Digital Commons Network^™

Measuring Levels Of Posttraumatic Growth In Firefighters, Anna Lisa De Lima

Walden Dissertations and Doctoral Studies

Firefighters provide essential lifesaving services to the community. They are at high risk for mental health issues due to their exposure to trauma in the line of duty. Moreover, adverse effects on mental health can affect their ability to provide appropriate care to the community resulting in a serious social problem. Researchers have explored the concept that individuals can also experience growth from trauma. However, there are few studies that explore the factors that can predict growth in firefighters. The purpose of this quantitative study was to examine the degree to which selected variables such as the level of posttraumatic …

Counseling Usage Patterns And Resources Students Use For Psychological Distress, Corey Anthony Duplantis

Walden Dissertations and Doctoral Studies

Mental health is a challenge that affects higher education. The problem for this study was that students at My Town College (a pseudonym) with psychological distress use the on-campus counseling center at a lower percentage than the national average for comparable colleges. The purpose of this quantitative study was to investigate why My Town College students use their on-campus counseling center at a lower percentage than other comparable institutions and to learn where students seek help for psychological distress. Chickering’s 7 vectors of development served as the theoretical foundation for this study. A random sample of 1,500 students, over 18 …

Aviation Maintenance Technician Decision-Making, Dominic Hemingway

Walden Dissertations and Doctoral Studies

Aircraft accidents caused by human decision-making errors cause property loss and fatalities on a global scale in the aviation industry. Aviation repair technician decision-making perceptions influence aviation safety. The purpose of transcendental phenomenological study was to explore the lived experiences of aviation repair technicians related to decision-making perceptions regarding aviation safety. The central research question and sub-question focused on the lived experiences of repair technicians’ decision-making perceptions. The naturalistic decision-making framework, decision theories, and decision-making models comprised the lens to assess the impact of aviation maintenance technician decision-making perceptions in aviation safety. Data were collected using semistructured interviews with 12 …

Perceptions, Practices, And Risk Factors Associated With Typhoid Fever In Nimo Village, Nigeria, George Ilouno

Walden Dissertations and Doctoral Studies

Typhoid fever is a bacterial disease transmitted by the fecal-oral route. In Nigeria, the condition is life threatening and endemic. It affects communities such as Nimo that have limited water, sanitation, and hygiene infrastructure. Previous researchers focused on sanitation and hygienic conditions that contribute to the disease such as household-level hygiene and food and water contamination, including handling practices. However, there is limited knowledge on how the environmental behavior and living conditions of eating and sleeping on a floor harboring fecal materials affect typhoid fever prevalence. The purpose of this qualitative phenomenological study was to explore the perception of the …

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

Walden Dissertations and Doctoral Studies

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

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

Walden Dissertations and Doctoral Studies

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

Microcystins And Liver Disease Mortality, Insights From An Ecological Study, Rajesh Tirpaul Melaram

Walden Dissertations and Doctoral Studies

Microcystins (MCs) are toxic secondary metabolites produced by freshwater cyanobacteria. Algal bloom subsidence can stimulate MC release, which can impair liver function if orally exposed to in large doses. The purpose of this retrospective, U.S. ecological study was to determine if MC exposure represented an environmental risk factor for liver disease mortality using a socioecological approach. A longitudinal ecological substudy investigated the association between average total MCs in Lake Washington and Lake Manatee and age-adjusted chronic liver disease (CLD)/cirrhosis death rates in Brevard County and Manatee County, Florida (FL). A prediction model of total MCs was deduced by quantifying levels …

Experiences Of Refugee Women With Different Physical Abilities In Kenya, Grace Faraja Nkundabantu

Walden Dissertations and Doctoral Studies

Refugee populations worldwide increase every day as a result of social and political wars. Women and children, particularly those with different physical abilities, are the most vulnerable populations affected by atrocities in their home countries and in their countries of refuge. In Africa, it is believed that women with different abilities bring shame to their families. The purpose of this descriptive phenomenological study was to explore the lived experiences of refugee women with different physical abilities, specifically regarding challenges related to accessing services in Kenya. The research question that guided this study focused on the lived experiences of refugee women …

First Responders' Perceptions Of Diversity Training Practices To Assist At-Risk Populations, Sara Parry

Walden Dissertations and Doctoral Studies

New York State first responders, including police, fire, and emergency medical personnel, often lack consistent awareness and diversity training to assist at-risk populations, which can pose challenges to preparedness and response strategies during disasters and emergencies. The purpose of this study was to assess the awareness and diversity training practices among first responders across New York State in assisting people with at-risk characteristics during disasters. Punctuated equilibrium theory provided the framework for the study. Data from interviews with 15 participants and from historical and legal documents were coded and analyzed to identify themes. Findings indicated that that there had been …

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

Walden Dissertations and Doctoral Studies

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

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

Walden Dissertations and Doctoral Studies

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

An Analysis Of The Spiritual Narratives Of Formerly Observant Jews In Recovery, Matthew Milstein

Walden Dissertations and Doctoral Studies

Addiction is a world-wide problem, and 12-step recovery programs are the most popular intervention, which incorporate a spiritual message in the recovery process. However, little research has explored how spirituality is experienced, and the meaning it has for individuals leading up to addiction, during active addiction, and in recovery using the 12-step model. Thus, this qualitative research study was conducted to explore the spiritual narratives of formerly observant individuals raised in the Orthodox Jewish community, who used a 12-step recovery program to recover from addiction and maintain sobriety. Cognitive dissonance theory and faith development theory were used to identify the …

Culturally Sensitive Parenting Counseling, Corporal Punishment, And Early Childhood Development In Grenada, Lauren Elizabeth Anne Orlando

Walden Dissertations and Doctoral Studies

Many children under 5 years of age in developing countries and regions, including the Caribbean, will not fulfill their developmental potential due to being exposed to risks such as poverty, poor health, violence, and unstimulating home environments. Adverse childhood experiences, which include corporal punishment, may increase children’s risk for poor adult health and disease outcomes. The purpose of this quasi-experimental, quantitative study, grounded in the social ecological model, was to examine the use of corporal punishment and the impact of parental exposure to culturally sensitive parenting counseling (CSPC) provided to families with children aged 0 to 3 years old enrolled …

Exploring The Role Of Social Workers In Substance Abuse Treatment, Robert Ogueri Unegbu

Walden Dissertations and Doctoral Studies

Alcohol and drug addiction are conditions that require professional treatment, but few social workers identify addictions as their primary area of practice, leaving it to nonprofessionals, those without degrees, knowledge, and skills required to provide this specialized practice. Thus, this action research project, guided by ecological systems theory, was focused on exploring the roles, perceptions, and experiences of social workers treating individuals with a substance abuse problem using evidence-based practices. A focus group of 10 substance abuse professionals was recruited from social workers providing services to individuals receiving substance abuse treatment in northeast Texas. Focus group data were audio taped …

Familial Caregivers’ Perceptions Of Alcohol Use Among Mature Adults Residing In Assisted Living Communities, Lemeshia Meshana Agee Chambers

Walden Dissertations and Doctoral Studies

Research suggests that alcohol abuse is among the 8 primary causes of death for mature adults, which includes individuals age 65 and older. Alcohol use is a growing, unaddressed, public health concern among this referent population. Additionally, as mature adults enter the retirement phase of their lives, many of them transition to residing in assisted living communities. The purpose of this study was to explore mature adults’ alcohol use in assisted living communities and how such use, as perceived by the familial caregivers, affected the mature adults’ ability to age successfully. The population under study consisted of 8 familial caregivers, …

Self-Efficacy And Health Perceptions, A Survey Of American Indian Obesity, Kristina L. Babbitt

Walden Dissertations and Doctoral Studies

Compared to other ethnicities, American Indians have higher rates of obesity and are disproportionately diagnosed with comorbid diseases such as diabetes, high blood pressure, and heart disease. While genetic, behavioral, and social risk factors contribute to health disparities and disease, the concept of self-efficacy, an element of Bandura’s social cognitive theory, influences the ability to overcome barriers and reduce risk. When combined with the health belief model, this theory also provides the foundation for understanding perceptions, attitudes, and beliefs about disease. Yet, research in these areas is limited for American Indians. Therefore, the purpose of this cross-sectional survey study was …

Treatment Providers’ Beliefs And Knowledge About Evidence-Based Practices, Kelly J. Bawden

Walden Dissertations and Doctoral Studies

Treatment providers working with adults in substance use treatment have been slow to implement evidence based practices (EBPs) into their treatment approaches. For treatment providers there are barriers to implement EBPs such as lack of resources, knowledge, and beliefs about EBPs as well as their beliefs about addiction. The consolidated framework for implementation research (CFIR) is investigating tools to decrease provider’s barriers. Therefore, the purpose of this study was to investigate whether online training from addiction technology transfer center (ATTC) affected knowledge or beliefs about EBPs while controlling for beliefs about addiction. The dependent variables of knowledge and beliefs about …

Employee Resistance To Change During The Implementation Of Trauma-Informed Care, Tara A. Chalakani

Walden Dissertations and Doctoral Studies

Employee resistance to change can impede organizational success. Resistance can occur when the proposed change is beneficial. Trauma-informed care requires a complete paradigm shift within a behavioral health organization to be executed successfully. This single-case study explored the leadership experience of employee resistance to change during the implementation of trauma-informed care in a large nonprofit behavioral health organization. Data were collected through semistructured interviews with 4 organizational leaders, and a thematic analysis was conducted on internal documents, including staff satisfaction surveys, exit interviews, meeting minutes, strategic plans, manuals, the organizational website, and information from the employee portal. Findings were validated …

Best Practices For Screening And Early Treatment For Hiv In The Hispanic Community, Juliana Deboviel

Walden Dissertations and Doctoral Studies

The Hispanic community is among the ethnic minorities that are adversely affected by HIV/AIDS in the United States. HIV transmission rates and rates of death are high among Hispanic communities because of delays in HIV testing and late participation in HIV treatment, especially in the state where this study was conducted. However, advanced practices for screening and early treatment of HIV can improve patient outcomes and inform practice. Thus, this systematic review was conducted to identify the best available evidence for HIV screening and care in the Hispanic population in the Western United States that shares a border with Mexico. …

Impact Of Demographic Characteristics And Therapy On Tuberculosis Incident Cases, Iliedor Garcon

Walden Dissertations and Doctoral Studies

For more than two decades, tuberculosis (TB) has ranked second among the top killers of infectious diseases, with an estimated 10.4 million incident cases in 2018. Demographic characteristics and drug susceptibility influence TB incidence worldwide. Using a retrospective cohort design, the purpose of this quantitative study was to investigate whether race/ethnicity, age, sex (gender), therapy completion within one year (COT), and testing for isoniazid and rifampin susceptibility (TIRS) were predictors of 672 cases of TB in New York-Newark-Jersey City from 1993 to 2017. Guided by the epidemiological triad theory, this research was conducted using a secondary TB dataset from the …

Experiences In Online Grooming From Initial Contact With Offender To Relationship Ending, Lyniece Lewis

Walden Dissertations and Doctoral Studies

This study explored the lived experiences of adult women who were sexually groomed online as an adolescent, to understand the experiences in online grooming from initial contact to contact ending. The theory used to guide this study was sociometer theory. Sociometer theory looks at self-esteem as the cause for why individuals want to seek and maintain relationships. This theory also explains why individuals choose certain social relationships. While the victim or the offender may have a fear of acceptance, they will potentially look for relationships that accept or approve of them. The research question for this study examined female adolescent …

Factors Affecting Seatbelt Use Among The Deaf And Hard-Of-Hearing, Deidre G. Mott

Walden Dissertations and Doctoral Studies

In the United States, despite the proven significant economic, health, and social benefits of seatbelt use, millions of Americans do not use seatbelts. It is known that some factors, including obesity, reduce the rates of seatbelt use; however, a lack of research exists regarding whether individuals who are deaf or hard-of-hearing (HOH) have different rates of seatbelt use. The purpose of this study was to examine the difference in seatbelt use between deaf or HOH individuals and hearing individuals after adjusting for individual-level factors (BMI, marital status, education, and access to health care). The theoretical foundation for this study was …

Parental Supervision And Monitoring And Deviant Adolescent Behavior, Mary Catherine Ross-Gray

Walden Dissertations and Doctoral Studies

Deviant adolescent behavior is a social crisis in the United States, estimated at an annual cost of over $4 billion; yet there are gaps in the research on parental influences regarding this behavior. In this study, the principles of social learning theory were used to examine the relationships between parental supervision and deviant adolescent behavior as moderated by self-control and socioeconomic status. The population for this quantitative study consisted of 87 parent volunteers who completed surveys measuring parent supervision, child executive functioning, and delinquent behavior as well as demographic information such as socioeconomic status. Multiple Regression/Correlation was used to examine …

Personality, Job Satisfaction, And Turnover In Long-Term Care Nursing Assistants, Sarah Elizabeth Shanks

Walden Dissertations and Doctoral Studies

There is a clear association between nursing assistant (NA) turnover and resident outcomes which may be caused by poor compensation, organizational culture, and staffing mix. However, very limited literature is available exploring intrinsic variables of NAs, specifically personality, leading to turnover. Guided by the five-factor personality theory and Herzberg’s two-factor motivation hygiene theory, the purpose of this quantitative study was to examine the relationship between the five-factor personality traits of open-mindedness, conscientiousness, agreeableness, extraversion, and neuroticism; length of employment; and job satisfaction among NAs working in long-term care. The Nursing Home Certified Nursing Assistant Job Satisfaction Questionnaire was used to …

Bioterrorism: Exploring Factors For Improving Nurse Preparedness, Policies, And Practices, Leone Okey Tom-James

Walden Dissertations and Doctoral Studies

Ebola virus release/attack in New Jersey could go unnoticed but have immediate and long-lasting effects on the broader population and security. The risk underscores the need to prepare and enhance the state’s efforts to deal with a release and treat the confirmed cases. This descriptive single case research explored factors for improving nurses’ preparedness, policies, and practices for a bioterrorism release/attack. The epidemiological triangle conceptual framework was used descriptively in exploring, and developing a knowledge base of Ebola virus pathogenicity, characteristics, routes of transmission, and infection. The unit of analysis was Summit Ridge Genesis Healthcare Center. The theory of robust …

Social Cognitive Theory Constructs That Predict Betel Nut Chewing Among Secondary Students, Lepani Waqatakirewa

Walden Dissertations and Doctoral Studies

After alcohol, tobacco, and caffeine, areca or betel nut is the 4th most common substance of abuse in the world, and its prevalence of use in the Solomon Islands is estimated at 68% in young people. Long-term use of betel nut can result in detrimental health outcomes such as oral cancers and metabolic syndrome. Guided by the social cognitive theory (SCT), the purpose of this quantitative cross-sectional study was to determine whether the constructs of SCT predict betel nut use in Year 12 secondary students in the Solomon Islands. Five SCT constructs of expectations (outcome expectations and outcome expectancies), self-efficacy, …

Development Strategies For Privately Owned Fashion Boutiques, Tommy White Jr

Walden Dissertations and Doctoral Studies

Abstract

Many privately owned brick-and-mortar fashion boutiques in the United States fail to succeed beyond the first 5 years of business. The knowledge of the factors responsible for the decline in the survival rate of traditional or brick-and-mortar fashion boutiques may be essential to these entrepreneurs’ survival. Grounded in the general systems theory, the purpose of this qualitative multiple case study was to explore strategies used by successful brick-and-mortar fashion boutique owners to negate the threat of online retailers. Data were collected through interviews with 5 brick-and-mortar fashion boutique owners, who operated businesses in the southeast region of the United …

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

Walden Dissertations and Doctoral Studies

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

Predictors Of The Health Effects Of Marijuana Use On The Hepatic Function, Makafui Kokou Gbogbo

Walden Dissertations and Doctoral Studies

The quantity of marijuana use, the length of time it was used, and the age of initiation of the drug are at the core of the discussions about the potential health effects of marijuana use on the liver. Results of recent studies regarding how the drug affects human health have resulted in a number of conflicting conclusions. Nevertheless, based on these findings, marijuana users are being denied liver transplants. The objective of this study was to identify predictors of the health effects of marijuana on the liver and provide guidance in the care management of marijuana users. To address the …

The Association Of Romance Movies, Gender, And Relational Identity Among Emerging Adults, Sara Hare

Walden Dissertations and Doctoral Studies

Emerging adults are motivated to form intimate relationships and explore their relational identity. Little is known, however, about the development of relational identity in emerging adults. Given that external influences such as movies can impact how people view relationships, and that emerging adults are more likely to watch movies than other forms of media, it is essential to explore the relationship between movies and relational identity in emerging adults. The purpose of this quantitative, nonexperimental study was to examine the relationship between relational identity, gender, and the preference for romance movies among emerging adults. The theoretical foundations for the study …