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Staff Education On Evidence-Based Educational Content For Patient Fall Prevention Measures, Ogochukwu Vera Nnakwe
Staff Education On Evidence-Based Educational Content For Patient Fall Prevention Measures, Ogochukwu Vera Nnakwe
Walden Dissertations and Doctoral Studies
Patient falls continue to be a challenge due to the injury associated with them. They can be disabling, costly, and most often lead to increased morbidity and mortality. Falls at home lead to hospitalization of the patient and complication of other health issues and/or aggravation of preexisting health problems. The practice problem was that the clinic did not have patient education content in place for fall prevention measures to discuss with patient at discharge. The practice-focused question was, Will a staff education on evidence-based falls prevention measures result in an increase in staff knowledge on fall prevention? The purpose of …
Effective Risk Management Strategies Minority Small Business Owners Use To Address Challenges Of Changing Business Environments, Sabit Yasin Mohammed
Effective Risk Management Strategies Minority Small Business Owners Use To Address Challenges Of Changing Business Environments, Sabit Yasin Mohammed
Walden Dissertations and Doctoral Studies
As a result of a lack of effective risk management strategies, some minority small business owners are unable to address business challenges during changing business environments. Small business leaders who cannot mitigate challenges in changing business environments risk financial loss and business failure. Grounded in general system theory and entrepreneurship theory, the purpose of this qualitative pragmatic inquiry study was to explore effective risk management strategies of minority small business owners used to mitigate challenges of changing business environments. The participants were six minority small business owners from southwest region of the United States who successfully mitigated the challenges of …
The Relationship Between Sexual Orientation, Anxiety, And Mental Health Access With Suicidal Ideation Among Veterans, Winsome R. Ashley
The Relationship Between Sexual Orientation, Anxiety, And Mental Health Access With Suicidal Ideation Among Veterans, Winsome R. Ashley
Walden Dissertations and Doctoral Studies
Prior studies have examined the connection between minority sexual orientation (MSO) and mental health; however, very little is known about the effect among veterans. The objective of this cross-sectional quantitative study aimed to determine the relationship between veteran status, sexual orientation, anxiety levels, access to mental health services, and suicidal ideation among veterans. More specifically, it addressed if veteran status modifies the association between anxiety and suicidal ideation, if marital status modifies the association between mental health care access and suicidal ideation, and if veteran status modifies the association between sexual orientation and suicidal ideation after controlling for age, gender, …
Effective Strategies To Increase Workplace Inclusivity In The Oil And Gas Industry, Patricia Lindsey Isaac
Effective Strategies To Increase Workplace Inclusivity In The Oil And Gas Industry, Patricia Lindsey Isaac
Walden Dissertations and Doctoral Studies
Some oil and gas industry leaders face challenges in implementing effective strategies to increase workplace inclusivity, which can result in lower profits, decreased employee engagement, and reduced productivity. Executive leaders and managers, responsible for organizational performance and workforce retention, are particularly concerned about addressing these challenges to sustain business success and competitiveness. Grounded in the leader-member exchange theory, the purpose of this qualitative pragmatic inquiry was to explore strategies executive leaders use to enhance inclusivity in the oil and gas industry. The participants were nine executives, leaders, and managers from the oil and gas sector who had previously implemented effective …
Gender Differences In Weight Perceptions And Intentions Among Hispanic Youth In The United States, Kristy Gregurek
Gender Differences In Weight Perceptions And Intentions Among Hispanic Youth In The United States, Kristy Gregurek
Walden Dissertations and Doctoral Studies
Childhood obesity is a global epidemic and a serious issue for children and adolescents in the United States. Despite recognition of its dangers, obesity remains a public health concern, with both genetic and environmental factors contributing to its prevalence. Of particular concern is the higher obesity rates among Hispanic children, who face disproportionately significant psychological and physical health risks. Using the theory of planned behavior, this study aimed to investigate the lack of knowledge regarding gender differences in weight perceptions and intentions, the relationship between physical activity and weight perception, and the role each may play in obesity among Hispanic …
Community College Science Faculty’S Perceptions On Fidelity Of Implementation Of A Strategic Plan, Allison Santillo
Community College Science Faculty’S Perceptions On Fidelity Of Implementation Of A Strategic Plan, Allison Santillo
Walden Dissertations and Doctoral Studies
The administration at a Mid-Atlantic regional community college in the United States created a strategic plan to increase students’ critical thinking and metacognition skills by focusing on improving students’ problem-solving skills with problem-based learning. However, the problem in this study was that the faculty’s fidelity of implementation (FOI) a strategic plan to implement metacognition instruction at a community college in the Mid-Atlantic U. S. region had not been effectively monitored. The purpose of this basic qualitative study was to investigate the FOI of metacognitive instruction to a strategic plan as perceived by the community college’s science faculty. Century et al.’s …
Racialization Of Urban Black Middle School Students From The Perspective Of Middle School Teachers: A Phenomenological Study In Central And Southeast Michigan, Bryan L. Spencer
Racialization Of Urban Black Middle School Students From The Perspective Of Middle School Teachers: A Phenomenological Study In Central And Southeast Michigan, Bryan L. Spencer
Walden Dissertations and Doctoral Studies
Walden University College of Education and Human Sciences This is to certify that the doctoral dissertation by Bryan L. Spencer has been found to be complete and satisfactory in all respects, and that any and all revisions required by the review committee have been made. Review Committee Dr. Michael Langlais, Committee Chairperson, Psychology Faculty Dr. Matthew Hertenstein, Committee Member, Psychology Faculty Chief Academic Officer and Provost Sue Subocz, Ph.D. Walden University 2025 Racialization of Urban Black Middle School Students from the Perspective of Middle School Teachers: A Phenomenological Study in Central and Southeast Michigan by Bryan L. Spencer MPhil, Walden …
Adverse Childhood Experiences In Early Adolescence And Adult Interpersonal Relationships Violence, Jenalee M. Dawson
Adverse Childhood Experiences In Early Adolescence And Adult Interpersonal Relationships Violence, Jenalee M. Dawson
Walden Dissertations and Doctoral Studies
Intimate partner violence (IPV) is a pervasive social issue that affects individuals and communities, often rooted in early life experiences such as adverse childhood experiences (ACEs). Understanding the link between ACEs and IPV is crucial for developing effective prevention and intervention strategies. This quantitative research explored the potential link between ACEs encountered during early adolescence and the subsequent occurrence of IPV in adult domestic relationships, building upon the foundational work of Felitti et al. Using a quantitative survey design, 30 participants aged 18 and older who had experienced at least one ACE were recruited via social media and surveyed. Bandura's …
Understanding Hereditary Breast And Ovarian Cancer Syndrome In Black/African American Women: Implications For Equitable Outcomes And Interventions, Alexandria E. Fletcher
Understanding Hereditary Breast And Ovarian Cancer Syndrome In Black/African American Women: Implications For Equitable Outcomes And Interventions, Alexandria E. Fletcher
Walden Dissertations and Doctoral Studies
Black/African American women face significant health disparities in hereditary breast and ovarian cancer syndrome (HBOC) due to systemic barriers to genetic counseling and testing, leading to poorer survival outcomes. Guided by the Social Determinants of Health (SDH) framework and Intersectionality Theory, this quantitative descriptive study examined disparities in access to genetic services, socioeconomic barriers, and healthcare biases. Data from the 2023 National Health Interview Survey (NHIS) included 1,357 Black/African American and White women aged 25–65 with a family history of HBOC. The Surveillance, Epidemiology, and End Results (SEER) dataset analyzed 15,684 Black/African American and 105,547 White women with breast cancer, …
Experiences Of Grandparenting During Covid-19 For Grandparents Geographically Distanced From Their Grandchildren, Eva Louise Benevit
Experiences Of Grandparenting During Covid-19 For Grandparents Geographically Distanced From Their Grandchildren, Eva Louise Benevit
Walden Dissertations and Doctoral Studies
Since 2015, the number of retirees relocating after retirement has increased significantly, leading grandparents to be distant from their grandchildren. Isolation and distance from families has increased due in part to the COVID-19 pandemic which has led to high rates of loneliness and isolation for older adults. The purpose of this qualitative narrative inquiry was to explore experiences during COVID-19 for grandparents geographically distanced from their grandchildren. This research was grounded using Erikson’s psychosocial developmental theory, with a focus on the maturity stage, and thematic analysis was used to guide interviews and analysis. Purposive sampling was employed to recruit five …
Preanalytical Errors, Analytical Errors, And Postanalytical Errors And The Financial Performance Of Hospitals, Rachele Moore
Preanalytical Errors, Analytical Errors, And Postanalytical Errors And The Financial Performance Of Hospitals, Rachele Moore
Walden Dissertations and Doctoral Studies
Hospital administrators and financial decision-makers face ongoing challenges in maintaining positive operating margins, which are critical for sustaining healthcare services and delivering high-quality patient care. Errors in clinical laboratory testing—preanalytical, analytical, and postanalytical—can lead to inefficiencies, increased costs, and reduced financial performance. Grounded in total quality management, the purpose of this quantitative correlation study was to examine the relationship between preanalytical errors, analytical errors, and postanalytical errors and hospital operating margin. The participants were clinical laboratory leaders who completed an anonymous survey using Survey Monkey as a data collection tool. The sample size for this study included 77 participants. The …
The Academic And Social Meaning Of Transcendental Meditation Practice For Students And Their Guardians, Holly Erica Squires
The Academic And Social Meaning Of Transcendental Meditation Practice For Students And Their Guardians, Holly Erica Squires
Walden Dissertations and Doctoral Studies
Transcendental meditation (TM) is a unique meditation practice that uses a personal mantra to help the practitioner create a quiet state of mind, greater mental clarity, better concentration, and emotional control. TM has not been examined for its value to help students academically and socially. In this generic qualitative study, high school students and their guardians were asked to describe the meaning of TM practice in their academic and social life. The competencies of social emotional learning (SEL) theory were utilized as the conceptual framework to guide the study’s methodology. Data from semistructured interviews with six students and five guardians …
Perceptions Of Using Exercise As A Self-Determining Motivational Strategy For Gen Z Females With Depression Since Covid-19., Andrea Menhennet
Perceptions Of Using Exercise As A Self-Determining Motivational Strategy For Gen Z Females With Depression Since Covid-19., Andrea Menhennet
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic significantly disrupted individuals' daily routines, which amplified mental health challenges worldwide. A demographic highly prone to depression is Gen Z females. They faced unique struggles during this period, specifically managing their well-being. This study explored the perceptions of Gen Z females with depression regarding the use of exercise as a motivational strategy based on self-determination theory (SDT). The study aimed to understand how physical activity and ways to cope were allocated to manage mental health struggles, focusing on autonomy, competence, and relatedness as pertinent psychological needs. Using the generic qualitative approach, eight female Gen Z participants shared …
The Perspective Of African American Single Mothers In Birmingham, Alabama On The Criminalization Of African American Male Adolescents, Jessica Ruth Whiteside
The Perspective Of African American Single Mothers In Birmingham, Alabama On The Criminalization Of African American Male Adolescents, Jessica Ruth Whiteside
Walden Dissertations and Doctoral Studies
The purpose of this qualitative study was to explore the lived experiences of single African American mothers raising males and their association with criminal behavior. The nature of this research was phenomenological. This cross-sectional study, informed by the general strain theory, explored the effects of stress and strain from adversity and systematic racism on the criminality of African American male adolescents. The key research question was: In what ways do African American single mothers view their part and the part of their socio-economic context as contributing to the criminalization of their sons? A phenomenological research approach was used, and the …
Female Students With Disabilities’ Perceptions Of Science, Technology, Engineering, Mathematics Education, Toni Anne Walkowiak
Female Students With Disabilities’ Perceptions Of Science, Technology, Engineering, Mathematics Education, Toni Anne Walkowiak
Walden Dissertations and Doctoral Studies
The demand to increase enrollment in science, technology, engineering, and mathematics (STEM) education programs has intensified globally since the early 21st century. Researchers have concentrated on the gender divide with limited research on female students with disabilities (FSwDs). The purpose of this qualitative study was to explore FSwDs’ perceptions of their successes and challenges with accessibility, inclusion, and support experienced in STEM education programs, as well as their recommendations for improving policies and practices in STEM higher education. The study was grounded in social identity and social learning theories. For this basic qualitative design, semistructured interviews were conducted with nine …
Parental Support Experiences During The Covid-19 Pandemic While Supervising 9th – 12th Grade Student Learning, Sarah E. White
Parental Support Experiences During The Covid-19 Pandemic While Supervising 9th – 12th Grade Student Learning, Sarah E. White
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic impacted the lives of parents, children, and families in numerous ways. These impacts included increased parental involvement in remote learning. This was an ongoing situation where parents were supervising and being highly involved in their student’s education. The purpose of this qualitative phenomenological study was to explore the parental support experiences during the COVID-19 pandemic while supervising high school student learning. Bronfenbrenner’s bioecological theory was used as a theoretical foundation to understand the experiences of parents. This theory related to support systems, which was relevant during COVID-19 when remote learning changed the interactions between in-person students and …
Qualitative Study Of Sexual Orientation In Law Enforcement, Ruby Nelson Brockenberry
Qualitative Study Of Sexual Orientation In Law Enforcement, Ruby Nelson Brockenberry
Walden Dissertations and Doctoral Studies
The experiences of LGBTQ (lesbian, gay, bisexual, transgender, and queer) persons working in law enforcement were examined in this qualitative research. While the workplace is often seen as a collaborative setting and efforts to accomplish shared objectives without discrimination or prejudice, this is not always true for LGBTQ law enforcement personnel. This research focused on gender identity and sexual orientation to highlight the difficulties as well as discrimination and harassment which can negatively impact LGBTQ officers’ general well-being. Data was collected using semi-structured interviews from a sample of 11 LGBTQ law enforcement officers in the Pee Dee Region. Date was …
Jc Polyomavirus Pooled Seropositivity Prevalence In Healthy Subjects, Lenka J. Kimla
Jc Polyomavirus Pooled Seropositivity Prevalence In Healthy Subjects, Lenka J. Kimla
Walden Dissertations and Doctoral Studies
JC polyomavirus (JCV) causes progressive multifocal leukoencephalopathy in immunocompromised individuals and has been linked to cancer development. To-date, no information is available about the JCV seroprevalence in the healthy (nondiseased) population or whether this virus is ecologically connected to humans. The aim of this systematic literature review and meta-analysis was to the estimate the overall seroprevalence of JCV in the healthy human population by age, region, and testing method. A meta-analysis conducted on 24 studies revealed a pooled JCV seroprevalence of 60% (95% CI, 55% - 65%) with statistically significant effect size (z = 32.93, p < 0.001). Meta-regression and subgroup analyses with STATA18 showed that age and region had a strong positive predictive value on prevalence (R = .578, R2 = 0.334, F(2,52) = 12.543, p < 0.001) whereas the testing method had no significant effect on prevalence. The theories that grounded this study were the ecological model and the systems theory, which support the study result that JCV appears to be ubiquitous in the human population with JCV being acquired very early in life. The results of the systematic literature review indicated that JCV is transmitted via fecal-oral and respiratory routes within and outside of families. Most infants are infected with JCV by the age of 6 months and JCV seronegativity may not be indicative of a lack of an underlying JCV infection. JCV seropositivity increases with age, which is most probably by viral reactivation due to immune senescence. These findings have positive social change implications with JCV treatment, screening, and vaccine development.
Emergence Of Childhood Adversities Impacting Coping Strategies Among African American Adults, Cherise Jenean Bailey
Emergence Of Childhood Adversities Impacting Coping Strategies Among African American Adults, Cherise Jenean Bailey
Walden Dissertations and Doctoral Studies
Adverse childhood experiences (ACEs) are traumatic events occurring before age 18 that negatively impact mental, physical, and emotional well-being. The impact of ACEs and how they influence coping strategies of African American undergraduate college students between 18 and 22 is less known. This study involved employing a nonexperimental quantitative cross-sectional research design to identify coping strategies of African American undergraduate college students between 18 and 22. Additionally, the study involved identifying factors that predict coping strategies among this population. The transactional theory of stress and coping was the theoretical framework for the study. Online survey tools were used to collect …
Barriers To Nigerian Community Members In The United States Seeking Mental Health Treatment, Chinwendu Ejekwu
Barriers To Nigerian Community Members In The United States Seeking Mental Health Treatment, Chinwendu Ejekwu
Walden Dissertations and Doctoral Studies
Nigerian immigrants in the United States face significant challenges in accessing mental health care due to various cultural and systemic barriers. This generic qualitative study, guided by Vygotsky’s sociocultural theory, was conducted to explore the barriers encountered by Nigerian community members in seeking mental health treatment in the United States. Data were obtained through semistructured interviews where nine Nigerian immigrants presented their perceptions and experiences concerning barriers to Nigerian community members seeking mental health treatment in the United States. Thematic analysis followed the six-step data analysis method, leading to three themes. The themes identified are: (a) mental health is a …
Mental Health Seeking Perspectives Of Filipino Immigrants In California, Jonathan Patam Won
Mental Health Seeking Perspectives Of Filipino Immigrants In California, Jonathan Patam Won
Walden Dissertations and Doctoral Studies
Filipino immigrants have low access to mental healthcare in their native country and a high rate of mental health disorders. The problem that was investigated in this concurrent triangulation mixed-methods study was a lack of understanding regarding how Filipino immigrants to California perceive mental health services. Acculturation theory was used to understand the lived experiences of eight Californian Filipino immigrants who had sought mental health services and seven who had not. All participants had lived in California for at least 10 years. Semi-structured interviews and thematic analysis were employed for the qualitative component. An acculturation questionnaire was used to gather …
Hurricane Irma's Impact On Mortality Among The Chronically Ill Populations In Florida, Cody Ray Thornton
Hurricane Irma's Impact On Mortality Among The Chronically Ill Populations In Florida, Cody Ray Thornton
Walden Dissertations and Doctoral Studies
Natural disasters pose significant risks to individuals with chronic diseases, exacerbating health disparities through disruptions in healthcare access and systemic vulnerabilities. This study investigated the association between chronic disease-related mortality occurring within 2 months of Hurricane Irma, and whether demographic variables, including age, sex, race, Hispanic ethnicity, poverty, urbanicity, and educational attainment, modified this relationship. This cross-sectional study used the social-ecological model to analyze secondary mortality data from the National Vital Statistics System. Bivariate and multivariate logistic regression revealed that deaths from chronic illnesses, occurring between September 2017 and October 2017, were 2.694 times higher, compared to the same period …
Factors Affecting The Educational Status Of Children In Nigeria, Ayima Lott
Factors Affecting The Educational Status Of Children In Nigeria, Ayima Lott
Walden Dissertations and Doctoral Studies
The problem addressed in this study is that irrespective of active involvement of Nigeria in Universal Basic Education, the nation still records the highest number of out-of-school children globally. The purpose of this quantitative study was to determine how geopolitical location, socio-economics of the household, parental education, role of the child, age of the child, and gender of the child predict the educational status of children in Nigeria. This study is grounded in conflict and social systems theories. The most recent national secondary data on education from the 2015 Nigerian Education Data Survey was used. Univariate, bivariate, and multivariate logistic …
Leadership Strategies To Address Employee Turnover In Therapeutic Foster Care Within The Southeastern United States, Angelique Allen
Leadership Strategies To Address Employee Turnover In Therapeutic Foster Care Within The Southeastern United States, Angelique Allen
Walden Dissertations and Doctoral Studies
This study addresses the problem of low staff recruitment and retention rates in therapeutic foster care, resulting in staff burnout and reduced program performance and affecting the program’s targeted population and their communities. A case study allowed for a holistic view of the problem through the unique perspectives of behavioral health leaders within the program selected, which is based in the southeast United States and serves children within the foster care system. The study is grounded using the Baldrige excellence framework. Data were obtained through semi-structured interview with three of the program’s behavioral health leaders. The data were analyzed using …
Factors In Teacher Turnover Within A Nonpublic Special Education Setting, Sarah Wilson
Factors In Teacher Turnover Within A Nonpublic Special Education Setting, Sarah Wilson
Walden Dissertations and Doctoral Studies
The persistent turnover among special educators poses significant challenges to the quality of education provided to students with disabilities. The problem addressed in this study was the significant rate of turnover of special education teachers in a nonpublic special needs school on the east coast of the United States. Guided by Maslow’s theory of motivation and hierarchy of needs, the purpose of this basic qualitative study was to investigate the experiences of special education teachers and factors that influenced their decision to remain within the classroom environment. Eight special educators participated in semistructured interviews sharing the experiences they perceived as …
Experiences Of Former Foster Youths With Learning Disabilities Who Transitioned Into Adulthood, Phyllis J. Phillips
Experiences Of Former Foster Youths With Learning Disabilities Who Transitioned Into Adulthood, Phyllis J. Phillips
Walden Dissertations and Doctoral Studies
Foster youths with learning disabilities face numerous challenges as they transition out of care, including housing instability, unemployment, and mental health issues. Despite these barriers, research focusing on this specific population is limited. Guided by Taormina’s adult personal resilience theory, this qualitative case study explored the experiences and perceptions of former foster youths with learning disabilities to inform interventions and improve service delivery and policy improvements. The research questions addressed the experiences of former foster youths with learning disabilities transitioning out of care, the unique challenges associated with transitioning out of foster care as experienced by former foster youths with …
Allostatic Load And Incident Dementia Among Older Adults In The United States, Mohammed Usman Kabeto
Allostatic Load And Incident Dementia Among Older Adults In The United States, Mohammed Usman Kabeto
Walden Dissertations and Doctoral Studies
Allostatic load (AL), the cumulative physiological burden of chronic stress, is a significant health problem, and it has been associated with adverse health outcomes, including cognitive functioning. There is a paucity of literature examining associations between AL and incident dementia in the United States. This quantitative study used data from the United States Health and Retirement Study cohort (2016-2020) to examine the association between AL quartile and incident dementia among participants who were aged 56 and older at baseline. Dementia status was determined measuring immediate and delayed recall, serial seven subtraction, and backward count, as well as self-report conditions for …
Physical And Mental Health Experiences Of Obese Men Living In The United States During The Covid-19 Pandemic, James Cunningham
Physical And Mental Health Experiences Of Obese Men Living In The United States During The Covid-19 Pandemic, James Cunningham
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic posed unprecedented challenges to public health worldwide, significantly impacting vulnerable populations like obese men in the United States. This qualitative descriptive study involved exploring how these men perceived the pandemic’s impact on their physical and mental health, addressing a critical gap in existing literature. The research question that guided this study was: How did obese men living in the United States perceive the stressor that was the COVID-19 pandemic on their physical and mental health? Guided by the biopsychosocial model, the study involved using semi-structured interviews with 15 participants who were recruited online through social media. Thematic …
A Qualitative Exploration Of Urgent Care Clinic Providers’ Experiences With Patients With Mental Health Concerns, Teresa L. Hodges
A Qualitative Exploration Of Urgent Care Clinic Providers’ Experiences With Patients With Mental Health Concerns, Teresa L. Hodges
Walden Dissertations and Doctoral Studies
With mental health concerns on the rise in the United States and around the world, there has been a call for non-traditional avenues for the treatment of patients with mental health needs. Existing research indicates that in the current post-pandemic era, urgent care clinic providers have begun playing a pivotal role in the treatment of patients with mental health concerns. However, there is a lack of research currently available on the lived experiences of urgent care clinic providers treating of patients with mental health concerns. The purpose of this phenomenological study was to explore the lived experiences of urgent care …
The Lived Experiences Of Police Officers’ Responses To Stranger And Familial Child Abductions, Kennedy Pierce
The Lived Experiences Of Police Officers’ Responses To Stranger And Familial Child Abductions, Kennedy Pierce
Walden Dissertations and Doctoral Studies
When the media covers stories of child abductions, a common misconception is who the abductor is. Despite what the news broadcasts, a child is more likely to be abducted by a family member or acquaintance than a stranger. This qualitative study was conducted to explore the lived experiences of police officers’ responses to stranger and familial abductions using a phenomenological approach to determine how schemas may shape police officers’ perceptions, specifically concerning responding to child abductions. Schema theory suggests schemas are formed based on an occurrence between an individual and their surrounding environment. Nine interviews were conducted of police officers …