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Black Women’S Perceptions Of Perinatal Healthcare In New York City Community Health Centers, Asiyah Franklin
Black Women’S Perceptions Of Perinatal Healthcare In New York City Community Health Centers, Asiyah Franklin
Walden Dissertations and Doctoral Studies
The purpose of this qualitative study was to explore the experiences of Black women who have received perinatal care in New York City (NYC) community health centers and the perceived impact on their maternal health behaviors and outcomes. Although maternal health care delivery and outcomes among Black women have been explored in research, socially and economically disenfranchised Black women in NYC who rely on community health centers for perinatal care have not been included in this research. This study involved addressing the lack of knowledge of Black women’s experiences with perinatal care in NYC’s community health system and consisted of …
Abstract Education On Agency For Healthcare Research And Quality Ideal For Health Ministry, Francesse Charles-Cherelus
Abstract Education On Agency For Healthcare Research And Quality Ideal For Health Ministry, Francesse Charles-Cherelus
Walden Dissertations and Doctoral Studies
Education on Agency for Healthcare Research and Quality IDEAL for Health Ministry by Francesse Charles-Cherelus MS, Walden University, 2020 BS, Clayton State University, 2018 Project in Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice Walden University November 2024 The problem addressed in this project was lack of access to community resources for care of patients with behavioral or mental health conditions. Without adequate resources, patients are at risk for rehospitalization. The purpose of the doctoral project was to develop a staff education program for health ministry staff and evaluate effectiveness to increase staff confidence in …
Racial Bias In The Treatment Decision Of Breast Cancer In African American And Caucasian Women, Hayaat Mariette Amara
Racial Bias In The Treatment Decision Of Breast Cancer In African American And Caucasian Women, Hayaat Mariette Amara
Walden Dissertations and Doctoral Studies
Breast cancer stands as a formidable health challenge in the United States, ranking as the most prevalent and deadly diagnosed cancer and the second leading cause of cancer-related death among women. Of particular concern is the disproportionate impact on African American women, who experience elevated mortality rates compared to other demographic groups. This quantitative study, grounded in critical race theory, investigated whether there is an association between race as well as comorbidity score and first-course treatment plans for breast cancer among women in the State of Georgia, United States, adjusting for the stage of breast cancer, age, and household income. …
College Writing Instructors’ Perceptions Of Their Pedagogical Digital Competence After Emergency Remote Teaching, Karen Reardon
College Writing Instructors’ Perceptions Of Their Pedagogical Digital Competence After Emergency Remote Teaching, Karen Reardon
Walden Dissertations and Doctoral Studies
Due to college writing instructors’ lack of pedagogical digital competence (PDC), they struggled to adapt to emergency remote teaching (ERT) during the COVID-19 pandemic. The problem this study addressed is that while higher education institutions expected undergraduate instructors to use online teaching methods effectively, few studies investigated college writing instructors’ perceptions of their digital competencies. The purpose of this basic qualitative study was to explore college writing instructors’ perceptions of their digital competencies to teach online courses effectively. The research questions for this study focused on college writing instructors’ challenges and perceptions of teaching online during ERT. The conceptual framework …
Failure To Implement Decentralization In Haiti As A Constitution Mandate, Alann Fils-Aime
Failure To Implement Decentralization In Haiti As A Constitution Mandate, Alann Fils-Aime
Walden Dissertations and Doctoral Studies
As of 2023, after 36 years, Haiti has yet to implement decentralization successfully per its 1987 Constitution mandate. The situation that prompted this research literature is to fill the literature gap to investigate the elites' responsibilities and their neglectfulness to implement decentralization as mandated by the Constitution. The generic qualitative methodology was the selected design to better understand the reasons for Haiti, as of 2023, and after 36 years, to remain unable to implement decentralization per its 1987 Constitution mandate successfully. Policy feedback theory served as the theoretical foundation for this study. Data were collected from semistructured Zoom or telephone …
Staff Education On Transradial Bands, Ashlee Mae Buffington
Staff Education On Transradial Bands, Ashlee Mae Buffington
Walden Dissertations and Doctoral Studies
Staff education has a significant impact on evidence-based practice and safe care. It is imperative for health professionals to be educated to deliver patient-centered care as members of an interdisciplinary team, emphasizing evidence-based practice, quality improvement approaches, and informatics. It is essential to employing evidence-based care. Failure to provide education can significantly hinder an organizations sustainability effort (Jeyakumar et. al., 2021). For these reasons, I have chosen to initiate a nursing education project. Working in the cardiovascular lab, I was able to identify a gap in practice when caring for patients after coronary angiography. The gap in practice was identified …
Intergenerational Programs With Older Adults: Elementary School Teachers’ Perceptions On Academic Performance, Jovette Brown
Intergenerational Programs With Older Adults: Elementary School Teachers’ Perceptions On Academic Performance, Jovette Brown
Walden Dissertations and Doctoral Studies
Intergenerational programs bring together two or more generations and engage them in shared activities that inspire, educate, and advance their mutual well-being. Current literature on intergenerational programs involving elementary school children and older individuals describes benefits for both groups. However, most studies concentrate on the benefits for the older adult participants. The purpose of this generic qualitative research study was to explore elementary school teachers’ perceptions of the academic performance of students who participated in an intergenerational program with older adults. The theoretical framework consists of four processes of modeling a social learning theory component. A purposeful sampling of eight …
Ceo/Cfo Of Rural Area Nonprofits’ Experiences With Obtaining Grant Funding, Kimberly Michelle Bounds
Ceo/Cfo Of Rural Area Nonprofits’ Experiences With Obtaining Grant Funding, Kimberly Michelle Bounds
Walden Dissertations and Doctoral Studies
For many NPOs, obtaining funding can be a challenge. The purpose of this generic qualitative study was to explore CEO/CFO rural area nonprofits’ experiences with obtaining grant funding for their programs. The conceptual framework that guided this study was the critical rural theory. Participants were obtained using purposeful sampling and snowball sampling via flyers placed on social media outlets. Data were collected from open-ended, semi-structured interviews with nine CEO/CFOs of rural area nonprofits. The data were analyzed using Braun and Clarke’s six phases for thematic analysis. Seven themes were developed from the data analysis and placed in separate sections. The …
Staff Education To Improve Medication Compliance In Older Patients In Home Settings, Chika Ugoala Okwonna
Staff Education To Improve Medication Compliance In Older Patients In Home Settings, Chika Ugoala Okwonna
Walden Dissertations and Doctoral Studies
The Doctor of Nursing Practice (DNP) project was a staff education intervention intended to improve medication adherence at a long-term care facility. The practice gap identified was that staff lacked current evidence-based knowledge in medication compliance. The project addressed whether educating staff on medication compliance would increase knowledge. The purpose of this project was to increase knowledge with the overall goal to improve patient outcomes. Planning strategies included undertaking a strengths, weaknesses, opportunities, and threats (SWOT) assessment of the organization’s readiness. The project involved creating and implementing an in-person 60-minute presentation. Eighteen nursing staff voluntarily participated in the education intervention, …
Strategies To Improve Access To Home Dialysis In Rural Areas, Taylor Ann Diefenderfer
Strategies To Improve Access To Home Dialysis In Rural Areas, Taylor Ann Diefenderfer
Walden Dissertations and Doctoral Studies
Healthcare administrators are faced with many challenges including creating strategies for more end stage renal disease patients on home modalities and converting current in-center hemodialysis patients to a home dialysis modality. The purpose of this integrative review was to create strategies to increase home modality utilization in rural communities. The review question focused on best practices that can be implemented to increase home modality utilization for rural chronic kidney disease patients. A search of the literature provided an analysis of empirical and non-empirical literature for the past 5 years and resulted in 25 articles that were analyzed in depth to …
At-Risk Male Student Athletes’ Perceptions Of Support Efforts To Enhance Retention At A Faith-Based University, Drametrice Traronzoe Smith
At-Risk Male Student Athletes’ Perceptions Of Support Efforts To Enhance Retention At A Faith-Based University, Drametrice Traronzoe Smith
Walden Dissertations and Doctoral Studies
Student athletes often enter college unprepared for academic rigor, making them particularly vulnerable in terms of academic success. At a faith-based university in the southeast United States, low retention of student athletes results from poor class attendance, course failures, and low grade point averages. The purpose of this basic qualitative study was to explore how at-risk college student athletes perceived the value of support efforts to enhance retention at this faith-based university. Guided by Tinto’s theory of student departure, this basic qualitative study involved a sample of 12 to 15 at-risk college student athletes from the university who participated in …
Exploring Forgiveness Among Female Adult Children Of Alcoholics Of Higher Socioeconomic Status, Michelle Hall
Exploring Forgiveness Among Female Adult Children Of Alcoholics Of Higher Socioeconomic Status, Michelle Hall
Walden Dissertations and Doctoral Studies
Intergenerational trauma has perpetuated familial estrangement for decades within the adult children of alcoholics (ACOA) population. The purpose of this study was to understand forgiveness within maternal estrangement in female ACOAs to address a gap in literature on female ACOAs from a higher socioeconomic status. Bowen’s family systems theory (BFST) was the theoretical perspective used to understand the role of intergenerational systems, familial dynamics and patterns, and familial functioning that contribute to estrangement. Semi-structured interviews were conducted with 9 participants and data analysis was conducted using the tenets of the Moustakas modified Van Kaam approach. Through the data analysis eight …
Managerial Strategies To Increase Employee Retention In The Restaurant Industry, Tormeika Vonshay Mitchell
Managerial Strategies To Increase Employee Retention In The Restaurant Industry, Tormeika Vonshay Mitchell
Walden Dissertations and Doctoral Studies
High employee turnover is a critical issue in the fine casual dining industry, leading to increased operational costs and reduced service quality. Fine casual dining managers are concerned with high turnover rates because high turnover affects profitability and the ability to maintain a skilled workforce. This qualitative pragmatic inquiry, grounded in Herzberg’s two-factor theory, was conducted to explore strategies that restaurant managers use to enhance employee retention and job satisfaction. The participants were seven restaurant managers from fine casual dining establishments in the southeastern United States who had successfully implemented strategies to reduce turnover and improve employee engagement. Data were …
Grades 2–4 Teachers’ Experiences Remediating Learning Loss In Reading, Lauren Suzanne Marrocco
Grades 2–4 Teachers’ Experiences Remediating Learning Loss In Reading, Lauren Suzanne Marrocco
Walden Dissertations and Doctoral Studies
The problem addressed through this study was that Grades 2–4 teachers in a New England urban elementary school district are challenged to remediate student learning loss in reading achievement. In the district, there was documented low reading proficiency for Grades 2-4 over the past 5 years, including before, during, and after the COVID-19 pandemic. The purpose of this basic qualitative study was to explore the experiences of Grade 2–4 teachers remediating learning loss. The connected learning model, developed by Houghton Mifflin Harcourt, was the conceptual framework for this study. The research question focused on the experiences of Grades 2-4 reading …
Information-Technology-Aided Customer Relationship Management Strategies For Improving Financial Institutions’ Business Performance, Joy Kudakwashe Semwayo
Information-Technology-Aided Customer Relationship Management Strategies For Improving Financial Institutions’ Business Performance, Joy Kudakwashe Semwayo
Walden Dissertations and Doctoral Studies
The Zimbabwean banking industry has struggled to adopt Information Technology (IT)-enabled customer relationship management (CRM), limiting its ability to effectively manage customer relationships and improve overall performance. Senior banking leaders must understand IT-driven CRM strategies to better retain customers and enhance bank performance. Grounded in functionalism and social control theories, the purpose of this qualitative pragmatic inquiry was to explore IT-aided CRM strategies some senior bank leaders use to improve customer retention and enhance bank performance in Zimbabwe. The participants consisted of six senior leaders from different banks in Zimbabwe who successfully utilized IT-driven CRM strategies to retain customers and …
Exploration Of General Education Teachers’ Self-Efficacy Regarding Inclusive Teaching Strategies In A West African School, Susan Regina Robinson
Exploration Of General Education Teachers’ Self-Efficacy Regarding Inclusive Teaching Strategies In A West African School, Susan Regina Robinson
Walden Dissertations and Doctoral Studies
Limited research has existed regarding general education teachers’ perception of self-efficacy in teaching in the inclusive classroom in Central Ghanaian schools where performance outcomes fall below government standards. The purpose of this qualitative study was to examine general education teachers’ perceptions of self-efficacy regarding the implementation of inclusive teaching strategies at a Central Ghanaian school. Bandura’s social cognitive theory was the conceptual framework of this study. The research questions focused on teachers’ perception of self-efficacy in the implementation of instruction in the inclusive classroom and whether professional development was essential to their capacity to implement inclusive instruction. For this basic …
Successful Strategies Human Resource Managers Use To Retain Nurse Practitioners, Trisha Sims
Successful Strategies Human Resource Managers Use To Retain Nurse Practitioners, Trisha Sims
Walden Dissertations and Doctoral Studies
Nurse practitioner turnover in healthcare organizations has the potential for adverse performance outcomes. Human resource managers are concerned with nurse practitioner retention, as hiring and training costs can cause a healthcare organization to lose revenue. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative single case study was to explore strategies that three human resource managers from one healthcare organization in northeastern Ohio use to retain nurse practitioners. Data were collected using semistructured interviews and a review of organization documents that included data on exit interviews and previous and current retention strategies. Through thematic analysis, five themes were identified: …
Strategies To Empower At-Risk Males In Orange County Florida: A Community-Based Resource, Thressa Marie Fizer
Strategies To Empower At-Risk Males In Orange County Florida: A Community-Based Resource, Thressa Marie Fizer
Walden Dissertations and Doctoral Studies
In Orange County, Florida, community-based programs provide resources for at-risk males who are impacted by social determinant challenges. This study focused on the client intake assessment process of Agency OCF to identify gaps that would benefit from enhanced assessment processes and early intervention efforts creating greater opportunity for program placement of at-risk males in this distressed community. Community-based participatory research served as the interpretive lens and generic qualitative inquiry provided the methodological approach to assess the client intake processes. Yielding no participant responses during recruitment efforts, the study pivoted to focus on an in-depth review of publicly released assessments and …
Canadian Postsecondary Students With Learning Disabilities Describe Experiences With Assistive Services, Sacha Gittens
Canadian Postsecondary Students With Learning Disabilities Describe Experiences With Assistive Services, Sacha Gittens
Walden Dissertations and Doctoral Studies
Colleges and universities typically assist students with learning disabilities. In Canada, such programs are legally mandated to ensure equal access to educational opportunities. However, there is little in the current research literature on the experiences Canadian students with learning disabilities have with using assistive services provided by their postsecondary school, especially for students who have successfully completed postsecondary education. This generic qualitative study used the framework in disability studies in education as a foundation. The information for this study was gathered through online interviews with individuals with learning disabilities who were enrolled or had successfully completed their postsecondary education. A …
Interventions Human Service Professionals Provide To Prevent Human Trafficking, Danielle James
Interventions Human Service Professionals Provide To Prevent Human Trafficking, Danielle James
Walden Dissertations and Doctoral Studies
Human trafficking is a global crisis that impacts individuals across all cultures and communities. The purpose of this single intrinsic case study was to explore the interventions that human service professional directors use to prevent human trafficking in Missouri. Trauma-informed approach was used as the conceptual framework. Participants included seven human service managers and program directors who have successfully implemented interventions to prevent human trafficking. Data were collected from one-on-one, semi-structured interviews with six participants. The data were analyzed using Yin’s five components of data analysis. Seven key themes emerged: the need for multiagency human service collaboration to prevent human …
Influence Of Incomplete And Unverified Vote-By-Mail Ballots On Mail-In Voting, Susanne Lynne Timmons
Influence Of Incomplete And Unverified Vote-By-Mail Ballots On Mail-In Voting, Susanne Lynne Timmons
Walden Dissertations and Doctoral Studies
Vote-by-mail (VBM) ballots that were returned inaccurately during past general elections contributed to votes that were not counted in Florida. Since 2016, more than 600,000 mail ballots were not counted in the state; 73,000 were not counted in Broward County, Florida. The problem was that VBM ballots were returned as incomplete due to missing or mismatched signatures and not counted during the election processes. However, it was not known if this issue impacted voter perceptions of VBM voting. The public choice theory was the theoretical framework. The purpose of this qualitative study was to gain an understanding of voter perceptions …
The Extent To Which Race, Ptsd Symptoms, And Attitudes Toward Help-Seeking Predict Help-Seeking Intentions/Help-Seeking Behavior Among Veterans, Lenora Elizabeth Rogers
The Extent To Which Race, Ptsd Symptoms, And Attitudes Toward Help-Seeking Predict Help-Seeking Intentions/Help-Seeking Behavior Among Veterans, Lenora Elizabeth Rogers
Walden Dissertations and Doctoral Studies
Veterans who are returning to civilian life often experience barriers to seeking mental healthcare. The purpose of this quantitative, non-experimental, correlational study was to determine the extent to which race, PTSD symptoms, and attitudes toward help-seeking (psychological openness, help-seeking propensity, indifference to stigma) predict help-seeking intentions and help-seeking behavior among military veterans. Ajzen’s theory of planned behavior was the basis for this study. A convenience sample of 105 veterans (53 African Americans, 52 Caucasians) were recruited via Alchemer. Standard multiple regression analysis showed that help-seeking propensity was a significant predictor of help-seeking intentions, with higher scores on help-seeking propensity predicting …
Louisiana Teachers’ Experiences Of Instructional Strategies For Improving Literacy Skills Of K-3 Students, Fretarsha Muse-Harry
Louisiana Teachers’ Experiences Of Instructional Strategies For Improving Literacy Skills Of K-3 Students, Fretarsha Muse-Harry
Walden Dissertations and Doctoral Studies
Over 50% of K-3 students struggle with literacy skills at a southeastern Louisiana school. The issue continues despite teachers attending weekly professional development sessions to improve literacy instruction. The purpose of this study was to explore the experiences of K-3 teachers regarding their instructional strategies to teach students. The simple view of reading (SVR) served as the conceptual framework for this study. The research questions focused on exploring the experiences of K-3 teachers regarding their literacy instructional strategies and the resources and supports needed to implement the SVR framework into their literacy instruction. For the basic qualitative design, 10 teachers …
Primary Care Providers’ Experiences Working With Diabetic Patients Who Develop Chronic Kidney Disease, Loriann Leonard Mallory
Primary Care Providers’ Experiences Working With Diabetic Patients Who Develop Chronic Kidney Disease, Loriann Leonard Mallory
Walden Dissertations and Doctoral Studies
Chronic kidney disease (CKD) is an increasingly prevalent global health threat, with diabetes mellitus (DM) being one of the risk factors for developing CKD. Preventive interventions for DM and CKD have been shown to reduce health care utilization, lower health care costs, and improve the quality of life for individuals with CKD. Patients with DM who do not have early identification of CKD end up requiring renal replacement therapy. The purpose of this general qualitative study was to examine primary care providers’ (PCPs’) experience working with diabetic patients who develop CKD. The research questions addressed how PCPs assess their patients …
Health Care Leaders’ Effective Strategies For Improved Employment Satisfaction And Quality Patient Care, Eddie Obiora Ndife
Health Care Leaders’ Effective Strategies For Improved Employment Satisfaction And Quality Patient Care, Eddie Obiora Ndife
Walden Dissertations and Doctoral Studies
Health care leaders experience challenges due to the absence of effective strategies to reduce employee burnout and achieve quality patient care. The lack of effective strategies by health care leaders can result in higher turnover rates, leading to higher organizational costs. Grounded in transformational leadership theory and the Donabedian quality care model, the purpose of this qualitative pragmatic inquiry was to identify and explore effective strategies that some health care leaders use to balance employee satisfaction to reduce employee turnover and deliver quality patient care. The participants were five health care leaders from five health care organizations in Washington, DC …
Crime Against The Homeless Population: Barriers And Strategies From Washington, Dc Housing Services Case Managers, Stephanie Strianse
Crime Against The Homeless Population: Barriers And Strategies From Washington, Dc Housing Services Case Managers, Stephanie Strianse
Walden Dissertations and Doctoral Studies
Homelessness is a widespread concern across the United States, especially in Washington, DC. The homeless population experiences victimization at alarming rates compared to their housed counterparts; however, these instances of crime against this population are often unreported. The purpose of this generic qualitative study was to explore the barriers to reporting crime against the homeless population and the strategies to reduce those barriers from the perspective of housing services case managers in Washington, DC. Lenoir’s social exclusion theory was the theoretical framework for this study. Data were collected from semi-structured interviews with 11 housing services case managers who work with …
The Lived Experience Of African American Female Veterans With Mental Health Service Utilization Following Active Duty Discharge, Martha Woodley
The Lived Experience Of African American Female Veterans With Mental Health Service Utilization Following Active Duty Discharge, Martha Woodley
Walden Dissertations and Doctoral Studies
Although extensive research has explored mental health, transitional barriers, and trauma-related experiences of women veterans, little research has focused on the utilization of mental health services by African American female veterans following active duty discharge. Minority female veterans tend to face gender treatment differences and racial biases, encounter trauma-related stressors, and experience the societal absence of military cultural competency when transitioning from active duty. The overall purpose of this study was to explore the lived experiences of African American female veterans with mental health service utilization following active duty discharge. A phenomenological research design was used to explore the experiences …
Trauma-Informed Supervision In Substance Use Treatment Agencies, Janice Ruesler
Trauma-Informed Supervision In Substance Use Treatment Agencies, Janice Ruesler
Walden Dissertations and Doctoral Studies
There is limited research from supervisors' perspectives on the use of trauma-informed supervision practices when supervising substance use counselors. The purpose of this grounded theory study was to explore the process of licensed professional counselors who are clinical substance use supervisors using trauma-informed supervision. The research question was: How do substance use counselor supervisors engage in trauma-informed supervision? Participants included eight licensed professional counselor substance use supervisors who met the inclusion criteria of more than five years of clinical experience, utilized a trauma-informed supervision model, and supervised one or more supervisees. Following grounded theory methodology, a bottom-up coding approach was …
Teachers’ Experiences Of Applying Transcaring Strategies With Secondary English Language Learners In Online Spaces, Rosa Haydee Addis
Teachers’ Experiences Of Applying Transcaring Strategies With Secondary English Language Learners In Online Spaces, Rosa Haydee Addis
Walden Dissertations and Doctoral Studies
English language learners (ELLs) have struggled with learning a new language and content online within the U.S. school system. The research problem on which this study was based was that because ELLs have unique cultural and linguistic challenges while learning online, a better understanding of teachers’ experiences of how transcaring strategies are applied in online learning spaces for secondary ELLs was needed. The purpose of this basic qualitative study was to explore teachers’ experiences of applying transcaring strategies with secondary ELLs in online spaces. Garrison’s community of inquiry was the conceptual framework, in which the research question related to the …
Effective Talent Retention Strategies Employed By Information Technology Managers In Ghana, Isaac Mensah Nyame
Effective Talent Retention Strategies Employed By Information Technology Managers In Ghana, Isaac Mensah Nyame
Walden Dissertations and Doctoral Studies
Employee turnover presents a significant challenge in Ghana’s IT industry, undermining the sector’s growth and development. Technology managers in Ghana are struggling to retain skilled employees, who are frequently lured away by competing companies offering more attractive compensation packages and greater opportunities for professional growth. Grounded in Frederick Herzberg's two-factor theory of motivation, the purpose of this qualitative pragmatic inquiry study was to identify and explore effective strategies that information technology managers employ to reduce high employee turnover in Ghana's IT industry. The participants were six eligible technology leaders who have implemented effective retention strategies. Data were collected using semistructured …