatment. The participants/clients were men and women …

Perceptions Of The Reentry Process Among African American Male Ex-Offenders With Multiple Incarcerations, Chanae Latrice Lumpkin

Walden Dissertations and Doctoral Studies

Within 3 years of their release from the criminal justice system, almost 7 out of 10 released African American males go back to. There is limited social science research into how these ex-offenders perceive their lived experiences after release. The research questions that guided this inquiry related to understanding the post-prison experiences of African American males with a history of multiple incarcerations. The conceptual framework was guided by Tajfel’s social identity theory and Becker’s social reaction theory. Interviews were conducted with a purposeful sample of 6 African American males with a history of multiple incarcerations who had been released from …

Mental Health Professional Perceptions Of Barriers To Fidelity For Empirically- Supported Treatments, Chris Streidl

Walden Dissertations and Doctoral Studies

It is estimated that one in five adults in the United State of America experience mental illness in a given year. When mental health organizations implement empirically-supported treatments but fail to maintain them, it can result in individuals not being provided the services that they need. The purpose of this study was to identify perceived barriers to maintaining fidelity for empirically-supported mental health treatments. The study utilized a quantitative cross-sectional correlational research design (N = 154) and the Perception of Barriers Scale (PBS) was developed to measure perceived barriers to maintaining fidelity for empirically-supported treatments. Bandura’s social cognitive theory as …

The Impact Of Executive Hiring Decisions Within Homeless Services Providers, Thela Rachelle Thatch

Walden Dissertations and Doctoral Studies

Inequities in staffing may affect the ability of organizations to deliver social services to the homeless. As homeless services are challenged with roadblocks exacerbated by systemic racism, a focus on hiring diverse employees may impact the delivery of services to minority clients. Little is known about the effects of diverse hiring in social service programs that serve the homeless. The purpose of this study is to bridge the gap in knowledge by examining the diverse hiring practices of senior employees that hold decision-making roles that affect the delivery of homeless services. Research questions were focused on discovering participants lived experience …

Changes In Operating Performance In Rural Hospitals From 2012 To 2019, Oluwaseyi Tami Young-Harry

Walden Dissertations and Doctoral Studies

Rural hospitals treat patients while dealing with the challenges of an inadequate workforce, limited financial resources, and an isolated geographic location, leading to difficulties in achieving financial viability. The purpose of this quantitative study was to analyze the operating performance of rural, general, medical and surgical hospitals in the United States and to determine if performance had changed from 2012 to 2019. Guided by x-efficiency theory, this study addressed whether hospital ownership explained variation in performance and if performance had changed from 2012 to 2019. A random sample of 394 rural hospitals was used, with data drawn from the American …

Self-Efficacy Of Older Homeless African American Men, Renee Carnithia Harvin

Walden Dissertations and Doctoral Studies

Older adults in the United States without permanent housing are witnessed living in shelters, cars, and on street corners in many urban centers and older adults now make up a third of the homeless population. There are stressors that may precede, or may result in homelessness, which may also affect older (i.e., age 50 or above) homeless adults' abilities to maintain their self-efficacy, a key to their self- management. This study further explored the lived experiences of self-efficacy among older homeless African American men. A descriptive phenomenological design and individual semi-structured interviews of 10 African American homeless men, aged 50 …

Child Protection Workers' Experiences In Implementing Natural Mentoring With Older Foster Youth, Claudia Maxie

Walden Dissertations and Doctoral Studies

Emancipated foster youth are at risk for increased rates of unemployment, low educational attainment, reliance on public assistance, substance abuse, behavioral issues, homelessness, unplanned pregnancies, and illegal activities. Lack of connection to a caring adult when exiting foster care and emancipated foster youth's inadequate independent living skills are critical factors that could place young people at risk. Prior studies have shown that mentoring is a means of providing foster youth with protection against psychological stress and promoting well-being; however, mentoring is not a widely used intervention in the child welfare system. There is limited research on the process of implementing …

Strategies African American Stepfathers Use To Build Positive Relationships With Their Stepdaughters, Shauntele Peynado-Rogers

Walden Dissertations and Doctoral Studies

Researchers have shown that strained relationships between stepfathers and their stepchildren contribute to family dysfunction and stress. As the number of blended families in the United States continues to rise, it is important to determine how stepparents develop positive relationships with their stepchildren. The purpose of this study was to determine what strategies African American stepfathers use to develop positive, supporting relationships with their school aged stepdaughters. Family systems theory guided this research. The generic qualitative approach was used to conduct the study. Purposeful sampling resulted in data being collected from 7 participants using semi structured interviews. Colaizzi's 7-step method …

The Perceptions And Experiences Of Clinical Caseworkers In Promoting Pregnancy Prevention In Foster Youth, Ruby Ann Stroman

Walden Dissertations and Doctoral Studies

Teen pregnancy prevention has been a focus for clinical and medical professionals for many years now, and it is an extensively documented social issue, especially in the foster care system. In an effort to promote pregnancy prevention, clinical caseworkers who work with foster youth educate at-risk youth in regards to the difficulties that can be experienced as a result of teen pregnancy. The purpose of this generic qualitative study was to explore the perceptions and experiences of clinical caseworkers as they promoted pregnancy prevention in foster care youth. The 6 purposefully selected respondents were all clinical caseworkers. The study used …

Locus Of Control And Mindfulness As Moderators Of The Job Demand-Control Model: Effects On Burnout, Basia Andrejko-Gworek

Walden Dissertations and Doctoral Studies

AbstractBurnout is considered a health hazard of contemporary workplaces and additional research is needed to identify protective factors against this phenomenon. The job demand-control model specifies job control as the key buffer against strains, but empirical support for its buffer hypothesis is limited. The present study accounted for both structural and person factors and tested a revised hindrance job demand-control model in prediction of burnout. By incorporating the challenge-hindrance stress framework with tenets of the transactional stress framework and the differential reactivity of personality theory, it was proposed that inclusion of hindrance stressors (i.e., interpersonal conflict, role conflict and organizational …

School Social Workers And Perceived Barriers When Providing Services To Lgbtq Children, Jason Ray Bullard

Walden Dissertations and Doctoral Studies

The proliferation of bias and prejudicial attitudes towards the lesbian, gay, bisexual, transgender, and queer or questioning (LGBTQ) community have been studied and empirically recognized throughout modern history. School social workers, as the school-to-home mental health liaison, have a duty to protect and support vulnerable populations of students. Research supports the overarching need for specific support provision for young LGBTQ children as they often report not feeling safe or supported within educational settings, leading to an overall decreased sense of wellbeing. This study, based on critical race theory as well as normative theory and democracy, used qualitative semistructured interviews with …

Foster Care Service Barriers And Social Work Practice In The Virgin Islands, Anna Maria Clarke

Walden Dissertations and Doctoral Studies

This qualitative research study explored service barriers social workers encountered while working with their foster clients aging out of placement in the Virgin Islands. This study provided an understanding of the problem and seminal literature that warrants further study in the future. The foundation for this study was grounded in ecological systems theory. Data collection consisted of narrative interviews with social workers from a single government agency. Six social workers from the islands of St. Croix and St. Thomas in the Virgin Islands discussed the challenges they encountered while working with their foster clients aging out of placement. Key findings …

Principals’ Perceptions Of Fostering A School Culture For Elementary Trauma-Exposed Students, Laura Ann Kelly

Walden Dissertations and Doctoral Studies

Experiencing trauma can affect children’s ability to achieve academically. School principals are responsible for creating a positive school culture to support all children academically, yet there is limited knowledge of how principals create such a culture for children exposed to trauma. The purpose of this basic qualitative study was to understand the practices of elementary school administrators in fostering a safe and trustworthy school culture that supports academic achievement for students who have experienced trauma. Maslow’s conceptual framework of human motivation informed this study, and research questions centered on how elementary principals perceive practices necessary to create and maintain a …

Health Care Maltreatment And Perioperative Suicidality Among Transgender Persons: A Phenomenological Investigation, Alma Theresa Knight

Walden Dissertations and Doctoral Studies

AbstractThe goal of this phenomenological study was to investigate the phenomenon of transgender suicide and how health provider transgender health knowledge deficits may have contributed to this public health disparity. The constructs of the Social-Ecological Suicide Prevention Model, the Perioperative Medicine Model, and the Perioperative Patient-Focused Model is the Tri-Model framework used to guide this research project in proposing the research question, the sub-questions, and contributed to the analysis of the results. This Triad-Model is also proposed as a framework to eradicate the health provider transgender health knowledge gap; to improve transgender health care delivery; enable physicians and nurses to …

A Phenomenological Study On Adoption Disclosure Experienced By Adult Adoptees, Carmen H. Leggett

Walden Dissertations and Doctoral Studies

AbstractThis research addressed the psychological experiences that adoption disclosure has on adoptees and their systems. In this phenomenological study eight interviews were conducted that consisted of four females and four males guided by general systems theory. Interviews were conducted via video conference, telephone, and email/telephone. Data saturation was achieved after the fourth interview as no new information had surfaced and similar responses were being echoed repeatedly from the participants. However, the interviews continued because the stories being shared by the participants were invaluable and to ensure the sampling criteria of eight participants was met. The interviews were transcribed, and several …

Understanding The Young Adult African American Male's Perceptions Of Civic Engagement, Carl Lee Jackson

Walden Dissertations and Doctoral Studies

AbstractCivic engagement and political involvement of the greater portion of the population of democratic societies are important to the maintenance of the quality of life of all members. Although 100% participation in these activities is rare, higher levels of involvement across all affected demographic groups will support a more equitable political environment in urban communities. In the midwestern metropolitan community that is the focus of this study, young adult African American males were found to participate in all forms of civic engagement at lower rates than any other demographic group. Using a critical race theory foundation, the purpose of the …

Identifying Strategies That Address Race-Based Traumatic Stress Of African Americans In Rural Mississippi, Syrenia Johnson

Walden Dissertations and Doctoral Studies

There has been a dramatic increase of race-based encounters that have had an extensive health impact on African Americans. Social workers and other mental health professionals play a crucial role in working with African American adults who experience race-based traumatic stress. The purpose of this qualitative study was to identify strategies to address race-based traumatic stress from a mental health perspective. Racial encounter coping appraisal and socialization theory (RECAST) guided this study where eight social workers from the local community mental health center in rural Mississippi completed an open-ended questionnaire to identify and determine culturally competent treatment strategies for African …

Strategies To Reduce Voluntary Employee Turnover, Ieshia Renee Bradley

Walden Dissertations and Doctoral Studies

The cost of voluntary employee turnover is extremely high for organizations in the United States. In 2017, organizations lost over 114 million dollars in profits due to voluntary employee turnover. Business leaders who do not implement the retention strategies to prepare and maintain talent are at risk of losing employee productivity, translating into the organization's profitability. Grounded in Herzberg’s two-factor theory of motivation, the purpose of this qualitative multiple case study was to explore strategies 6 managers from Tallahassee, Florida used to reduce voluntary employee turnover. Data were collected using semistructured interviews and company archival documents. Data were analyzed using …

Hospice Interdisciplinary Use Of The Social Work Assessment Tool For Military Families, Miranda Lishell Rankin

Walden Dissertations and Doctoral Studies

The development of the social work assessment tool (SWAT) was an initiative designed by members of the National Hospice and Palliative Care Organization to move hospice and palliative care social workers into the arena of viewing the family as an extension of the patient. Of those dying in the United States, 1 out of 4 is a military veteran (vet) in need of assessments, culturally relevant interventions, and/or supports at the end of life. For military families, caring for vets at the end of life can prompt stressors that may require culturally unique assessments and/or interventions. Tsai’s (2003) theory of …

Perceptions Of Reproductive Health Services Of Young African American Mothers With Low Literacy, Timika S. Anderson-Reeves

Walden Dissertations and Doctoral Studies

As they begin to shift decision-making from their parents to themselves, many African American adolescent girls embracing motherhood and living with low literacy seek reproductive health services at federally qualified health centers (FQHCs). Emerging adult African American mothers engaged in reproductive health services at urban FQHCs are provided services based on the centers’ promulgated health policies. Although FQHC staff assess for health literacy levels, they often do not design organizational processes to support reproductive health mothers with literacy challenges and diverse learning styles, and little is known about how young African American mothers with low literacy experience FQHCs’ reproductive health …

Reducing Heart Failure Readmissions Through Staff Education, Christopher Davio

Walden Dissertations and Doctoral Studies

Heart failure is a chronic health condition that can have devastating effects on thephysical and social well-being of patients. One critical component to heart failure treatment is understanding of the disease process and daily self-management for patients. The gap in practice at an acute care facility in the northwest United States was the lack of comprehensive discharge patient teaching to patients diagnosed with heart failure. The project explored if a heart failure education session for nurses would increase knowledge and competency on heart failure education. Knowle’s theory of adult learning was used to frame the project components. Thirty-one nursing staff …

The Perceptions Of African American Females In Educational Leadership, Shonda Matia Harris-Muhammed

Walden Dissertations and Doctoral Studies

AbstractIn a Southeast U.S. state, African American female school administrators had difficulty obtaining administrative roles within the local district. The purpose of this basic qualitative study was to examine the perceptions of African American females in educational leadership roles and the challenges they faced in obtaining leadership positions. Delgado and Stefenic’s Black feminist theory provided the conceptual framework for this study. Two research questions addressed African American female administrators’ perceptions of their administrative roles, contributions, support of diversity, and experiences in obtaining leadership positions. Data were collected from semistructured interviews with 10 African American female administrators who had a minimum …

Examining The Efficacy Of A School-Based Mental Health Program In Iowa, Karen A. Rodriguez

Walden Dissertations and Doctoral Studies

Evidence shows that treating mental health issues positively impacts academic and other life outcomes for students. However, there remains a gap in knowledge specific to academic outcomes and to rural school districts. It is important for mental health providers, educators, and third-party payers to gain an understanding of how treating mental health in the school setting affects student performance. The purpose of this quantitative study, which had contribution analysis as its theoretical framework, was to examine the academic and behavioral outcomes of participating in a school-based mental health (SBMH) program in rural school districts in Iowa. The specific focus was …

Self-Care Practices, Work Experience, Educational Setting, And Burnout Among School Counselors, Paul Sylvester-Nwosu

Walden Dissertations and Doctoral Studies

AbstractSchool counselors should be well-adjusted in their personal and professional lives and possess a keen, accurate perception of their self-care practices. However, people drawn to careers in school counseling are often at risk of developing burnout due to high professional demands and limited resources supporting their self-care and well-being. The purpose of this quantitative correlational study was to investigate the relationship between the independent variables of self-care practices, years of work experience, and educational settings and the dependent variable of levels of burnout among practicing school counselors in K-12 suburban educational settings in the Mid-Atlantic region of the United States. …

Job Satisfaction, Work Environment, Job Stress, And Professional Identity Among Psychiatric Nurses, Tosin Rabiu-Akewusola

Walden Dissertations and Doctoral Studies

Job satisfaction is one of the most complex issues in the healthcare industry in regard to employees. To boost employees' productivity and job satisfaction, nurse leaders must satisfy their employees' needs by providing the right working conditions, reducing job stress, and promoting professional identity development. This quantitative, cross-sectional correlational study guided by Herzberg et al.s two-factor theory investigated the relationship among work environment, job stress, professional identity, and job satisfaction among 105 registered nurses working in inpatient psychiatric hospitals in the United States. It was determined that the moderating effect of demographic factor (years of experience) on the extent to …