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Effect Of Medication And Discharge Instructions On Heart Failure Readmission Rates, Jasio-Dane Bispott
Effect Of Medication And Discharge Instructions On Heart Failure Readmission Rates, Jasio-Dane Bispott
Walden Dissertations and Doctoral Studies
Heart failure (HF) remains a significant challenge for healthcare administration leaders, primarily due to the escalating rates of HF readmissions, necessitating the identification of factors contributing to decreased hospital readmissions. This quantitative study aimed to investigate the influence of communication and discharge information on HF readmission rates, guided by the health belief model. Research questions focused on understanding the relationship between quality measures, communication about medicines (independent variable), discharge information (independent variable), and HF readmission rates (dependent variable). Using a Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) secondary dataset encompassing 2911 acute care hospitals, a Kruskal-Wallis H analysis …
Investigating Burnout And Compassion Fatigue Among Dog Trainers And Behaviorists, Alexandra Malone
Investigating Burnout And Compassion Fatigue Among Dog Trainers And Behaviorists, Alexandra Malone
Walden Dissertations and Doctoral Studies
The prevalence of dog trainers and behaviorists experiencing burnout and compassion fatigue is a growing concern within the profession. These professionals face various challenges, such as exposure to traumatic cases and emotional pressures from clients, leading to emotional exhaustion and reduced job satisfaction. The lack of literature addressing this issue necessitates investigating specific actions contributing to burnout and compassion fatigue within the profession. This study explored the influence of years of experience on burnout and the potential relationship between burnout and the aggression levels of dogs being trained, and how compassion fatigue moderates the relationship between years of experience and …
Experiences Of Outpatient Mental Health Counselors Building Relationships With Clients During Covid-19 In Michigan, Paulette Gaines
Experiences Of Outpatient Mental Health Counselors Building Relationships With Clients During Covid-19 In Michigan, Paulette Gaines
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic has had a significant impact on the mental health of many individuals and communities and their access to mental health counseling. This study explored the experiences of mental health counselors attempting to build online relationships with clients during the COVID-19 pandemic and how these workers experienced and interpreted relationships with their clients during that period. The transactional theory of stress and coping model provided theoretical foundation to this study. One limited licensed and eight fully licensed professional counselors participated in this study. A generic qualitative design was used, and data were collected by audio recording interviews via …
Parents’ Perspectives Of Their Typically Developing Or Special Needs Child’S Inclusive, Barbara Ann Holmes
Parents’ Perspectives Of Their Typically Developing Or Special Needs Child’S Inclusive, Barbara Ann Holmes
Walden Dissertations and Doctoral Studies
The problem that was the focus of this study is that many parents, both children who are typically developing and those who have special needs, are unsure of the benefits of inclusive preschool classrooms. This study is important because it enhanced understanding of how parents make informed decisions about what is educationally best for their children and how they interpret the challenges and benefits of inclusive education for their children. The purpose of this qualitative study was to explore the perspectives of parents of typically developing students and parents of students with special needs enrolled in an inclusive preschool classroom …
The Relationship Between Ultrarunning Status, Subjective Well-Being, And Life Satisfaction, Raquel Ramirez Hernandez
The Relationship Between Ultrarunning Status, Subjective Well-Being, And Life Satisfaction, Raquel Ramirez Hernandez
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic resulted in a rise in mental health challenges across the United States. Consequently, two important well-being measures for Healthy People 2030—subjective well-being and life satisfaction—were negatively impacted. A plethora of evidence exists about the benefits of running for physical and mental health. Yet, there is no available evidence that shows the benefits of ultrarunning, subjective well-being, and life satisfaction. This quantitative cross-sectional study examined the relationship between ultrarunning status, subjective well-being, and life satisfaction among adult runners in the United States. The advanced triangle of epidemiology served as the conceptual framework. A convenience sample included 369 adult …
Parents Perceptions Of The Impact Of School Suspension On Black Boys, Christopher K. Kemp
Parents Perceptions Of The Impact Of School Suspension On Black Boys, Christopher K. Kemp
Walden Dissertations and Doctoral Studies
Due to the unintended impacts of out-of-school suspension that may occur to Black boys in middle school, all stakeholders, specifically school counselors, must fully comprehend how this type of discipline affects this population to better support them with best practices. The purpose of this qualitative phenomenological study was to gain a deeper understanding of how out-of-school suspension impacts middle school Black boys’ social and psychological well-being. The research population was individuals who met the following criteria for the study: (a) self-identify as Black, (b) have a son in middle school (grade 6-8), and (c) have a son who has been …
Effect Of Virtual Learning On Middle School English And Mathematics Scores, Charlotte Schlamp
Effect Of Virtual Learning On Middle School English And Mathematics Scores, Charlotte Schlamp
Walden Dissertations and Doctoral Studies
State assessment test scores in English language arts (ELA) and mathematics had continued to decline in a southern state in the United States over the last few years. The purpose of this quantitative study was to examine the difference in middle school ELA and mathematics test scores between students receiving instruction in virtual and face-to-face environments for 5 years. The study, grounded in the theoretical framework of opportunity to learn, investigated the difference in middle school ELA and mathematics test scores between students receiving instruction virtually and students receiving instruction in face-to-face (FTF) environments for one year. This quantitative, ex …
Barriers To Respite Care Among African Immigrant Mothers, Yewande T. Richards
Barriers To Respite Care Among African Immigrant Mothers, Yewande T. Richards
Walden Dissertations and Doctoral Studies
African immigrant children living in the United States (US) are highly susceptible to medically complex, life-limiting, and life-threatening conditions, including rheumatic heart disease, congenital heart disease, autism, and other neurodevelopmental disabilities. As primary caregivers, mothers frequently need a break from their caregiving responsibilities to experience normalcy, rest, and regenerate their reserves, which is critical to their families’ long-term stability. The purpose of this study was to understand access barriers to respite care services for these mothers and the role of race in potential disparities in access using a critical race theoretical lens. The generic qualitative research design was used with …
Relationship Between Community College Students’ Socioeconomic Status, Completing Reading Strategies Courses, And English Achievement, Renee Bothwell
Relationship Between Community College Students’ Socioeconomic Status, Completing Reading Strategies Courses, And English Achievement, Renee Bothwell
Walden Dissertations and Doctoral Studies
Although academic success among diverse community college students requires effective reading skills, providing support for struggling readers is becoming increasingly more difficult. The problem addressed in this quantitative study was that due to Assembly Bill 705, prohibiting colleges from offering remedial courses without data to substantiate their effectiveness, students at a Southern California community college may have no avenue to learn reading comprehension strategies that are necessary to be successful in college. The purpose of this quantitative study was to determine the predictive value of taking a reading strategies course (RSC) and socioeconomic status (SES) on final grades in English …
Nursing Students’ Perceptions Of Concept-Based Curriculum, Michelle Cleggett
Nursing Students’ Perceptions Of Concept-Based Curriculum, Michelle Cleggett
Walden Dissertations and Doctoral Studies
Nursing curriculum that focuses on lectures and non-learner-centered approaches may not prepare students for the level of nursing care needed to address the needs of patients. To address this issue, one community college in the southern United States integrated a new concept-based curriculum (CBC) called the outcome logic model into their nursing curriculum. The purpose of this basic qualitative study was to examine nursing students’ perceptions of CBC within the context of their nursing program to determine how the revised curriculum influenced students’ perceived learning and preparedness for the nursing licensure examination (i.e., the National Council Licensure Examination [NCLEX]). Benner’s …
Police Officers’ Coping Styles And Occupational Stressors Impacting Self-Regulation In Adult Offspring, Dannie Analese Garcia
Police Officers’ Coping Styles And Occupational Stressors Impacting Self-Regulation In Adult Offspring, Dannie Analese Garcia
Walden Dissertations and Doctoral Studies
Police work, a high stress occupation with increased risks and adverse events, often leads to strain between work and family. Work-family conflict (WFC) has been shown to mediate coping with stress. In addition, offspring of law enforcement officers (LEOs) may learn self-regulation by observing parental stress coping and attempting to alleviate stress for their parent. Three theoretical frameworks were used in this study: WFC, spill-over cross-over model, and family systems theory. Using a quantitative design, surveys were completed by 35 parent-adult offspring pairs, with more LEO parent respondents (N = 71) than adult offspring respondents (N = 43). Linear regression …
Challenges Faced By Early Childhood Teachers (K-2) As Schools Emerge From The Covid-19 Pandemic, Julie Christine Wright
Challenges Faced By Early Childhood Teachers (K-2) As Schools Emerge From The Covid-19 Pandemic, Julie Christine Wright
Walden Dissertations and Doctoral Studies
Researchers have studied stress and burnout in the field of education for decades. The problem addressed in this study was that early childhood (EC) teachers of kindergarten through second grade in a large, northeastern, suburban public school district have returned to in-person instruction with many challenges related to the COVID-19 pandemic. The purpose of this basic qualitative study was to explore the personal and professional challenges experienced by EC teachers and investigate the support they need to remain in the classroom. Jennings and Greenberg’s prosocial classroom model was the conceptual framework of the study. Two research questions explored the challenges …
Community College Adult Learners’ Perceptions Of The Influence Of Classroom Mobile Technology On Emotional Engagement, Elizabeth Louanne Keele
Community College Adult Learners’ Perceptions Of The Influence Of Classroom Mobile Technology On Emotional Engagement, Elizabeth Louanne Keele
Walden Dissertations and Doctoral Studies
The problem in this study is lack of research regarding perceptions of first-year nontraditional students (FYNTSs) who are enrolled in a face-to-face community college course regarding how mobile learning in the classroom affects their emotional engagement. Understanding this provides critical insights as well as enhanced and more accessible pathways for academic engagement. Grounded in Kahu and Nelson’s student engagement in the educational interface, the purpose of this basic qualitative study was to explore FYNTS perceptions regarding how mobile technology integration in the face-to-face community college classroom affects their emotional engagement. The research question involved examining FYNTS perceptions of how mobile …
Experiences Of Cisgender Mental Health Professionals Providing Services To Transgender Or Gender Nonconforming Individuals Who Voluntarily Engage In Sex Work, Rachel Renee Johnson
Experiences Of Cisgender Mental Health Professionals Providing Services To Transgender Or Gender Nonconforming Individuals Who Voluntarily Engage In Sex Work, Rachel Renee Johnson
Walden Dissertations and Doctoral Studies
Understanding mental health needs and increasing awareness of services is critical for the wellbeing of populations served in mental health treatment, including minority subpopulations such as transgender or gender nonconforming sex workers. Further exploration of this topic is needed and the lack of it is a critical gap in multicultural mental health service provision. The purpose of this heuristic study was to explore the meaning of cisgender mental health professionals’ experiences while working with transgender or gender nonconforming sex workers, identifying themes for potential education, training, and supervision topics to increase cultural competency when providing services to the population. Six …
The Relationships Among Economic Support And Hypertension And Diabetes Among The Adult Jamaican Population, Andrea Wolfe
The Relationships Among Economic Support And Hypertension And Diabetes Among The Adult Jamaican Population, Andrea Wolfe
Walden Dissertations and Doctoral Studies
A significant number of adult Jamaicans have been diagnosed with diabetes and hypertension, and individual socioeconomic status (SES) has been linked to these health outcomes. SES included income, education and employment. Income may directly influence health; however, some individual’s income may not be sufficient to cover all financial obligations and income support may be necessary. Local or overseas family members may significantly augment an individual’s income and financial situation that could affect health outcomes. This quantitative cross-sectional study was used to examine whether there were relationships between health outcomes (hypertension and diabetes) and economic support (governmental and familial). The Jamaica …
Perceptions And Experiences Of Black Young Adults Regarding Depressive Symptoms And Strategies Used To Cope With Adverse Experiences During Adolescence, Sherral Harding
Perceptions And Experiences Of Black Young Adults Regarding Depressive Symptoms And Strategies Used To Cope With Adverse Experiences During Adolescence, Sherral Harding
Walden Dissertations and Doctoral Studies
Adversity has been a topic of study among scholars who have highlighted the relationship between stress and depressive symptoms increasing over time because of childhood experiences and exposure to traumatic situations. The purpose of this generic qualitative study was to explore the perceptions and experiences of Black young adults age 18–35 regarding depressive symptoms and strategies used to cope with adverse experiences throughout their teenage years growing up in a low-income community and later in life. The perspectives were examined through a retrospective lens of the young adults’ adolescent years. Bronfenbrenner’s ecological systems theory was used as the framework to …
Strategies Broadcast Television Producers Use To Retain Subscribers, Robert Ivkovic
Strategies Broadcast Television Producers Use To Retain Subscribers, Robert Ivkovic
Walden Dissertations and Doctoral Studies
Diminished network subscriber retention can have devastating consequences on the financial sustainability and profitability of television production companies. When the problem of reduced subscriber retention occurs, television producers become concerned about financial losses and operational sustainability. Grounded in Thaler and Sunstein’s nudge theory, the purpose of this qualitative multiple case study was to explore strategies television producers use to increase subscriber retention. The participants were five senior television producers from three production companies in the southeastern region of the United States, who possessed relevant experience and knowledge on how to retain subscribers. Data were collected through semistructured interviews, archived records, …
Teacher Experiences With Increased Attrition Post-Covid-19 Pandemic, Stacy Catherine Baker
Teacher Experiences With Increased Attrition Post-Covid-19 Pandemic, Stacy Catherine Baker
Walden Dissertations and Doctoral Studies
The problem addressed was a post-COVD-19 pandemic increase in teacher attrition at an A-rated suburban middle school in a southern U.S. state. The increased attrition placed additional strain on local schools, teachers, and district personnel and affected the academic progress of students. The purpose of this basic qualitative study was to explore middle school teachers’ experiences with the increasing attrition and obtain recommendations for improving teacher retention. The conceptual framework was the jobs-demands-resources theory. The two research questions concerned middle school teachers’ experiences related to the increasing teacher attrition and their recommendations for improving teacher retention, respectively. The study used …
Effects Of 3d Visualization Tables On Students’ Learning Outcomes In Gross Anatomy, Jorge Eduardo Sarmiento
Effects Of 3d Visualization Tables On Students’ Learning Outcomes In Gross Anatomy, Jorge Eduardo Sarmiento
Walden Dissertations and Doctoral Studies
Higher learning institutions teaching gross anatomy are implementing 3D technology, such as the Anatomage Table, to supplement cadaveric dissection. However, the literature is scant about the effects of introducing 3D technologies on students’ learning outcomes in the study of gross anatomy. The purpose of this quantitative study was to determine the difference in written exam scores and laboratory exam scores between Doctor of Physical Therapy (DPT) students who participated in gross anatomy instruction using Anatomage Table technology for one semester and PT students who participated in gross anatomy with traditional only instruction at a local university. The study was guided …
Evaluating The Qualitative Aspects Of A Community College Academic Success Program, Joselito Dacillo Coquilla
Evaluating The Qualitative Aspects Of A Community College Academic Success Program, Joselito Dacillo Coquilla
Walden Dissertations and Doctoral Studies
College academic success programs (ASP) frequently include both quantitative and qualitative key performance indicators (KPI). While the quantitative KPIs are typically programmed for evaluation within an ASP’s implementation, evaluating qualitative KPIs is resource intensive and therefore, sometimes overlooked. The problem addressed by this study was the need to evaluate the qualitative KPIs in a large community college system’s 2016 ASP (2016-2020). The purpose of this basic qualitative study was to conduct a summative evaluation to determine the extent to which the college achieved its ASP’s qualitative KPI objectives from the perspectives of students. The study was guided by Tinto’s involvement …
Public Elementary School Counselors’ Experiences Serving Military-Connected Students With Active-Duty Parents, Tiffany Archer Taylor
Public Elementary School Counselors’ Experiences Serving Military-Connected Students With Active-Duty Parents, Tiffany Archer Taylor
Walden Dissertations and Doctoral Studies
Most military-connected students (MCS) with active-duty parents attend public schools in the United States. Due to the highly mobile military lifestyles of MCS, some are at risk for academic, emotional, and social challenges. School counselors are often charged with supporting and advocating for MCS; therefore, it is vital to understand elementary school counselors’ experiences with these students. The purpose of this qualitative hermeneutic phenomenological study was to explore the lived experiences of elementary school counselors who work with MCS with active-duty parents in U.S. public-schools. Heidegger’s hermeneutic phenomenological approach served as a theoretical framework for this study. Semistructured interviews were …
Community College Women’S Perceptions Of Hpv And Cervical Cancer, Odella Dianne Hagan
Community College Women’S Perceptions Of Hpv And Cervical Cancer, Odella Dianne Hagan
Walden Dissertations and Doctoral Studies
Community college women do not obtain the HPV vaccine at the same rate as university women. The aim of this study was to discover the perceptions of community college women in relation to the human papillomavirus (HPV) and associated cancers, the perceived barriers and benefits of obtaining the HPV vaccination, and how health behavior decisions may be impacted by self-concept. A qualitative research design incorporating thematic analytic was used to analyze interviews whose questions were specifically guided by the health belief model. Student volunteers aged 18 to 45 years were recruited from a large urban community college. An inductive thematic …
Parental Knowledge Of Signs, Symptoms, And Risk Factors Associated With Sudden Cardiac Arrest In Adolescent Athletes, Lisa A. Lattera-Hughes
Parental Knowledge Of Signs, Symptoms, And Risk Factors Associated With Sudden Cardiac Arrest In Adolescent Athletes, Lisa A. Lattera-Hughes
Walden Dissertations and Doctoral Studies
Exercise is associated with unmasking underlying cardiac disorders and increasing an athlete’s risk for experiencing a sudden cardiac arrest (SCA) event during sports. Parental knowledge is an important component of health education in relation to the future of their child’s health. The purpose of this quantitative research study was to assess the relationship between parental knowledge about warning signs, symptoms, and risk factors associated with SCA in adolescent athletes and parental willingness to participate in an educational intervention to learn about SCA. The theoretical framework was based on Nutbeam’s conceptual model of health literacy. Eightyone parents whose adolescent children participated …
Toxicological Impacts Of River Chemical Spills In Affected West Virginia Counties, Janice Lorraine Taylor Peters
Toxicological Impacts Of River Chemical Spills In Affected West Virginia Counties, Janice Lorraine Taylor Peters
Walden Dissertations and Doctoral Studies
Factors such as geographical location/proximity and exposure to external environmental events, as well as poor regulatory processes, are known to increase the risk for cancers among affected populations. There is still a gap in the literature related to the incidence of cancers in specific regions with heavy industrialization and environmental health hazards. In West Virginia, chemical contamination events have occurred in or near water systems. The goal of this quantitative, retrospective study was to discover whether there were any differences in the incidence of disease or adverse health effects and cancers due to chemical contamination in four counties (Kanawha, Mingo, …
The Lived Experience Of New Graduates Transitioning Through The Nclex, Kristie Lynn Harrison
The Lived Experience Of New Graduates Transitioning Through The Nclex, Kristie Lynn Harrison
Walden Dissertations and Doctoral Studies
Every year, thousands of seemingly qualified nursing candidates are unsuccessful at taking the National Council Licensure Examination (NCLEX). Given the ongoing nursing shortage and instability in healthcare personnel created by COVID-19, it is important to ensure that all qualified candidates enter practice promptly. Research related to the lived experience of the graduate nurse is limited. The purpose of this qualitative study was to extend the current understanding of graduate nurses’ experience in graduating from nursing school and preparing to take the NCLEX. This study is a thematic analysis of the graduate nurses’ lived experience as they transition from school to …
Examining The Relationship Between Patient Engagement With Digital Inhaler Technology And Asthma Control, Tanisha D. Hill
Examining The Relationship Between Patient Engagement With Digital Inhaler Technology And Asthma Control, Tanisha D. Hill
Walden Dissertations and Doctoral Studies
Asthma is a chronic lung disease that has significant public health and economic impact. Nonadherence to asthma medications can lead to poor treatment response and poor asthma outcomes. Digital health technologies have been shown to improve asthma medication adherence as well as asthma outcomes. The purpose of this quantitative research study was to examine the relationship between patient characteristics and mobile app engagement and the relationship between patient engagement with a digital inhaler app and asthma control in adult patients with uncontrolled asthma who were assigned to use a digitally enabled asthma medication and accompanying app for asthma therapy. Several …
Improving Nurses’ Communication Skills Using The Situation-Background-Assessment-Recommendation Model, Leslie Gonzalez
Improving Nurses’ Communication Skills Using The Situation-Background-Assessment-Recommendation Model, Leslie Gonzalez
Walden Dissertations and Doctoral Studies
Lack of effective communication among health care providers results in negative health outcomes, low patient satisfaction, and compromised patient safety. An educational intervention to improve communication skills was implemented with staff including licensed practical nurses, registered nurses, and nurse practitioners. The project was implemented and evaluated for improved patient outcomes and satisfaction. The framework for the project was the situation-background-assessment-recommendation (SBAR) model. Pre- and postimplementation surveys were used to assess nurses’ knowledge of the effectiveness of SBAR on communication skills and patient satisfaction. Descriptive statistics and inferential analysis, including the Wilcoxon sign test, were employed to analyze pre- and postintervention …
Strategies To Rapidly Decommission Information Technology Satellites To Prevent Low Earth Orbit Space Debris, Nathaniel Richard Juarez
Strategies To Rapidly Decommission Information Technology Satellites To Prevent Low Earth Orbit Space Debris, Nathaniel Richard Juarez
Walden Dissertations and Doctoral Studies
Information technology (IT) assets rely heavily on satellites in space, with most of them in low Earth orbit (LEO). There is a growing threat towards IT satellites in LEO and cybersecurity professionals must implement proactive measures through policy reform and hardening procedures to prevent cyberattacks. The Kessler syndrome will become existent if satellites start crashing into each other or space debris orbiting the Earth. Grounded in the integrated system theory of information security management, the purpose of this qualitative pragmatic inquiry was to explore strategies IT satellite managers in the space industry use to properly harden and rapidly decommission satellites …
Effective Strategies To Reduce Registered Nurse Turnover In Hospitals, Adrienne Cozart
Effective Strategies To Reduce Registered Nurse Turnover In Hospitals, Adrienne Cozart
Walden Dissertations and Doctoral Studies
Registered nurse (RN) turnover remains a problem for many healthcare organizations. Hospital nurse leaders are concerned with RN turnover because of its negative effect on the profitability of hospitals. Grounded in transformational leadership theory, the purpose of this qualitative multiple case study was to explore the strategies that hospital nurse leaders use to reduce RN turnover. The participants were four hospital nurse leaders who reduced RN turnover in two hospitals in Texas. Data were collected using semistructured interviews and a review of organizational documentation. Thematic analysis of the data resulted in three themes: turnover reduction strategies, barriers or challenges to …
Risk Factors For Hepatitis A Hospitalizations And Mortality In Kentucky's 2018 Hepatitis A Outbreak, Tanya Campbell
Risk Factors For Hepatitis A Hospitalizations And Mortality In Kentucky's 2018 Hepatitis A Outbreak, Tanya Campbell
Walden Dissertations and Doctoral Studies
In 2018, the state of Kentucky faced an outbreak of Hepatitis A virus (HAV), which led to a significant increase in HAV cases, hospitalizations, and fatalities. The social-ecological model (SEM) was used in a cross-sectional design to identify the factors associated with this outbreak. This approach employed secondary data extracted from the National Notifiable Disease Surveillance System (NNDSS). Logistic regression was used to test hypotheses determining homelessness, drug use, and HAV vaccine status were related to HAV hospitalizations. There was a statistically significant association between the covariate age and HAV hospitalization (p = 0.004), and between homelessness and hospitalization (p < .001); however, associations between drug use and HAV vaccine status were not statistically. Intervention programs should target homeless populations; such targeting can lead to a reduction in HAV infections and HAV outbreaks. Implications for positive social change include motivation for policymakers and public health officials to assist in curtailing hospitalization and mortality rates caused by HAV in high-risk groups. Targeted prevention and intervention measures can mitigate the incidence of HAV in high-risk populations and enhance their health prospects.