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Developing A Presimulation Protocol For Prostate Cancer Patients Undergoing Radiotherapy, Jennifer Wieworka
Developing A Presimulation Protocol For Prostate Cancer Patients Undergoing Radiotherapy, Jennifer Wieworka
Walden Dissertations and Doctoral Studies
Inadequate preparation of prostate cancer patients undergoing radiation therapy (RT) can damage healthy tissue and cause long-term complications. Proper setup can reduce side effects. Currently, there are no standardized guidelines to help prepare patients for prostate radiation. Guidelines will help nurses coordinate care and manage symptoms for these patients. The purpose of this doctoral project was to address the gap in practice of the lack of a standardized process for implementing presimulation interventions for patients with prostate cancer undergoing RT by developing an evidence-based clinical practice guideline (CPG). The practice question for this project focused on the best practices contributing …
A Lexical Approach To Collective Personality Using Nongroup Members As Raters, Robert Cameron Black
A Lexical Approach To Collective Personality Using Nongroup Members As Raters, Robert Cameron Black
Walden Dissertations and Doctoral Studies
The construct of personality exhibits utility in predicting group outcomes. However, quantifying a group personality construct has almost exclusively been accomplished by aggregating individual group member five-factor personality scores to derive the group personality score. This type of operationalizing rests on the assumption that collective personality exists and has a five-factor structure, makes results context specific, and limits cross-comparison of different types of groups. The purpose of this quantitative study was to apply a lexical approach and exploratory factor analysis to explore personality structure of a group at a group level. The research question focused on identifying if a construct …
Policy Expectations And Care-Provider Perceptions For Hospital Emergency Preparedness, Kathleen Joy Hirsch-Lanute
Policy Expectations And Care-Provider Perceptions For Hospital Emergency Preparedness, Kathleen Joy Hirsch-Lanute
Walden Dissertations and Doctoral Studies
AbstractMaintaining preparedness for a disaster is a patient and provider safety issue that is often not a priority for hospital planning; however, the inability to implement and evaluate disaster/emergency preparedness programs may render hospitals and the overall healthcare system fragile and dysfunctional amidst such crises. Priorities such as emergency-department overcrowding and lack of funding emerge daily and contribute to the inability of hospitals to respond appropriately to unexpected events. This study was conducted with the aim to assess the correlation between disaster/emergency preparedness and related problems, policy, and politics. A cross-sectional survey design was used to determine whether problems, policy, …
Importance Of Childhood Maltreatment On Borderline Personality In Adults: Meta-Analysis, Lisa Nicole Trentacosti
Importance Of Childhood Maltreatment On Borderline Personality In Adults: Meta-Analysis, Lisa Nicole Trentacosti
Walden Dissertations and Doctoral Studies
Early childhood maltreatment (CM) is a risk factor for later psychopathology specifically Borderline Personality Disorder (BPD). CM has been found to negatively affect social, emotional, and psychological development as well as the ability to foster and sustain interpersonal relationships throughout all stages of life. There are evidence-based interventions for different kinds of CM including Trauma-Focused Cognitive-Behavior Therapy (TF-CBT), Alternatives for Families - Cognitive Behavioral Therapy (AF-CBT), relaxation training, and social skills training. The current study is a meta-analysis of published research into CM as it contributes to BPD in adults and is designed to examine the effect size of childhood …
Officer Perceptions Of Cultural Competency And Growing Hispanic Suburbia In Northwest Indiana, Joseph William Swanson
Officer Perceptions Of Cultural Competency And Growing Hispanic Suburbia In Northwest Indiana, Joseph William Swanson
Walden Dissertations and Doctoral Studies
Increased interactions between police and Hispanic citizens in suburban communities suggest a need for officers to possess cultural awareness and competency for successful service; however, how cultural competency develops in officers remains elusive. This qualitative interpretative phenomenological study’s purpose was to explore cultural competency’s role in police-Hispanic citizen interactions through the lived experiences of officers in Northwest Indiana. Bronfenbrenner’s ecological systems theory and Bennett’s developmental model for intercultural sensitivity comprised the research frameworks. Data collected through semi-structured interviews of 9 officers representing 4 police departments in northwest Indiana revealed the officers’ existing cultural competency was predicated by self-motivation reflective of …
Strategies Women Business Owners Use To Sustain Their Enterprises Beyond 5 Years, Alyce Herndon
Strategies Women Business Owners Use To Sustain Their Enterprises Beyond 5 Years, Alyce Herndon
Walden Dissertations and Doctoral Studies
Women business owners lacking adequate business knowledge often fail within the first 5 years. Business knowledge is a critical competency for women to compete, grow, and survive in business for more than 5 years. Grounded in the organizational life cycle model, the purpose of this qualitative multiple case study was to explore the strategies that women business owners used to sustain their enterprises for more than 5 years. Data were collected through face-to-face interviews with 7 women business owners in Missouri, member checking, and a review of company documents. Data were analyzed using Yin’s 5-step process: compiling, disassembling, reassembling, interpreting, …
Online Teaching Self-Efficacy And Faculty Ict And Computer Attitudes In Higher Education, Sharifa Jomoke Simmons
Online Teaching Self-Efficacy And Faculty Ict And Computer Attitudes In Higher Education, Sharifa Jomoke Simmons
Walden Dissertations and Doctoral Studies
The digital age is reshaping learning and instruction and encouraging educational technology advances within higher education institutions. However, online faculty are not integrating technology into their classes despite the technology related professional development they receive. The purpose of this quantitative study was to determine if a relationship exists between online teaching self-efficacy and Information and Communications Technology (ICT) and computer attitudes and faculty participation in technology professional development activities, gender, and age within the context of institutions of higher education. Alfred Bandura’s social learning theory and Roger’s diffusion of innovations theory framed the study. Using Qualtrics, survey data were collected …
The Lived Experience Of Quality Of Life Of Older Adults In Rural Ghana, Benjamin Arthur
The Lived Experience Of Quality Of Life Of Older Adults In Rural Ghana, Benjamin Arthur
Walden Dissertations and Doctoral Studies
The quality of life (QOL) of older adults in rural Ghana is of growing concern, locally and throughout the country. In Ghana, it is the tradition for family members to take care of older adults without any government support, but research has shown that changing economic and social structures make this tradition less optimal, so older adults suffer physically and emotionally. The purpose of this phenomenological study was to explore the lived experience of QOL for older adults in rural Ghana. The ecological systems theory was used to explore the integral role of family support and QOL in the microsystem, …
Lived Experiences Of Lassa Fever Survivors In Southsouth Nigeria, Albert Oamen Oyeribhor
Lived Experiences Of Lassa Fever Survivors In Southsouth Nigeria, Albert Oamen Oyeribhor
Walden Dissertations and Doctoral Studies
AbstractLassa fever, a viral disease, was first isolated in the late 1960s and affects 300,000 to 500,000 people, causing 5,000 to 10,000 fatalities annually across West Africa. Although there are studies on the causes and prevalence of Lassa fever, there is a paucity of studies regarding the quality of life (QoL) and lived experiences of survivors. The purpose of this qualitative study, guided by Leininger’s culture care theory, was to describe the QoL and meanings of the lived experiences of Lassa fever survivors in the Southsouth region of Nigeria. Fifteen survivors of Lassa disease were interviewed. Data were analyzed using …
Gender Mainstreaming In Male-Dominated Nigerian Industries, Benedicta Ifeyinwa Oyiana
Gender Mainstreaming In Male-Dominated Nigerian Industries, Benedicta Ifeyinwa Oyiana
Walden Dissertations and Doctoral Studies
The objective of Gender mainstreaming (GM) is to foster equal opportunities by applying a gender perspective to all policies and practices within organizations, thus influencing decisions and traditional structures of organizations. GM strategies redirect focus from increasing participation and representation to ensuring structure in organizational practices that address inequalities. The strain between women’s work experience and traditional role expectations contributes to the issues career women experience, especially those in male-dominated industries. Interviews with ten senior executives were conducted over Zoom, data were analyzed using a five-phased approach: compiling, disassembling, reassembling, interpreting, and concluding. This study buttresses how in spite of …
Lived Experiences Of Instructional Designers Who Designed Online Information Technology Courses With Hands-On Activities, Cheryl Bagshaw Frederick
Lived Experiences Of Instructional Designers Who Designed Online Information Technology Courses With Hands-On Activities, Cheryl Bagshaw Frederick
Walden Dissertations and Doctoral Studies
As part of the process for designing an online information technology (IT) course, hands-on activities may be included; however, the literature has not readily revealed the best practices and challenges instructional designers (IDs) face with including hands-on activities in an online IT course. Research has shown that hands-on learning increases student performance and engagement and prepares IT students for the workforce. The purpose of this qualitative, descriptive, phenomenological study was to explore the lived experiences of IDs in the development of an online IT course when the course included hands-on activities. Constructivism and active learning were used as the conceptual …
Profitability Strategies Of Solar Energy Businesses In Lagos, Nigeria, Mayowa Ezekiel Akeju
Profitability Strategies Of Solar Energy Businesses In Lagos, Nigeria, Mayowa Ezekiel Akeju
Walden Dissertations and Doctoral Studies
Some solar energy companies in Nigeria are not profitable because of ineffective marketing and sales strategies on the part of the business leaders and challenging operating environments. The ability to craft strategies that ensure the adoption of solar energy solutions by households is pertinent to the profitability of the solar energy business. Grounded in Rogers’s diffusion of innovation theory, the purpose of this qualitative multiple case study was to explore strategies solar energy business leaders in Lagos, Nigeria, use to maintain a profitable business. The participants included six solar energy business leaders in two companies from Lagos, Nigeria. Data were …
Racial Disparities In Hypertension Self-Awareness And Hospitalizations For Hypertension-Related Illnesses Among Adult Arkansans, Chimfumnanya Nwanze-Smith
Racial Disparities In Hypertension Self-Awareness And Hospitalizations For Hypertension-Related Illnesses Among Adult Arkansans, Chimfumnanya Nwanze-Smith
Walden Dissertations and Doctoral Studies
Black individuals in the United States are twice as likely as White individuals to die of cardiovascular diseases. Between 2010 and 2016 in Arkansas (AR), hypertension (HTN) and HTN-related diseases had an age-adjusted death rate of 230.4 deaths per 100,000 population compared to 173.6 deaths per 100,000 population for Whites. The purpose of this quantitative, cross-sectional study was to explore the potential association between HTN self-awareness and emergency department (ED) visits and hospitalization rates for HTN and HTN-related illnesses between Black and White individuals in AR. The socioecological framework was used to explore sociodemographic (SDF) and socioeconomic (SES) factors as …
Isocitrate Dehydrogenase-1 Mutation As A Prognostic Factor In Recurrent Glioblastoma, Haroon R. Hashmi
Isocitrate Dehydrogenase-1 Mutation As A Prognostic Factor In Recurrent Glioblastoma, Haroon R. Hashmi
Walden Dissertations and Doctoral Studies
Glioblastoma (GBM) is an aggressive form of brain cancer that has a high recurrence rate and very poor prognosis. The prognostic value of various molecular markers (e.g., IDH 1 mutation, MGMT promoter methylation, etc.) and clinical factors (e.g., age, KPS, surgery and chemotherapy) has been studied in GBM after initial diagnosis but not as extensively in the recurrent GBM. Utilizing a retrospective cohort design, based on quantitative data collected through medical chart reviews, and the conceptual framework of outcomes research in oncology, this study evaluated the prognostic value of IDH-1 mutation in recurrent GBM in the context of key predictor …
The Glass Ceiling: Effects Of Motivation And Morale On Women In Emergency Management, Becky Bernat
The Glass Ceiling: Effects Of Motivation And Morale On Women In Emergency Management, Becky Bernat
Walden Dissertations and Doctoral Studies
Large emergency management organizations are organizations in which women are known to be hindered from becoming leaders. However, the effects that lack of opportunities for advancement has on women’s motivation and workplace attitude have not been thoroughly addressed. The purpose of this qualitative study was to explore the experiences of women working at a large emergency management organization, specifically how perceptions of the glass ceiling affected their motivation and attitude in the workplace. The research questions were focused on gender limitations in career advancement, motivational factors, including extrinsic and intrinsic, and the morale of women who had experiences with gender …
Hospice Social Workers In The Death With Dignity Process, Lisa M. Carter
Hospice Social Workers In The Death With Dignity Process, Lisa M. Carter
Walden Dissertations and Doctoral Studies
Hospice social workers are in an ethical conundrum due to the contrast between honoring clients’ self-determined life closure and hospice organization prescribed non-participation in requests for physician-assisted death. The National Hospice and Palliative Care Association and the International Hospice and Palliative Care Association have issued position statements that the hospice philosophy of care is to provide comfort and reduce suffering, not to hasten death. Social workers are bound by a code of ethics to honor patient choice in end-of-life decisions. This generic qualitative study gives voice to hospice social workers in the Pacific Northwest regarding their motivations and responses to …
The Impact Of Midwifery On Infant And Maternal Outcomes Among Black Mothers, Joann Honoré
The Impact Of Midwifery On Infant And Maternal Outcomes Among Black Mothers, Joann Honoré
Walden Dissertations and Doctoral Studies
According to recent studies, disparities are prevalent in maternal and fetal outcomes between Black and White mothers in the United States. Researchers have established that using a midwife versus other healthcare practitioners can elicit positive maternal and fetal outcomes for Black mothers. However, no within-race research has been conducted exploring midwifery as an insulating factor against these disparities. The purpose of this quantitative retrospective cohort study was to explore the impact of midwifery on infant and maternal outcomes compared to outcomes associated with other prenatal care models/caregivers among Black mothers in California using secondary data. The ecological model was used …
African American Blended Parent Strategies’ And The Influence On Children’S School Performance, Christine Li'chele' Moore
African American Blended Parent Strategies’ And The Influence On Children’S School Performance, Christine Li'chele' Moore
Walden Dissertations and Doctoral Studies
AbstractDue to increasing divorce rates, the number of Americans living in blended family households have increased over the decades. Studies have revealed that some school-aged children who experience family structural changes due to blending families may experience stress that negatively affects their school performance. The purpose of this study was to determine what strategies African American parents in blended family units used to lessen the impact of family structure change on their school-aged children’s school performance. Bowen’s family system’s theory was used to guide this research. A generic qualitative design was used to obtain data from eight participants residing in …
Formative Assessment And Academic Performance As Predictors Of National Physical Therapy Examination Success, Tobi Fox Baldwin
Formative Assessment And Academic Performance As Predictors Of National Physical Therapy Examination Success, Tobi Fox Baldwin
Walden Dissertations and Doctoral Studies
Physical therapy educational researchers have studied various factors that may or may not predict success on the National Physical Therapy Examination (NPTE). One factor that has not been studied extensively is the use of the Academic Practice Examination and Assessment Tool (APEAT) as a formative assessment. The purpose of this study was to determine the predictive power of the APEAT as a formative assessment along with Doctor of Physical Therapy (DPT) program grade point average (GPA) on success on the NPTE. Carless’s learning-oriented assessment theory was used as the theoretical foundation for this study and to guide the analysis of …
Attitudes Toward Seeking Counseling Of Women Residing In Public Housing, Belinda M. Newkirk
Attitudes Toward Seeking Counseling Of Women Residing In Public Housing, Belinda M. Newkirk
Walden Dissertations and Doctoral Studies
Women living in public housing projects experience adverse outcomes because they do not seek treatment for mental illness. It is unclear whether such women have attitudes toward voluntarily accessing mental healthcare services affected by their optimism, experienced stigma, self-efficacy, and resilience. The purpose of this quantitative study was to determine whether the individual determinants of resilience, self-efficacy, experienced stigma, and optimism predicted attitudes toward seeking professional mental health services of women living in public housing based on the self-efficacy, resilience, stigma, optimism, and help-seeking behavior theories. The first research question focused on bivariate correlations among resilience, self-efficacy, experienced stigma, and …
Chief Officers’ Perspectives Of Traffic Incident Management Standards Following A Line-Of-Duty Fatality, Charles David Hughes
Chief Officers’ Perspectives Of Traffic Incident Management Standards Following A Line-Of-Duty Fatality, Charles David Hughes
Walden Dissertations and Doctoral Studies
AbstractAccording to the United States Fire Administration, an average of five firefighters are killed annually at scenes of roadway incidents. The purpose of this study was to explore chief fire officers’ perceptions of incident management policies and standards for the prevention of firefighter line-of-duty deaths resulting from secondary collisions. Their perceptions may contribute to the efficacy and appropriateness of incident management policies and standards and may also lead to recommendations to improve compliance. The research question was to understand what chief fire officers’ perceptions of incident management policies and standards for preventing firefighter line-of-duty-deaths from secondary collisions. The theoretical framework …
Understanding Resilience Among Individuals With Adverse Childhood Experiences (Aces), Meghan Larson
Understanding Resilience Among Individuals With Adverse Childhood Experiences (Aces), Meghan Larson
Walden Dissertations and Doctoral Studies
Adverse childhood experiences (ACEs), such as abuse, neglect, and dysfunction in a child’s home are considered a public health crisis due to their correlation to health disparities and psychosocial problems in adulthood such as substance use, relationships, education, and maintaining employment. However, some individuals are resilient and demonstrate the ability to adapt and function well despite experiencing adverse events. To better understand resilience when ACEs are present, I conducted a basic qualitative research study to explore the lived experiences of individuals in Tennessee with elevated ACE and resilience scores. A purposeful sample of 12 participants who scored high on ratings …
Barriers To Sex Offender Reintegration, Brittney Wolf
Barriers To Sex Offender Reintegration, Brittney Wolf
Walden Dissertations and Doctoral Studies
Barriers to successful offender reintegration are important to address in treatment approach, and most of the information known about risk to reoffend is created by researchers, treatment providers, and victim experiences. Exploring and learning about the barriers experienced by sex offenders during the reintegration process can provide additional insight into sex offender treatment approaches, reentry processes, community beliefs, and legislation. The purpose of this qualitative study was to identify barriers that sex offenders experience during the reintegration process that may lead them to reoffending. The risk-need-responsivity framework was used to guide the interpretation of identified barriers. The sample consisted of …
Diabetes Management And Self-Perception Of Health Among Adults In The United States, Moses Ajoku
Diabetes Management And Self-Perception Of Health Among Adults In The United States, Moses Ajoku
Walden Dissertations and Doctoral Studies
The burden and complications of diabetes have been a public health concern and societal challenge for decades, and the rate of prevalence is projected to increase in the future. The study aims to examine the association between blood glucose monitoring, glycated hemoglobin test, and self-perceived health status among diabetic adults in the United States. Guided by the chronic care model, the study used data from the 2019 Behavioral Risk Factor Surveillance System to investigate diabetes management practices among diabetic adults in the United States. Quantitative and cross-sectional methods were used to assess the associations between diabetes management practices and self-perceived …
Association Between Food Insecurity And Influenza Outcome In The United States., Sabrina Fiona Pink
Association Between Food Insecurity And Influenza Outcome In The United States., Sabrina Fiona Pink
Walden Dissertations and Doctoral Studies
AbstractThe influenza virus is one of the most commonly occurring respiratory viral infections in the world. The outer capsule of the virus contains 18H proteins and 11N proteins, which allows the virus to reform in over 100 different strands and outperform the vaccine. Despite efforts to improve access to care and reduce vaccine inequities; the Center for Disease Control and Prevention estimates 9-45 million documented influenza-related illnesses, 140,000 to 810,000 hospitalization, and 64,000 deaths yearly. The purpose of this study is to investigate whether food insecurity, access to care and other social determinants of health such as age, race, and …
Invariant Structural Features Of Retrograde Amnesia Affected Memory, Daniel K. Burch
Invariant Structural Features Of Retrograde Amnesia Affected Memory, Daniel K. Burch
Walden Dissertations and Doctoral Studies
Traumatized individuals may use one or several emotional defensive strategies to cope with their experience; one method is via autobiographical amnesia which may influence the efficacy of amnesiac patients’ psychological adjustment during a sensitive period. Little research has addressed the potential of how emotionally invariant structural features may impact the reconsolidation of autobiographical memory, which in turn may support patients to complete successfully psychotherapeutic treatment or intervention. This phenomenological study addressed how lived experiences (i.e., invariant emotional and behavioral conscious states) may play into patients’ transformational memory of some or all of the traumatizing event details. To answer these questions, …
The Predictive Relationship Of Allostatic Load In Asthma, Mohamed Mustafa Hassan
The Predictive Relationship Of Allostatic Load In Asthma, Mohamed Mustafa Hassan
Walden Dissertations and Doctoral Studies
Research on populations emphasizes the influence of allostatic overload, a marker of biophysical and biochemical stress, in driving adverse health outcomes. Unknown is the impact of allostatic load and its cardiovascular, metabolic, and inflammatory components as they pertain to asthma prevalence in U.S. populations. Specifically, there is a need to understand the nature of the relationship between allostatic load and asthma in light of confounders such as socioeconomic status, race, education, and gender. Using Bronfenbrenner’s bioecological model as a theoretical underpinning and binary logistic regression as a statistical modality, the predictive relationship between allostatic load and asthma was examined in …
Relationship Between Social Support And Childhood Trauma On Resilience, Carol Krieger
Relationship Between Social Support And Childhood Trauma On Resilience, Carol Krieger
Walden Dissertations and Doctoral Studies
People who have not overcome childhood trauma and who have developed mental illnesses have difficulties dealing with life challenges. The purpose of this quantitative study used a correlational design to test any relationship between childhood trauma experience levels and resilience against life challenges in adulthood. The theoretical framework used for this study was Barnes’ social support theory. Data were collected from 104 participants over a 7-week period. Participants voluntarily answered the ACE questionnaire, 2-way support scale, and resilience scale. Key results indicate that people with mental illness who receive social support are positive impacted by that support. Receiving adequate levels …
Staff Education To Improve Pain Management In Skilled Nursing Patients, Keitta Evans
Staff Education To Improve Pain Management In Skilled Nursing Patients, Keitta Evans
Walden Dissertations and Doctoral Studies
One of the key ethical principles in nursing is the promotion of health and wellness and ensuring that patients are free from unnecessary pain and suffering. It is estimated that at least 65% of patients in skilled nursing centers in the United States report the presence of pain, indicating that there are opportunities for improvement with effective pain management within this practice setting. A key factor that has been identified as an opportunity for improvement is education for clinical staff who practice within this setting. This Doctorate of Nursing Practice (DNP) project provided education to a group of clinical team …
Food Insecurity In Community College Students In The Central Valley Of California, Leah Carter
Food Insecurity In Community College Students In The Central Valley Of California, Leah Carter
Walden Dissertations and Doctoral Studies
AbstractMany college students struggle with having enough money to pay for the costs of college and basic necessities, such as adequate food, which leads to food insecurity. Food insecurity results in a more challenging time focusing on studying and less success in school. This study addressed the lack of a profile of a food-insecure California community college student at Hiker’s Community College (HCC; pseudonym) in the Central Valley of California. The purpose of this quantitative study was to determine the profile of a food-insecure student and to determine relationships between food insecurity and ethnicity, gender, being a first-generation college student, …