Digital Commons Network^™

Home Health Aides' Performance And Home Health Clients' Quality Of Life, Ronny Terrell Smith

Walden Dissertations and Doctoral Studies

Home health aides' performance can help home health clients achieve quality of life. This quantitative, cross-sectional study examined which work-related factors of home health aides influence home health clients' quality of life. A socioecological perspective was used to understand influences on behaviors. Participants in this study were 400 home health clients who received services from home health agencies. A binary logistic model was used to determine the predictor variables of home health aides that contributed to home health clients' quality of life. Findings indicated that psychosocial skills were among the most predicted work-related performance of home health aides that lead …

Stress, Social Support, And Mindfulness In Parents Of Children With Neurodevelopmental Deficits: A Quantitative Analysis, Branden D. Syrotchen

Walden Dissertations and Doctoral Studies

Parenting children with neurodevelopmental deficits (NDDs) is very stressful, more so than the parenting of typically developing children. There is considerable research on the topic of chronic stress experienced by caregivers; however, less is understood of parental stress experienced when raising children with NDDs. The purpose of this study was to examine how parental traits and habits, in the forms of mindfulness and social support levels, affect this cohort's general stress levels. The study was guided by Self-Determination Theory, which explored how parental acts could be classified along a continuum of being intrinsically or extrinsically derived. A convenience sample of …

Differences Between Nontraditional And Traditional College Students' Perceptions Of Transition Preparedness, Laila Erika Turner

Walden Dissertations and Doctoral Studies

While scholars have used Schlossberg's transition theory for more than 35 years to study college-to-work transition, researchers have yet to establish if there are meaningful differences in the perceptions of traditional and nontraditional college students regarding transition preparedness from college-to-work. Following the career transition model, this quantitative study was conducted to compare traditional and nontraditional college students' perceptions of transition preparedness, specifically the concepts of readiness, confidence, control, perceived support, and decision independence. The nontraditional students in this study were military veterans. The dependent variables were measured by the Career Transition Inventory (CTI) survey. Participants were selected via a web-based …

Psychological Effects Of Training In Martial Arts After Interpersonal Trauma, Alexandro Garcia Vargas

Walden Dissertations and Doctoral Studies

Individuals who experience a traumatic event may have an adverse emotional reaction that negatively impacts their quality of life. The purpose of this qualitative phenomenological study was to explore the influence of training in the martial arts as an intervention in the treatment of interpersonal trauma. The biopsychosocial model provided the framework for the study. The research questions addressed the effects of training in the martial arts and the biological, psychological, and social functioning of individuals who had sustained a form of interpersonal trauma. Data were collected from semistructured interviews with 9 participants. Data were analyzed using Moustakas's modified van …

Career Ascension Of African-American Men In The Army Warrant Officer Corps, James Joseph Williams

Walden Dissertations and Doctoral Studies

The military and scholars assert that the military has created an organization that is based on merit. However, statistics show that African American military men are more likely to be subjected to the military's justice system, they are less likely to promote to the most senior enlisted and officer ranks, they are more likely to receive a negative discharge, and they are disproportionately represented on the military's death row. Despite these assertions, many African-American men succeed within the military structure. Therefore, this qualitative study was conducted to examine the stories of senior field grade warrant officer African American men to …

Crisis Communication Systems Among K-12 School Principals, Tomicka Nicole Williams

Walden Dissertations and Doctoral Studies

Crisis communication systems (CCS) in educational settings have been challenged by mass casualty events including shootings, natural disasters, and health outbreaks in the United States. The U.S. federal government and the U.S. Department of Education have created safety and security instructions to manage these complex and diverse security issues, yet they do not address the role of school leaders within a CCS. Using complex adaptive systems as the theoretical construct, the purpose of this qualitative case study was to examine CCSs utilized by school leaders within a single public school district in the United States. The research questions are focused …

Examining Congestive Heart Failure Hospital Readmissions From Skilled Nursing Facilities, Katherine Mary Day

Walden Dissertations and Doctoral Studies

In the United States, congestive heart failure (CHF) is a cardiac condition with increasing hospitalization and rehospitalization burden to patients, families, and the healthcare system. This chronic condition is expected to affect more than 8 million people by 2030; however, not much is known about the relationship between risk factors and hospital readmissions once CHF patients are discharged to a skilled nursing facility (SNF). Applying a systems theory unbounded systems thinking, coupled with a systems-thinking approach the purpose of this quantitative, retrospective cohort study was to examine CHF hospital readmissions from SNFs within a 90-day period using a secondary data …

The Lived Experiences Of Military Spouses Who Choose To Live Separately, Cortenia Lashea Just-Bourgeois

Walden Dissertations and Doctoral Studies

This qualitative study was designed and conducted to hear the voices of military spouses who chose to live separately from the active duty spouse. The study also sought to identify potential risks due to the separation and protective factors that were used to positively cope with separation. Previous studies have examined risk factors for military spouses as a result of military induced separation such as deployment. However, no study has been conducted regarding separation by choice of the military spouse and active duty service member. The theory of resiliency provided an understanding of the presence of protective factors and resiliency. …

Central California's Juvenile/Dependency And Criminal Courts' Treatment Of Parent-Child Contact, Cheryl Oslinker Spano

Walden Dissertations and Doctoral Studies

Parties to a legal action of child abuse can be prosecuted criminally as well as charged with allegations within the jurisdiction of juvenile/dependency court. This can lead to seemingly conflicting goals regarding contact and visitation between the two parties (victim and defendant; child and parent). In essence, restraining orders or visitation orders from one court can contradict the case goals of another court. The purpose of this qualitative case study was to (a) determine if there is a pattern of inconsistent goals in cases of concurrent jurisdictional child-abuse cases, (b) evaluate the effect of conflicting court orders on each jurisdiction's …

Transgender And Gender Nonconforming Persons' Experiences With Counseling Assessments, Macie Stead

Walden Dissertations and Doctoral Studies

Counselors sometimes use counseling assessments with transgender and gender nonconforming (TGNC) persons without understanding the experiences individuals have with those assessments. The American Counseling Association and the World Professional Association of Transgender Health identified that attention is needed with the practice of counseling assessments to ensure that helpful, ethical, and culturally sensitive services are available. The purpose of this study was to explore TGNC adults' experiences with counseling assessments. Gadamer's hermeneutics provided a framework to examine qualitative data as truth and validate the individuals' experiences with counseling assessments. Participants included 12 TGNC persons 18 years or older who had a …

Social-Ecological Predictors Of Contraceptive Use In Ethiopia, Mekonen Fisseha Gebrekidan

Walden Dissertations and Doctoral Studies

Unintended pregnancy is a global public health threat that affects the lives of women, families, communities, and society. In 2008, the rate of unintended pregnancy in Ethiopia was 101 per 1,000 women aged 14 to 44 years. Although Ethiopia has experienced a steady increase in modern contraceptive use since 2004, this increase did not result in a proportional decline in unintended pregnancy, total fertility rates, or rapid population growth. In this cross-sectional study, associations between individual, interpersonal, community, and societal factors and contraceptive uptake were tested using a sample of 3,863 women aged 15 to 49 years who participated in …

What Postpartum Depression Looks Like For Men: A Phenomenological Study, Clara Lee Barnes

Walden Dissertations and Doctoral Studies

Abstract

Postpartum depression (PPD) has been identified as a mental health condition that impacts women, men, and families. PPD has been shown to be prevalent in both women and men following the birth of a child; it has been associated with marital conflict, insecure attachment, and poor infant-child outcomes. While PPD has been studied extensively in women, paternal PPD often goes understudied, undetected, and untreated. The purpose of the present research was to explore the lived experiences of men who have experienced PPD through the lens of self-perception theory using a qualitative phenomenological study. Six men who have experienced PPD …

Relationship Between Race, Gender, And Elder Abuse Awareness, James Earl Burrell

Walden Dissertations and Doctoral Studies

Lack of elder abuse awareness and underreporting is an increasing problem in the United States in that only 1 in 14 cases of elder abuse is reported. The failure to report incidents of elder abuse and suspected elder abuse allows further abuse of elders and for elder abusers to go unpunished. The purpose of this quantitative nonexperimental study was to understand the relationship between race, gender, and elder abuse awareness and fill the gap in elder abuse literature. Research questions tested mean differences between race and gender, respectively, and elder abuse awareness. The theoretical frameworks for this study were the …

The Influence Of Food Choices, Eating Habits, And Body Image Of African American Mothers On Childhood Obesity, Debrua Perniece Coleman

Walden Dissertations and Doctoral Studies

The food decisions, dietary patterns, physical activity, and weight-related convictions of African American mothers are affected by their self-perceptions and views of body weight. The gap in the literature regarding the impact of these perceptions on children's food choices, eating habits, and body image is significant. Using the health belief model as the theoretical foundation and a cross-sectional survey as the research design, this study assessed the potential relationship between mothers' and children's eating habits and whether mothers' perceptions of their children's body image were reliable indicators of childhood obesity. Eighty-six mothers provided demographic information and completed the Child Feeding …

The Impact Of Congressional Attention And Policy Mood On Public Health Funding, Evelyn Denise Dunn

Walden Dissertations and Doctoral Studies

Congressional appropriations for federal public health agencies are subjected to external factors throughout the congressional appropriations process, resulting in fluctuations in funding. Recent literature has focused on externals factors, such as political attention and public attitudes, that could influence government funding levels; however, the impact of these factors on federal public health funding was not addressed. The purpose of this study was to determine whether a relationship exists between these external factors and federal public health appropriations. A quantitative study was used to examine congressional attention, policy mood, and the influence on the change in the level of federal public …

Cyberbullying Victimization: The Lived Experiences Of Parents, Brittny Shanice Herring

Walden Dissertations and Doctoral Studies

Cyberbullying continues to be a rising problem facing many households. As teenagers are the primary victims of cyberbullying, it is ultimately up to victims' parents to mediate and address cyberbullying incidents. The purpose of this qualitative inquiry was to explore the lived experiences of parents who had addressed and/or mediated an incident following their adolescent's cyberbullying victimization. Bandura's self-efficacy theory was the theoretical framework that guided this study. Participants were recruited using purposeful sampling. Individual semistructured telephone interviews were held with 9 participants who were parents of adolescent cyberbullying victims. Themes were generated and data were analyzed using Colaizzi's method …

The Lived Experiences Of Adult Male Trauma Survivors With Dance Movement Therapy, Jeanne Langston

Walden Dissertations and Doctoral Studies

In the United States, approximately 7.7 million individuals are affected by posttraumatic stress disorder (PTSD) at any given time. Though women are likelier to develop PTSD symptoms, men are exposed to more traumatic events in their lifetimes. Empirically- supported PTSD options exist, however clinical application of these treatments may not consistently culminate in beneficial outcomes. Dance Movement Therapy (DMT) has demonstrated positive treatment outcomes for a variety of mental and physical disorders. Nonetheless, there is a lack of robust research related to the treatment experiences of men who have participated in DMT for trauma-related symptoms. The purpose of this phenomenological …

Successful Billing Strategies In The Hospital Industry, Samirah Merritt

Walden Dissertations and Doctoral Studies

Failure to collect reimbursement because of changing regulations negatively impacts hospital profitability. A multiple case study approach was used to explore the successful strategies billing managers employed to collect reimbursement for all legitimate Medicare claims. The target population for this study included 5 hospital billing managers from 3 organizations in the Northern New Jersey region. The complexity theory was used as a framework for assessing changing Medicare regulations and how the managers adapted to them. The data collection process for this study involved gathering data from participant interviews, documentation from the organizations of the participants, and government documented regulations and …

Psychological Characteristics Of Sex Offenders, Patrick Mcmunn

Walden Dissertations and Doctoral Studies

Current therapeutic treatment methods are ineffective in identifying at-risk sex offenders and reducing recidivism of known offenders, likely due to inadequate identification of specific traits of sex offenders. Previous research and prominent theories in the area of sex offender treatment, in terms of the biological foundation of substance abuse, behaviors of sex offenders, and the presence of aggression, helped to guide this research. Data about sex offenders were collected, as reported by mental health professionals who treat them and focused on three characteristics: maladaptive interpersonal behaviors, impulsivity, and antisocial behaviors, on which the research questions were formed to detect commonality. …

Success Strategies Of Small And Medium-Sized Retail Enterprises In North Dakota, David Frantsvog

Walden Dissertations and Doctoral Studies

Entrepreneurial organizations are an integral part of the United States economy. Despite the importance of sustainable businesses operations, nearly 50% of entrepreneurial ventures fail within the first 5 years of operation. The purpose of this multiple case study was to determine the effective strategies that some owners of small and medium-sized retail firms in North Dakota used to maintain profitable business operations for more than 5 years. General systems theory was the conceptual framework for this study. The population was 5 owners of profitable small and medium-sized retail firms in North Dakota who have been in operation for a minimum …

Mentoring Relationship Preferences Of Early, Middle, And Late Career Stage Registered Nurses, Tonya M. Harewood-Lawrence

Walden Dissertations and Doctoral Studies

Registered nurses perceive the healthcare work environment as stressful. Stress can have a negative effect on patient care and nurses' attrition and health. In the literature, mentors have been identified as having a positive influence on nurses. This qualitative study was an examination of nurses in mentoring relationships in the early, middle, and late career stage and working in a hospital setting. Two research questions addressed mentoring relationship preferences and mentors' influence on perceived stress. Fourteen nurses were interviewed in the study. The conceptual framework was based on the career and psychosocial mentoring theory, the mentoring the adult learner theory, …

Impact Of A Geography-Literature Collaborative On Secondary School Pedagogy, John Matthew Mccormick

Walden Dissertations and Doctoral Studies

Geography education has been relegated to a subset of social studies standards in most of the United States and has been overshadowed by a history-centered curriculum. Student achievement in geography has not improved for several decades due to the focus on history content in the social studies curriculum. Rooted in a conceptual framework encompassing elements of self-efficacy and the whole teacher approach, the purpose of this case study was to examine the impact of the West Virginia Geographic Alliance (WVGA) professional development workshop on teachers' practices in delivering cross-disciplinary geography education. The research questions addressed teachers' perceived self-efficacy in delivering …

Adult Clients' Experience Of Walk-And-Talk Therapy, Denice Crowe Clark

Walden Dissertations and Doctoral Studies

Standards of healthcare exist to promote beneficent treatment; however, treatment approaches are sometimes not supported by research, creating potential ethical issues for clinicians expected to use evidence-based practices. For example, walk-and-talk therapy, where therapy sessions incorporate physical activity in an outdoor setting, is being offered at increasing rates, but research regarding the practice is sparse and primarily reflects the therapists' experiences. Thus, the purpose of this interpretative phenomenological analytic study was to explore the clients' experience of the altered frame of walk-and-talk therapy through the conceptual lenses of therapeutic frame and the biopsychosocial model of well-being. Data were collected through …

Hiv Prevalence And Donor Funding In Ethiopia, Walelign Meheretu Kassahun

Walden Dissertations and Doctoral Studies

Many researchers have documented the trend of decreasing financial support from donors for human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) responses in Ethiopia. Less information is available regarding the correlation between trends of HIV prevalence and external funding and ways to address the impact that funding scarcity could cause. The purpose of this study was to examine the trend of HIV prevalence and donor funding levels, analyzing how the 2 are correlated, and opportunities to improve responses. Using the proximate determinant framework, the research questions examined the changes in HIV prevalence in Ethiopia during the past 10 years; the association …

Exploring How Divorce-Related Communication Affected Relationships Between Same-Sex Parents And Their Offspring, Madonna Siao

Walden Dissertations and Doctoral Studies

Communication styles used during divorce-related conversations may negatively influence the quality of parent-child relationships. Researchers have not examined how communication styles used in divorce-related communications affect parent-offspring relationships in same-sex parented families. The purpose of this generic qualitative study was to examine offspring perceptions of how divorce-related communication styles affected relationships between the children and their same-sex parents. The research question for this study addressed how the perceived communication styles of same-sex parents in divorce-related conversations influence the parent-offspring relationship. Principles from communication privacy management theory provided the conceptual framework. Two 21-year-old females whose same-sex parents dissolved their relationships participated …

Cherokee College Students' Experiences With Cultural Incongruence On Primarily Whitestreamed Campuses, Matthew Rom

Walden Dissertations and Doctoral Studies

The persistence rates of Native American students in higher education are lower than other underrepresented groups. Research suggests that the discrepancy could result from factors outside of students' academic knowledge. The purpose of this basic qualitative study was to explore how Cherokee students perceive their tribal culture affects their ability to persist at institutions of higher education with a primarily Whitestreamed campus culture. Tharp's cultural compatibility theory and Astin's student involvement theory guided the development of the research questions. The research questions explored potential differences between Cherokee students' tribal culture and the culture these students percieve exists on their college …

Mindfulness Meditation Among Survivors Of Intimate Partner Violence In A Community Program, Artemiza Hernandez

Walden Dissertations and Doctoral Studies

This study aimed to assess the impact of an Mindfulness-based stress reduction (MBSR) intervention in a program serving women who survived Intimate partner violence (IPV). The biopsychosocial model, formulated by Engel, was the theoretical basis of this study. The impact of the MBSR intervention was assessed by qualitatively evaluating researcher notes and 5 participants' journals and reflections, and quantitatively evaluating 16 participants' self-reported stress, mindfulness, well-being, and optimism before and after the intervention. The themes that emerged from the qualitative data included participants' feelings of relaxation or balance, improved self-awareness, mindfulness exercises becoming easier over time, and improved intentionality. The …

Coping Methods Of Caregivers Dealing With Patients Suffering From Geriatric Dementia, Blessing Baridakara Deemua

Walden Dissertations and Doctoral Studies

Dementia is a neurological disorder primarily diagnosed in the geriatric population. A problem for paid caregivers of patients diagnosed with stage-4 dementia is that they may experience caregiving stress while rendering care. However, there was no research that described the lived experiences of paid caregivers. Caregiving stress can be accompanied by behaviors or comorbid conditions and specific symptoms of stress can have a differential wellness impact. This phenomenological study explored the lived experiences of paid caregivers of patients with dementia through Vroom's expectancy theory. Data were gathered through interpretative interviews from a sample of 10 to 15 purposefully selected nursing …

Effect Of Health Information On Food Addiction Among Obese And Overweight Women, Kirsten Elyse Grant

Walden Dissertations and Doctoral Studies

Research on obesity, weight loss, and food addiction (FA) suggested a strong relationship between use of food additives and the brain's addictive response to food. Previous researchers have examined (FA) and have identified certain food additives such as monosodium glutamate (MSG) and high fructose corn syrup (HFCS) as contributors to food addiction and overeating. Social cognitive theory (SCT) has also been effective in addressing addictive behaviors such as drug addiction, alcohol addiction, and smoking cessation (Bricker et al., 2010). However, researchers had not examined food addiction, social cognitive theory, and obesity in the same study. The purpose of this quantitative, …

The Prediction And Relationship Between Age, Ethnicity, Gender, And Quality Of Life Using Self-Efficacy Scores Among Stroke Survivors, Sabrina Angela Thornton

Walden Dissertations and Doctoral Studies

Stroke is a serious illness that requires urgent attention. The purpose of this study was to investigate whether age, ethnicity, gender, and quality of life predict self-efficacy scores in stroke survivors. The theoretical foundation of the study was the social cognitive theory of perceived self-efficacy that was developed by Bandura. There were 4 specific research questions investigated. A correlational research design was used to sample 115 stroke survivors from several Arkansas rehabilitation facilities who completed a pilot study, demographic form, QOL rating scale, and the Daily Living Self-Efficacy Scale (DLSES). Stepwise multiple regression analysis was applied to identify the independent …