Digital Commons Network^™

Caregivers' Challenges In Accessing Services For Children With Autism, Anita Payne Jones

Walden Dissertations and Doctoral Studies

The perspective of the caregiver is vital to understanding the experiences of raising a child with autism, including the challenges faced in accessing services. The purpose of this qualitative, transcendental phenomenological study was to examine the lived experiences of primary caregivers raising a school-age child with autism and to bring about an understanding of the challenges faced in accessing services. Resiliency theory provided the conceptual framework for the study. Semi-structured, in-depth interviews were conducted with 11 participants raising a child with autism in the Washington, DC metropolitan area. Data were analyzed using Moustakas's descriptive approach. Results yielded 5 themes: overall …

Employee Retention Strategies In Nonprofit Organizations, Ann Laing

Walden Dissertations and Doctoral Studies

The nonprofit sector is faced with the business problem of low employee retention rates. Low employee retention rate presents various business challenges, which includes the inability to offer community members much needed social service programs as well as providing a competitive compensation package to their employees. The purpose of this descriptive phenomenological study was to explore the evidence-based best practice strategies in employee retention used in the nonprofit sector. The research included a conceptual framework focusing on Herzberg's Motivation - Hygiene Theory. The conceptual framework utilized in this study included segmentation of different employee retention strategies in nonprofit organizations. Data …

Use Of Mobile Telephones: Experiences Of First Responders In Rural African Communities, James Harding

Walden Dissertations and Doctoral Studies

Emergency medical technicians (EMTs) usually participate in disaster response in rural African communities. Disasters in African communities are often characterized by huge fatalities, which are associated with a slow pace of response. The use of information and communication technology in disaster response is recognized as an effective conduit for enhancing response. Previous research indicates the efficacy of the use of mobile telephones in disaster response in advance countries. However, there remains a critical gap in the available literature on the experiences of EMTs with the use of mobile telephones in disaster response in rural African communities. The purpose of this …

The Impacts Of Race, Residence, And Prenatal Care On Infant Mortality, Mary Christine Dorley

Walden Dissertations and Doctoral Studies

Tennessee ranks high for infant mortality (IM) in the United States. Despite public health efforts, the IM rate for Blacks is twice that of Whites mimicking what is observed nationally. Several risk factors for IM have been identified; however, it was still unclear how places of residence and prenatal care (PNC) affect IM for Tennesseans. The purpose of this study was to assess the relationship between places of residence (conceptualized by rurality and racial concentration), PNC, and IM among racial groups across Tennessee and to determine if race modified these associations. This was a cross-sectional study using data from the …

Lgb Help-Seeking For Mental Health And Substance Abuse Services In Rural Northern Michigan, Jennifer Towns

Walden Dissertations and Doctoral Studies

Lesbian, gay, and bisexual (LGB) individuals are often exposed to stressors based on their nonheterosexual status; they may have unique needs related to help-seeking for mental health in a rural area where more people identify as religious or as politically conservative. To date, there have been no studies on the mental health help-seeking experiences of LGB individuals in rural Northern Michigan. This qualitative, single case study was completed to explore the help-seeking experiences of 10 LGB individuals who were recruited through criterion and snowball sampling. In-depth, semi structured interviews were conducted. Transcribed interview data were entered into Nvivo software for …

Perceptions Of Obese African American Women Regarding Altering Traditional Soul Food Preparation, Patricia A. Young

Walden Dissertations and Doctoral Studies

The obesity epidemic continues to be a major concern in the United States. The World Health Organization reported that 1.4 billion adults were either obese or overweight. African American (AA) women have the highest incidence of obesity worldwide. The obesity rate among AAs has continued to rise over the past 2 decades. The problem is that AA women prepare and consume high caloric foods that contribute to obesity. This qualitative descriptive study explored the perceptions that obese AA women have about altering how they prepare soul food to make it a healthier soul food. The empowerment model and the health …

Early Interventionists' Perspectives Of Self-Efficacy With Neonatal Abstinence Syndrome, Adrienne Anderson

Walden Dissertations and Doctoral Studies

An increasing number of infants are diagnosed with neonatal abstinence syndrome (NAS) as a result of prenatal opioid exposure. Early intervention services are recommended for this population of children and families to mitigate developmental delays associated with NAS. The effectiveness of early intervention is dependent on the ability of interventionists who deliver these services. The purpose of this qualitative case study was to explore early interventionists' perspectives of self-efficacy when working with infants diagnosed with NAS and their families. Bandura's self-efficacy theory and Rotter's concept of locus of control provided the conceptual framework for this study. The study's guiding research …

A Case Study On Learning Transfer In A Social Service Organization, Cynthia A. Barnes

Walden Dissertations and Doctoral Studies

Support from managers, training specialists, and human resource development specialists is needed if social service employees are to transfer learning to their organizations. There is a gap in the literature about managers, training specialists, and HRD specialists familiarizing employees with learning transfer expectations. This study addressed the way social service employees transferred what was learned after attending normal training classes. The research questions focused on learning transfer expectations for the employees, conditions that addressed during the learning transfer, processes that are in place where there was not a learning transfer initiative, and the way learning was used by employee. The …

Effects Of Stigma On The Use Of Spirituality By Older Black Men Living With Hiv, Warren Lee Miller

Walden Dissertations and Doctoral Studies

Previous research on HIV stigma and the use of spirituality by people living with HIV/AIDS is scarce. Moreover, the research with older Black men who have sex with men (BMSM) is scant. The focus of this qualitative transcendental phenomenological study was to examine the lived experiences of BMSM living with HIV aged 50 and older with encounters of HIV stigma on the use of spirituality. The research questions were designed to explore the lived experiences of aging, HIV stigma, and spirituality. Conceptually, this study was framed within the minority stress theory and the HIV stigma framework. Data were collected through …

Resiliency And Age As Predictors Of Academic Performance Among Adult Online Students With Trauma-Related Disabilities, Carrie Lebarron

Walden Dissertations and Doctoral Studies

Understanding the importance of resilience in academic performance as it pertains to adult online students is valuable to the people who provide services to, work with, and are a part of the population. The need to develop and enhance social programs that will improve outcomes for students with trauma-related disabilities is beneficial in increasing graduation rates and improving on the time it takes for adult online students to graduate. There is also a need for research focused on students with trauma-related disabilities because the literature in the field was found to be lacking in information. The purpose of the study …

A Program Evaluation Of A Preadolescent Girls' Youth Development Program, Linda F. Weekley

Walden Dissertations and Doctoral Studies

Programs that include skills to help girls successfully navigate the difficulties of preadolescence have been shown to be beneficial. One such youth development program in the southeastern part of the United States began in 2014 but has had no formal evaluation completed. The purpose of this qualitative study was to conduct a utilization-focused process evaluation, asking questions that addressed the perceptions of a school leader (n = 1) and volunteers of the program (n = 8). Their input was solicited concerning successful implementation strategies used, and recommendations for adaptations, recruitment, and volunteer training. Semistructured interviews were conducted using predetermined open-ended, …

Understanding Experiences Of The Bermuda Government's Youth-Serving Professionals In Transformational Coaching, Nicola Feldman

Walden Dissertations and Doctoral Studies

Public administrators and civil servants working with vulnerable youth have the challenging yet critical job of supporting their young clients in overcoming adversity and achieving optimal life outcomes. Public administrators and civil servants work with vulnerable youth to help shift their trajectories toward positive life outcomes; however, if these professionals are not thriving in the workplace, they may not have the best possible positive influence on youth. Little was known about how to support the ability of professionals to experience professional thriving, defined as the experience of feeling energized at work and motivated toward professional growth and success. The purpose …

Management Of Postoperative Pain In The Total Joint Replacement Patient, Angela Washington

Walden Dissertations and Doctoral Studies

Managing postoperative pain continues to be a challenging public health problem. The organization under study was experiencing a prolonged length of hospital stay (LOS) in the post-total knee and hip replacement surgery population that was causing system-wide patient flow issues. The purpose of this quality improvement project was to educate patients through an established education class on pain expectations, strategies on managing pain, discharge planning, and physical therapy expectations with a goal of reducing pain and LOS. The health belief model was used as a guide to incorporate new content into the educational program that addressed patient knowledge on pain, …

Identifying Factors That Predict Policy Practice Among Social Workers, Dawn R. Broers

Walden Dissertations and Doctoral Studies

The social work profession has long touted a dual focus on service within micro and macro realms of practice, preparing social workers to serve marginalized populations at the boundary between the powerful and the powerless. Research, however, has shown that macro social work, or policy practice, has diminished. Current research has been inconsistent in identifying predictive factors of increased policy practice. With recent efforts by the profession to bolster waning policy practice among social workers, it is vital to identify factors that predict higher engagement. Theoretical frameworks suggest that professional socialization in policy practice as a group norm, having resources …

African American Women Caring For Loved Ones With Alzheimer's Disease And Dementia, Lisa M. Forbes

Walden Dissertations and Doctoral Studies

Abstract

In 2016, a dramatic shift occurred in demographics in the United States because the oldest people in the baby boomer generation, which consists of people born between 1946 and 1964, reached age 65. The larger aging population and longer lifespans have produced an increased need for care and services. There are an estimated 5.4 million Americans of varying ages living with a diagnosis of dementia or Alzheimer's disease. Diagnoses of Alzheimer's disease are more prevalent among African Americans than other ethnicities. With little research found on culturally appropriate interventions for specific ethnic groups, a more detailed review of the …

Kansas City, Missouri, Inner City Schools' Parent Involvement Policy, Practices, And Accreditation Problems, Gena L. Ross

Walden Dissertations and Doctoral Studies

In 2012, the Missouri Board of Education took away Kansas City Public Schools (KCPS) accreditation status. For over 40 years, KCPS has struggled with poor academic achievement, decreased enrollment and budget, and numerous leadership turnovers. Although KCPS regained provisional accreditation in 2014 and earned enough points on the annual performance report for consideration to become a fully accredited school system, state education officials first want to ensure that the district can sustain its new performance level before granting full accreditation. The purpose of this phenomenological research study was to explore parents' perceptions about how the KCPS' parent involvement policy and …

A Phenomenological Study On The Challenges Experienced By Kinship Adopters, Allyson Foster Hamlin

Walden Dissertations and Doctoral Studies

This research addressed the social and emotional challenges kinship adoptive families have encountered when their adopted child's trauma symptomology surfaces. The unique relationship between the adoptive relative and the kinship child offered a different view on the coping techniques used by kinship families and uncovered areas where resources could support permanency. In this phenomenological study, 12 interviews with relative adoptive parents guided by the attachment and family system theories, offered insight to what fosters or degrades the bond with the adopted child. Using post-adoption resource events, service agencies, and community resources, this study recruited participants through flyers posted on websites, …

Age, Gender, Income, And Social Support As Predictors Of Single Parent Resiliency, Ebonnie Leavern Simmons-Hall

Walden Dissertations and Doctoral Studies

Nearly 50% of children younger than 18 years will be raised by a single parent at some point prior to adulthood. Of developed countries, the United States currently has the highest percentage of single parents. Although much research has examined factors that contribute toward the negative outcomes of single parents, few studies have focused on factors that contribute toward positive outcomes for single parents. Using the strength-based construct of resiliency as a theoretical framework, this study examined whether gender, age, income, and perceived familial social support individually or in linear combination could predict resiliency in single parents. This study involved …

Strategies Construction Managerial Leaders Use To Counteract Material Cost Overruns, Daniel John Van Der Kuyp

Walden Dissertations and Doctoral Studies

The project cost overruns instigated through the loss of construction materials lowers the profitability of each stakeholder significantly. The purpose of this single case study was to explore strategies managerial leaders of a large construction firm used to counteract material cost overruns successfully. The diffusion of innovation theory was the conceptual framework for this study. The target population consisted of 6 managerial leaders with experience in large construction projects adhering to waste management standards and industry certifications. Data were collected using semistructured interviews and review of company documentation. The data analysis approach involved the content analysis research method to interpret …

A Comparison Of Restorative Justice Ideology Between Administrators, Teachers, And Parents, Renée J. Alger

Walden Dissertations and Doctoral Studies

Researchers suggest that restorative justice processes in schools are a successful alternative to traditional punishments for school discipline, and are used for both reactive and proactive responses to behavior issues. However, the processes are not sustainable if the administration implementing restorative justice do not promote a restorative justice ideology (RJI), and if all systems that impact the student are not aligned. Therefore, study was conducted to compare the level of restorative justice ideology between groups of administrators, teachers, and parents with a validated restorative justice ideology survey instrument that includes cooperation, restoration, and healing, and an accumulative score for RJI …

Human Trafficking As A Threat To The Security Of Americans, Lora Ann Mcdonald

Walden Dissertations and Doctoral Studies

Human trafficking is a transnational crime that allows traffickers to abuse victims physically and mentally, as well as stripping them of their human rights. The United Nations theory of human security and Mendelsohn's theory of victimology provided a conceptual framework to examine the harm that people endure from human trafficking. The purpose of this qualitative multiple-case study was to explain how human trafficking threatens the security of people and communities. Reviewing data from the Department of State concerning trafficking led to the investigation of youth exploitation, the use of technology in advancing the growth of human trafficking, the health concerns …

Exploring Welfare Recipients' Self-Sufficiency Barriers Through Information Management Systems In Tennessee, Valenta Eunice Nichols

Walden Dissertations and Doctoral Studies

Families living on welfare in low-income impoverished neighborhoods encounter multiple barriers that need mitigating before seeking work to reach self-sufficiency. Many welfare recipients' self-sufficiency barriers are unnoticeable to caseworkers due to lack of data sharing to assess clients' needs through information technology processes. The purpose of this exploratory descriptive phenomenological qualitative study was to understand welfare recipients' viewpoints on socioeconomic barriers to living self-sufficiently and gain perspectives from human services caseworkers and technical resources on data sharing issues that impact recipients' ability to live independently from government assistance. Data collection and observational field notes resulted from in-depth interviews of 11 …

Chaplaincy Inclusion In Hospital Interdisciplinary Teams And Its Impact On Chaplains' Well-Being, Chike Nzegwu

Walden Dissertations and Doctoral Studies

Healthcare providers may impede the delivery of spiritual and emotional support to

patients and their families by healthcare professional chaplains if they misunderstand how to effectively use chaplains, who often prefer to be engaged sooner than they are. This issue prevents highly trained, board-certified professional chaplains from providing services, thereby impacting the quality of patient care. The purpose of this phenomenological study was to examine, through the lived experiences of professional chaplains, the extent to which chaplains feel that others perceive them as valued members of an interdisciplinary team (IDT), as well as to determine how team inclusion may impact …

Counselors' Knowledge And Attitudes Of The Recovery Paradigm, Kathleen Ruscitto

Walden Dissertations and Doctoral Studies

As of 2014, an estimated 18.1% or approximately 43.6 million adults, 18 years of age or older in the United States experienced a form of mental illness. Professional counselors subscribe to a wellness or holistic paradigm; however the recovery paradigm, using collaborative strategies and unique treatment planning is the directed approach of mental health services in the United Stated. The purpose of this quantitative study was to understand what factors contribute to counselors' knowledge and attitudes of the recovery paradigm. Survey methodology was used to examine whether, among professional counselors, years of experience, gender, professional setting, and licensure status, as …

Student Perspectives On Application Of Theory To Practice In Field Practicums, Anne Marie Scaggs

Walden Dissertations and Doctoral Studies

The field practicum is designed to offer students the opportunity to integrate knowledge and practice prior to graduation; however, students continue to lack the ability to connect theory to practice within the field practicum. The purpose of this qualitative case study was to explore the beliefs, attitudes, and perspectives of social work students regarding the application of theory to practice within the field practicum. The conceptual framework included concepts of empowerment, empowerment theory, and social constructivism. The research question addressed how social work students at a local university described the issues related to connecting theory to practice within the field …

Educating Nurse Managers To Create A Culture Of Nurse Retention, Stacey Trotman

Walden Dissertations and Doctoral Studies

Nurse managers are stakeholders in creating a culture of nurse retention. The purpose of this staff education project was to identify evidence-based best practices that promote nurse retention and to educate nurse managers about these strategies. Knowles's theory of adult learning was the theoretical framework for the project. The practice-focused question addressed whether an education program for nurse managers would increase their understanding of evidence-based strategies to create a culture of nurse retention. The education program centered on 4 themes: professional development, communication and relationships, culture and work environment, and organizational structures and support. The concepts of 5 domains-- status, …

Inclusion Of Social Workers In End-Of-Life Discussions In Intensive Care Units, Olivett D. Underwood-Mobley

Walden Dissertations and Doctoral Studies

Clinical social workers have roles in providing end-of-life care in the United States. Although clinical social workers are present in the intensive care unit (ICU) setting and have expertise to address end-of-life care dynamics, social workers are not consistently included in end-of-life discussions in the ICU setting. The purpose of this action research study was to explore the barriers that prevent clinical social workers from being included in end-of-life discussions in the ICU and how clinical social workers perceive their roles in end-of-life discussions in the adult ICU setting. Open-ended questions were used to gather data by facilitating 4 focus …

Causes Of Recidivism Among Mentally Ill Prerelease Offenders From The Perspective Of Former Correctional Mental Health Professionals, Rina Desiree Deneice Bradley Brown

Walden Dissertations and Doctoral Studies

The move toward reducing the prison population was driven by an increase in the number of reentry programs that focused on the needs of the offender, such as the provision of stable housing, employment, education, and sustaining strong familial bonds. While the literature supported these areas as being effective in reducing recidivism, there was no consensus that they were effective for offenders with mental illness (OMI). The purpose of this qualitative study was to analyze the impact of prerelease services for the OMI population from the perspective of former correctional mental health professionals who provided these services. The research questions …

Using Parent-Identified Strengths Of Autistic Children To Advance Strength-Based Intervention, Angelique Francesca Trigueros

Walden Dissertations and Doctoral Studies

Questions remain about the range of abilities autistic children possess and what constitutes effective treatment. Strength-based intervention contrasts with traditional autistic intervention approaches that focus on children's deficits. Studies on strength-based intervention approaches have not revealed how children's strengths are identified and have not used the insights of parents for this purpose. Neurodiversity serves as the conceptual framework because the tenets of neurodiversity align with those of strength-based approaches and hold that autism is a variation of the human condition rather than a disability. The purpose of this qualitative interpretive phenomenological study was to explore how the parent-identified strengths of …

Adolescent Engagement In Home-Based Treatment: An Action Research Study, Krystal Finch

Walden Dissertations and Doctoral Studies

Adolescent engagement in home-based treatment is a challenge within the social work field. Studies have suggested that the foundation of clinical practice relies on the clinician's ability to understand the process of engaging adolescents in treatment, which may also include a period of adaptability, relatability, and connectedness within the treatment setting. The purpose of this study is to explore the clinical practice approaches, roles, and experiences utilized in home-based treatment to adolescents residing in a large city in northeastern United States. This study was grounded in the ecological systems theory which provides social workers with an opportunity to assess the …