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Walden Dissertations and Doctoral Studies

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Clinical Vaccination Education Guideline For The African American Community, Margaret Chinedum Nwoji Jan 2023

Clinical Vaccination Education Guideline For The African American Community, Margaret Chinedum Nwoji

Walden Dissertations and Doctoral Studies

AbstractVaccination hesitancy is high among African Americans and other people of color. The practice gap addressed in this project was the lack of a culturally sensitive clinical guideline for vaccination education relevant to the African American community. The practice-focused question was answered by developing an evidence-based Clinical Vaccination Education Guideline for the African American Community (CVEGAAC) that was validated by a group of four content experts using the Appraisal of Guidelines, Research, and Evaluation tool. The content experts scored each of the domains above 90%, implying that the CVEGAAC is of high quality and ready for implementation. The end users …


Perceptions Of Leadership Effectiveness: An Exploratory Case Study Of Three Cameroonian School Principals, Prudence Avwontom Kono Jan 2023

Perceptions Of Leadership Effectiveness: An Exploratory Case Study Of Three Cameroonian School Principals, Prudence Avwontom Kono

Walden Dissertations and Doctoral Studies

This study explored the school principal selection process in Cameroon where the political appointment of school principals with no plan for formal training was practiced. The purpose of this exploratory multiple case study was to explore and describe school principal perceptions of leader behaviors in urban Cameroon schools. Goldring’s learner-centered leadership approach was the conceptual framework that guided this study. Research questions were focused on school principals’ perceptions of behaviors, standards, and cultures that they believed are critical to effective leadership in urban Cameroon schools. A multiple case study design was used to capture insights and perceptions of three purposely …


College Readiness In Writing As Determined Through Graduates’ Qualitative Perceptions, Dr. Rebecca G. Mitchell Jan 2023

College Readiness In Writing As Determined Through Graduates’ Qualitative Perceptions, Dr. Rebecca G. Mitchell

Walden Dissertations and Doctoral Studies

The aim of this study was to determine why, although rigorous standards in English language arts (ELA) have been adopted in a northwestern state and were designed to build toward college readiness, high school students graduating from a college readiness curriculum are not college ready in the area of writing. The purpose of the research was to explore graduates’ perception of college readiness, how a college readiness curriculum prepared them for college writing, and ways to improve that preparation. The theory that supported this study was the concept of college readiness. The key research questions for this study addressed how …


Structural Empowerment Of Nurse Leaders In New York State During The Covid-19 Pandemic, Tracey Braithwaite Jan 2023

Structural Empowerment Of Nurse Leaders In New York State During The Covid-19 Pandemic, Tracey Braithwaite

Walden Dissertations and Doctoral Studies

The current phenomenological study explored the lived experience of Acting Chief Nursing Officers, Chief Nursing Officers, Chief Nursing Executives (henceforth CNOs) at hospitals in New York State who were charged with responding to executive orders while maintaining quality of patient care despite staffing constraints, inadequate supplies, or lack of additional support for the duties associated with their role. Their experience of structural empowerment in relation to the COVID-19 pandemic was also studied. The theoretical framework was Kanter’s theory of structural empowerment that addressed organizational behavior in the context of employee empowerment. The research question addressed how the CNOs perceived their …


K-3 Teacher Perspectives Regarding Herzberg’S Factors That Affect Teacher Retention, Leann Laury Jan 2023

K-3 Teacher Perspectives Regarding Herzberg’S Factors That Affect Teacher Retention, Leann Laury

Walden Dissertations and Doctoral Studies

Abstract In the United States teacher retention in K-3 classrooms has declined, and so has the retention rate for the charter elementary school located in the study state. The problem is teacher retention rates in K-3 schools have declined in the U.S. The purpose of this basic qualitative research study was to explore teachers’ perspectives regarding factors that affect teacher retention. Factors were Herzberg et al.’s motivation (satisfaction) and hygiene (dissatisfaction), which was used as the conceptual framework to address teachers’ perspectives about why they choose to remain in a school with low retention rates. This study involved using semistructured …


Barriers To Effective Public Secondary Education In Rural Areas In Haiti, Marjorie Calixte-Hallworth Jan 2023

Barriers To Effective Public Secondary Education In Rural Areas In Haiti, Marjorie Calixte-Hallworth

Walden Dissertations and Doctoral Studies

The limited access to public secondary education in rural regions of Haiti has impacted children who want to pursue their education beyond the primary level. The purpose of this generic qualitative study was to explore the perceptions of informed Haitian educators and other educators who were knowledgeable about the lack of access to public secondary education in rural Haiti, specifically through the framework of polarities of democracy theory. Data were gathered by conducting semistructured interviews with 20 educators who were situated in both Haiti and the United States. NVivo 14 was used to organize, code, and analyze the data. Thematic …


The Relationship Between Poverty And Hospital Readmission Rates For U.S. Patients With Chronic Obstructive Pulmonary Disease, Heart Failure, And Asthma, Gardel Benz Eliazaire Jan 2023

The Relationship Between Poverty And Hospital Readmission Rates For U.S. Patients With Chronic Obstructive Pulmonary Disease, Heart Failure, And Asthma, Gardel Benz Eliazaire

Walden Dissertations and Doctoral Studies

AbstractHospital readmissions have continuously been a concern to healthcare providers and policymakers because of their negative impacts on the economy and the well-being of patients. A gap in knowledge exists in the understanding of the factors that have led to increased readmissions due to chronic cardiovascular diseases (Heart Failure) and respiratory diseases (chronic obstructive pulmonary disease [COPD] and Asthma). The aim of this study was to examine the relationship between poverty rate and hospital readmission rates for patients with COPD, Heart Failure, and Asthma in the United States using secondary data from the Healthcare Cost and Utilization Project’s (HCUP’s) Nationwide …


Women Veterans’ Social Experiences, Challenges, And Responsive Strategies During Civilian Reintegration, Amanda Najar-Cabrera Jan 2023

Women Veterans’ Social Experiences, Challenges, And Responsive Strategies During Civilian Reintegration, Amanda Najar-Cabrera

Walden Dissertations and Doctoral Studies

In this study, women veterans’ reintegration experiences, challenges, and responsive strategies with social identity, social connection, and social support were explored. Military discharge is a significant life change that disrupts the lives of women veterans in ways different from men and the scientific community is only beginning to research the long-term implications of social determinants of health in different populations. As the U.S. military women veteran population continues to increase, their social experiences, challenges, and responsive strategies during civilian reintegration have remained unexplored. The purpose of this study was to explore the social experiences of women veterans during reintegration to …


Covid-19 Social Isolation And Young Adult Mental Well-Being And Socioeconomic Status As A Moderator, Falescia Ware Matlock Jan 2023

Covid-19 Social Isolation And Young Adult Mental Well-Being And Socioeconomic Status As A Moderator, Falescia Ware Matlock

Walden Dissertations and Doctoral Studies

AbstractIt is not currently known how social distancing guidelines impact mental health for emerging adults and whether socioeconomic status moderates this relationship. The psychosocial development theory states that emerging adults experience a psychological conflict—intimacy versus isolation—where the goal is to seek connections. Without connection, emerging adults are likely to experience impaired psychological well-being, which was exacerbated by the COVID-19 pandemic. The purpose of this study was to examine the effects of perceived social distancing guidelines on the mental health of emerging adults and if this relationship is moderated by socioeconomic status. This study followed a quantitative comparative design of emerging …


Disenfranchisement Laws Affecting Voting Rights Of Black Americans In Mississippi, April Masha Jones Jan 2023

Disenfranchisement Laws Affecting Voting Rights Of Black Americans In Mississippi, April Masha Jones

Walden Dissertations and Doctoral Studies

From Black individuals being enslaved and freed to being incarcerated in modern-day society more frequently than White individuals, the desire to have a voice in the decision-making process has been challenging. Black voters in Mississippi may be underrepresented because of felony disenfranchisement laws. The purpose of this general qualitative study was to examine the lived experiences of Black Mississippians about felony disenfranchisement laws and voting rights. The first research question addressed perceptions of Black Americans in Mississippi regarding the felony disenfranchisement laws. The second research question addressed the experiences related to any political implications among the electorate in Mississippi. The …


Community-Based Organization Leaders’ Communication Effectiveness And Effects On Performance Outcomes, Troy N. Nicholas Jan 2023

Community-Based Organization Leaders’ Communication Effectiveness And Effects On Performance Outcomes, Troy N. Nicholas

Walden Dissertations and Doctoral Studies

The purpose of this study was to determine if effective leader communication builds employee relationships that improves organizational performance. Organizational communication is a prominent factor that impacts the outcome of an organization’s goals and assists in executing its mission. There remain some gaps in the current literature considering the work environment and the attitudes of employees as they relate to organizational communication. To address the gap, the constructive grounded theory model was used to construct and analyze a theory of organizational communication. The sample for the study included 12 participants who were leaders or employees in a community-based organizations in …


Strategies To Implement Efficient Manufacturing Systems To Improve Companies’ Performance, Ihebuche Miracle Okorie Jan 2023

Strategies To Implement Efficient Manufacturing Systems To Improve Companies’ Performance, Ihebuche Miracle Okorie

Walden Dissertations and Doctoral Studies

Researchers have demonstrated that many manufacturing managers have used successful manufacturing strategies to improve their company’s performance. Manufacturing managers search for successful strategies to implement efficient manufacturing systems because inefficient manufacturing systems can negatively affect their company’s performance. Using transformational leadership as a conceptual framework, the purpose of this qualitative single case study was to explore six U.S. manufacturing managers’ strategies to implement efficient manufacturing systems to improve their company’s performance. The participants were six manufacturing leaders of a company who had successfully employed strategies to implement efficient manufacturing systems. Data were collected from semistructured, open-ended interviews and a review …


Perceived Barriers To Cervical Cancer Screening Among Hispanic Women, Damaris Perez Jan 2023

Perceived Barriers To Cervical Cancer Screening Among Hispanic Women, Damaris Perez

Walden Dissertations and Doctoral Studies

AbstractHispanic women are among the ethnic groups with higher cervical cancer rates in the United States. This mixed-method study was conducted to explore perceived barriers and self-efficacy-related factors to cervical cancer screening in foreign-born Hispanic women in Florida. The theory of planned behavior was applied to determine if behavioral intentions influence access to cervical cancer screening. The inclusion criteria included Hispanic women 18 years old and older without a hysterectomy history. Quantitative data were collected through a self-administered survey. A total of 84 individuals completed the survey. A binary logistic regression analysis was performed to determine if sociodemographic factors are …


Strategies Automotive Manufacturing Managers Use To Deliver Work In Alignment With Project Milestones, Sashidhar Mr. Sankaranarayanan Jan 2023

Strategies Automotive Manufacturing Managers Use To Deliver Work In Alignment With Project Milestones, Sashidhar Mr. Sankaranarayanan

Walden Dissertations and Doctoral Studies

Project managers working in manufacturing firms in the automotive industry frequently face challenges such as cost overruns, schedule delays, and scope changes. Project managers often lack effective strategies to ensure that different departments deliver their work in alignment with project milestones, which can negatively affect project success rates. Grounded in the balanced scorecard framework, the purpose of this qualitative single case study was to explore strategies managers in the automotive manufacturing industry used in their different departments to deliver their work in alignment with project milestones. The participants were three project managers who had successfully implemented strategies that reduced the …


Employee Engagement And Leadership In The Federal Sector, Quanekqua Tequila Russell Pringle Jan 2023

Employee Engagement And Leadership In The Federal Sector, Quanekqua Tequila Russell Pringle

Walden Dissertations and Doctoral Studies

While levels of engagement have slightly increased, employee engagement in the U.S. federal government sector still significantly lags when compared to the private sector. When asked if organizational leaders generate high levels of motivation and commitment in the workforce, only 48% of U.S. federal government employees indicated a positive response. The purpose of this quantitative correlation study and primary research question was to determine to what extent, if any, does a relationship exist between perceptions of leadership communication and effectiveness and employee engagement in the U.S. federal government sector. The theoretical framework of this quantitative correlational study was informed by …


Analysis Of Collective Bargaining And Macroeconomic Effects: Evidence From Ghana, Francis John Mozu Jan 2023

Analysis Of Collective Bargaining And Macroeconomic Effects: Evidence From Ghana, Francis John Mozu

Walden Dissertations and Doctoral Studies

Frequent labor strikes are a problem in Ghana that often interrupt the production of goods and the provision of services including health and education. The strikes primarily result from wage disputes that appear to arise from inflation and low real wages. Although there have been studies on collective bargaining and macroeconomic conditions in Ghana, there is a lack of research on the relationship between inflation as well as real wages, and collective bargaining labor strikes. This quantitative correlational study involving secondary data analysis was undertaken to help solve the problem by addressing the lack of evidence on the statistical significance …


Managing Change And Organizational Resources When Implementing Customer Relationship Management Systems, Stephanie M. Spears Jan 2023

Managing Change And Organizational Resources When Implementing Customer Relationship Management Systems, Stephanie M. Spears

Walden Dissertations and Doctoral Studies

Many customer relationship management (CRM) projects fail to produce the desired outcomes. Failed CRM projects negatively impacts operational efficiency, data-driven decision-making, scalability, financial performance, compliance, and customer service. Grounded in Kotter’s 8-step change management model, the purpose of this qualitative multiple case study was to explore strategies firm leaders used to manage change and organizational resources when implementing CRM. The participants included five business-to-business firm leaders working for small or medium-sized enterprises within Texas who used strategies to manage change and organizational resources when implementing CRM. Data were collected through semistructured interviews and document analysis. The data were analyzed using …


Understanding The Barriers Of Lgbtq Youth Aging Out Of The Foster Care System, Quadasha Mcilwaine Jan 2023

Understanding The Barriers Of Lgbtq Youth Aging Out Of The Foster Care System, Quadasha Mcilwaine

Walden Dissertations and Doctoral Studies

Historically, there have been significant barriers experienced by youths aging out of the foster care system. A new area of focus highlights youths that identify as lesbian, gay, bisexual, transgender, and queer (LGBTQ). In this study, the opinions of LGBTQ youths who have aged out of the foster care system in North Carolina were explored and the barriers these youths may encounter as they transition into adulthood were illuminated. Bronfenbrenner’s ecological systems theory is the framework that was used to guide this study. A basic qualitative approach was used with semistructured interviews of 10 LGBTQ aged-out youths in North Carolina. …


Strategies To Mitigate Foreign Trade Costs And Regulations That Reduce Revenues, Allan Dithan Mugisa Jan 2023

Strategies To Mitigate Foreign Trade Costs And Regulations That Reduce Revenues, Allan Dithan Mugisa

Walden Dissertations and Doctoral Studies

Foreign trade costs and regulations can lead to unfavorable business outcomes. Business leaders in firms engaged in global trade express concerns about the potential negative impact of foreign trade costs and regulations on revenues. Grounded in the resource-based theory of firms, the purpose of this qualitative multiple case study was to explore strategies some small medical devices and supplies business leaders use to mitigate foreign trade costs and regulations that reduce revenues. Participants were four business leaders of medical device and supply firms who reversed declining revenues. Data were collected using in-person semi-structured interviews. Through thematic analysis, four themes were …


Foster Youth's Experience With Visitation During The Covid-19 Pandemic., Carrie Player Sexton Jan 2023

Foster Youth's Experience With Visitation During The Covid-19 Pandemic., Carrie Player Sexton

Walden Dissertations and Doctoral Studies

Much has been learned about how the shelter-in-place (SIP) orders imposed during the coronavirus disease 2019 (COVID-19) pandemic affected children socially and emotionally. However, less was known about how the youths in foster care settings experienced visitation with their approved visitors because of the shelter-in-place order. In this phenomenological study, the lived experiences of 10 foster youths between the ages of 16 and 18 years during the COVID-19 SIP were explored using semi structured interviews. The theory that grounded this study was Ainsworth and Bowlby's attachment theory. Evernote was used to guide, store, observe, and record the data in one …


Offshore Wind Industry Leaders’ Operations And Maintenance Management Strategies, Heather Louise Shimp Jan 2023

Offshore Wind Industry Leaders’ Operations And Maintenance Management Strategies, Heather Louise Shimp

Walden Dissertations and Doctoral Studies

The difficulties offshore wind leaders have in managing operations and maintenance (O&M) costs threaten the ability to operate offshore wind farms profitably, diversify the energy supply, and reduce dependence on imported fuels. Grounded in the frameworks of Lean Six Sigma and McKinsey 7-S, the purpose of this qualitative multi-case study was to explore offshore wind farm leaders’ strategies to manage O&M costs in Europe. The participants were six offshore wind leaders who implemented strategies to successfully manage O&M costs for offshore wind farms located in Europe. Data were collected using semistructured interviews, participant observation, and reviewing public and participant-supplied documents. …


Ambiguous Loss Feelings Amongst Caregivers Of Operation Enduring Freedom Veterans, Stephanie T. Spann Jan 2023

Ambiguous Loss Feelings Amongst Caregivers Of Operation Enduring Freedom Veterans, Stephanie T. Spann

Walden Dissertations and Doctoral Studies

This quantitative study compares the possible relationship between ambiguous loss and the stress level of caregivers of Operation Enduring Freedom (OEF) veterans who served in combat. Injured servicemembers need caregivers to assist them in caring for their physical and mental health needs. This study examined whether there is a relationship between the perceived ambiguous loss among caregivers of OEF injured veterans and the stress level experienced by caregivers. The theoretical framework for this study is the ambiguous loss theory. The methodology used to test the hypothesis is a quantitative correlational design to compare ambiguous loss variables amongst caregivers of injured …


Utilization Of An Opioid Antagonist And Comprehensive Medication-Assisted Treatment In Correctional Settings, Amanda K. Trent Jan 2023

Utilization Of An Opioid Antagonist And Comprehensive Medication-Assisted Treatment In Correctional Settings, Amanda K. Trent

Walden Dissertations and Doctoral Studies

Many people brought into the U.S. criminal justice system have substance abuse problems that served as the primary or secondary catalyst for offending. To treat substance use disorder in these individuals, medication-assisted treatment (MAT) is being evaluated as a viable option in the criminal justice system. The purpose of this quantitative study was to evaluate the effectiveness of a MAT treatment program by reviewing existing data regarding offenders who were receiving the opioid antagonist naltrexone, other supplemental medications, and cognitive behavior therapy in a therapeutic community inside a correctional setting. Biological and social learning theoretical frameworks guided the study. Secondary …


K–2 Educators’ Perspectives Regarding The Resources Needed To Identify Students At-Risk For Dyslexia In A Southeastern State Local School, Cherryann Bianca James Jan 2023

K–2 Educators’ Perspectives Regarding The Resources Needed To Identify Students At-Risk For Dyslexia In A Southeastern State Local School, Cherryann Bianca James

Walden Dissertations and Doctoral Studies

Dyslexia, a complex disorder affecting children's learning, is often misdiagnosed. When children with dyslexia are identified, teachers often lack the skills and resources to support them. This study was conducted because of a Southeastern state's dyslexia mandate, which requires early education teachers to have the knowledge to identify students at risk for dyslexia. This was a qualitative study, in which data were collected through in-depth interviews with educators working in grades K–2 in the local school district. Purposive sampling was used to select participants who are K–2 educators, have experience working with K–2 students, and were willing to offer their …


Young Adults’ Romantic Relationships: The Relation Between Perceived Pressure To Disclose And Disclosure To Romantic Partners, Jessica Truscott Jan 2023

Young Adults’ Romantic Relationships: The Relation Between Perceived Pressure To Disclose And Disclosure To Romantic Partners, Jessica Truscott

Walden Dissertations and Doctoral Studies

AbstractThe most personal level of communication is intentional self-disclosure of one’s feelings or thoughts with another individual. Within the context of romantic relationships, disclosure between partners has implications for the relationships and for individual well-being. However, less is known about whether perceived pressure to disclose is related to young adults’ amount of disclosure to their partners. The theoretical frameworks applied to this study included social penetration theory, self-disclosure theory, and Reis and Shaver’s intimacy process model. The primary purpose of this quantitative secondary analysis of previously collected data by Rose was to test whether young adults’ perceived pressure from their …


Victim Advocates' Experiences Of Challenges And Opportunities In Supporting Children Of Homicide Victims, Ed Rahkeem Simmons Jan 2023

Victim Advocates' Experiences Of Challenges And Opportunities In Supporting Children Of Homicide Victims, Ed Rahkeem Simmons

Walden Dissertations and Doctoral Studies

Homicide is a preventable public health issue that has detrimental effects for victims, witnesses, and the broader society. Although a number of studies have substantiated the adverse effects on children when a parent dies by homicide, few studies have addressed how critical the support of victim advocates is in minimizing the adverse effects. The purpose of this qualitative study was to examine victim advocate professionals' experiences of challenges and opportunities in delivering services to children of homicide victims. Policy feedback theory was the theoretical framework for the study. Semistructured interviews were conducted with 10 victim advocate professionals who were members …


Promoting Healthier Treatment Outcomes In Obese Cancer Patients Taking High Dose Methotrexate, Carly Dell'ova Jan 2023

Promoting Healthier Treatment Outcomes In Obese Cancer Patients Taking High Dose Methotrexate, Carly Dell'ova

Walden Dissertations and Doctoral Studies

Cancer and obesity rates continue to rise, creating enormous public heath burdens to the individual and at the national and global levels, reducing quality of life, and increasing spending. Moreover, the relationships between cancer and obesity are not well understood. A commonly used chemotherapy for several types of cancer is high dose methotrexate (HDMTX). Along with chemotherapy, especially at high doses, comes toxicity to specific organs and the entire body. However, limited research has been conducted on obese cancer patients as they are often excluded from clinical studies. Practitioners need to better understand how to dose these patients to provide …


Influence Of Behavioral Leadership Strategies On Employee Engagement In Hospital Departments, Callie Selner Jan 2023

Influence Of Behavioral Leadership Strategies On Employee Engagement In Hospital Departments, Callie Selner

Walden Dissertations and Doctoral Studies

Lack of employee engagement as a result of deficient behavioral leadership strategies has the potential for adverse business outcomes on productivity, business mission, and strategy. As a result of this qualitative single case study, hospital department managers who apply behavioral leadership strategies are more likely to promote an environment conducive to employee engagement. Grounded in the employee engagement theory, the purpose of this qualitative single case study was to explore behavioral leadership strategies hospital department managers use to promote an environment conducive to employee engagement. The participants were five hospital department managers who had been successful with employee engagement. Data …


Relationship Between Corporate Social Responsibility Activities By Small And Medium-Sized Enterprises And Business Profitability, Oluwabunmi Afolashade Olujobi Jan 2023

Relationship Between Corporate Social Responsibility Activities By Small And Medium-Sized Enterprises And Business Profitability, Oluwabunmi Afolashade Olujobi

Walden Dissertations and Doctoral Studies

Corporate social responsibility (CSR) positively impacts performance and profitability for small and medium-sized enterprises (SMEs). Small and medium-sized enterprise leaders are reluctant to engage in CSR activities because of the assumed high-cost implication and possible impairment of profitability. Grounded in social capital theory, the purpose of this quantitative correlational study was to examine the relationship between workforce-based CSR activities, society-based CSR activities, market-based CSR activities, regulation-based CSR activities, and SMEs’ business profitability. The participants were 109 SME owners in Lagos, Nigeria. Data were collected using questionnaires administered online through google forms. The results of the multiple linear regression were significant, …


The Experience Of Compassion Fatigue In School Counselors, Melissa Lynn Manganaro Jan 2023

The Experience Of Compassion Fatigue In School Counselors, Melissa Lynn Manganaro

Walden Dissertations and Doctoral Studies

School counselors play a crucial role in U.S. education. In recent years, their student caseloads have increased as more students are diagnosed with a mental health disorder. With additional stressors from providing social/emotional counseling, school counselors are vulnerable to secondary traumatic stress, vicarious trauma, and compassion fatigue; however, research was limited on counselors' experiences of these conditions. The purpose of this qualitative study was to gain understanding of school counselors' experiences of compassion fatigue and strategies for coping. Ten school counselors from public schools in Arizona, who had scored in the moderate- to high-risk range on the Compassion Fatigue Self-Test, …