Digital Commons Network^™

Mental Health In Black Women With Endometriosis-Related Symptoms During Covid-19, Anjanette Jaye Blunt

Walden Dissertations and Doctoral Studies

Endometriosis is an incurable chronic illness impacting 190 million women worldwide. Despite the prevalence of this painful disease, research addressing how it affects Black women in the United States was limited. Research addressing this phenomenon during the COVID-19 pandemic was further limited. The purpose of this qualitative study employing an interpretative phenomenological analysis was to understand the mental health of Black women with endometriosis-related symptoms during the COVID-19 pandemic and how having the illness during the pandemic might have impacted individuals in this population. The strong Black woman schema and biopsychosocial model were the theoretical foundations for the study. Data …

Educating Oncology Nurses On Identifying And Managing Cancer-Related Distress, Rosemary Vivella Irish

Walden Dissertations and Doctoral Studies

AbstractUp to 50% of patients diagnosed with cancer will experience significant levels of distress. Cancer is related to psychological distress and can negatively impact recovery from surgery, increase treatment side effects, and decrease overall quality of life. The National Comprehensive Cancer Network recommended screening for distress as part of comprehensive cancer care. In the practice setting, there was a need for better assessment of distress in cancer patients. The purpose of this staff education project was to address a gap in practice regarding the lack of knowledge of screening for distress by providing education to oncology nurses on how to …

Nonprofit Social Service Employees’ Perceptions Of Barriers Or Facilitators To Voting Registration Among Previously Incarcerated Individuals, Anthony J. Nixon

Walden Dissertations and Doctoral Studies

Most U.S. states have applied permanent restrictions on incarcerated individuals in custody for crimes more serious than misdemeanors. After the time is served and limitations are removed, the right to vote may not be restored to previously incarcerated individuals. The purpose of this basic qualitative study was to explore what nonprofit social service employees perceive to be barriers or facilitators to voter registration among previously incarcerated individuals. The social acceptance model provided the theoretical framework to support the study. Data collection was completed through a brief demographic survey and individual interviews with 15 nonprofit organizers in Ohio. Data were analyzed …

The Perceptions Of Teachers And Administrators Regarding The Influences Contributing To The High Dropout Rates Of English Language Learners, Vimbainashe Chanakira

Walden Dissertations and Doctoral Studies

There is a high dropout rate of English language learners (ELLs) compared to non-ELLs at the school under study. Guided by Bass and Burns’s transformational leadership conceptual framework, this qualitative study aimed to examine the perceptions of administrators and teachers regarding the influences contributing to the high dropout rate of ELLs. Two research questions were employed to investigate the perceptions of administrators and teachers regarding the underlying reasons for the elevated dropout rate of ELLs at the study site school as well as examine what administrators and teachers believe causes the high dropout rates of ELLs at the high school …

Pharmacy Manager System Implementation Strategies To Mitigate The Cost Of Prescription Errors, Tunde Abiodun Cardozo

Walden Dissertations and Doctoral Studies

AbstractOne of the most frequent medical errors in contemporary medicine is incorrect prescriptions, and the profits from retail pharmacy operations are adversely impacted by the costs associated with prescription errors. Independent pharmacy managers are interested in finding workable strategies to mitigate the cost of prescription errors and increase profit. Using the resource-based theory of competitive advantage (RBTCA), the purpose of this qualitative multiple-case study was to explore strategies some independent pharmacy managers in Texas use to mitigate the cost of pharmacy employee prescription errors and increase profitability. The participants were five independent pharmacy managers who implemented strategies to mitigate the …

Impacts Of Mobile Health Technology On The African American Millennial Health Care Experience, Antoine J. Campbell

Walden Dissertations and Doctoral Studies

African Americans are underrepresented and have limited access to health care in the United States due to systemic disparities. The purpose of this qualitative phenomenological study was to develop a better understanding of the relationship that African Americans have with the health care system and the way they interact with it as well as to examine the impacts of mobile health (mHealth) patient engagement applications and their impact on shaping health experiences amongst millennial African Americans. Research questions addressed African American millennials’ perspectives on potential barriers to utilizing health care in the U.S. health care system as well as consideration …

Perceptions Of Science Teachers At Title I Middle Schools Tasked To Integrate Digital Interactive Textbooks, April C. Carpenter

Walden Dissertations and Doctoral Studies

In the K-12 classrooms, science teachers are increasingly using digital interactive textbooks to improve instruction. However, limited research exists on the Title I science educators’ experiences with digital interactive texts in Title I middle schools. The purpose of this qualitative study was to explore the perceptions of these Title I science teachers in middle schools tasked with integrating digital interactive textbooks. This study was guided through the lens of Fuller’s stages of concern, a component of the Concerns Based Adoption Model (CBAM). Adopting basic qualitative methodology, purposeful sampling was employed to recruit nine Title I middle school science teachers through …

Managerial Strategies To Improve Warehouse Safety Culture, Rasheen J. Chatmon

Walden Dissertations and Doctoral Studies

An unsuccessful safety program can negatively affect warehouse efficiency, profitability, and reputation. To provide a safe work environment, warehouse leaders need guidance on establishing policies and training to ensure that all employees are adequately trained and understand the safety expectations of the organization. Grounded in high-reliability organization theory, the purpose of this qualitative single-case study was to explore managerial strategies to improve the warehouse safety culture. The participants were five warehouse managers who demonstrated the ability to successfully improve their organization's safety culture. Data were collected through virtual semistructured interviews and reviews of organizational documentation. The data were analyzed using …

Education On Protective Measures For Primary Care Staff During Covid Outbreaks, Lenina Ochioza Ukeju Chi-Ukpai

Walden Dissertations and Doctoral Studies

Since the emergence of COVID-19, healthcare workers have been in continuous risk of infection because of the way the disease is transmitted. Hence, the proper use of personal protective equipment (PPE) is important during the pandemic. The aim of this project was to increase healthcare workers’ and patients’ disease protection and prevention. This staff education project assessed the knowledge of proper PPE practice among healthcare workers who were in close contact with COVID-19 patients and provided lectures and practice in proper donning and doffing of PPE. Guided by the Lewin theory of change, the knowledge of the 9 health care …

Relationship Between Employee Human Capital, Relational Capital, And Work Engagement, Royelle David Comer Sr.

Walden Dissertations and Doctoral Studies

Work engagement is a challenge for information technology leaders in the digital industry because employees with engagement concerns may exhibit decreased commitment and increased workplace incivility towards the organization, thereby impacting business profits. Grounded in the job demands-resource theory, the purpose of this quantitative correlational study was to examine the relationship between human capital, relational capital, and work engagement initiatives in technology companies in the United States. The participants were 125 supervisors and full-time personnel from the metropolitan region of Atlanta, Georgia, who completed an online-based survey. The results of the multiple linear regression were significant, F (18, 106) = …

Effect Of Drug Medi-Cal Organized Delivery System Access To Substance Use Disorder Treatment, Ana Y. Davies

Walden Dissertations and Doctoral Studies

Drug addiction, mental health disorders, and homelessness has impacted communities nationwide increasing mortality and morbidity and is a public health threat. But access to substance use treatment has been a problem due to the lack of the ability by many to pay for services. This observational quantitative research design utilized administrative secondary data collected between July 2017 and June 2022. The key variables are Insurance Status, Number of Admissions, and Successful Discharges in outpatient substance use treatment. The purpose of the study and research questions involved evaluating the effects Drug Medi-Cal (DMC) Organized Delivery System program by analyzing program admissions …

Case Manager Perspectives On Transition Services For Youth With Intellectual Disabilities, Alecha Davis

Walden Dissertations and Doctoral Studies

Youth with intellectual disabilities have poorer outcomes during the transition period from school to adulthood. Very few studies were found that examine the perspective of the human service case manager. The perspectives of human service case managers were examined regarding the services that are needed to help youth with intellectual disabilities transition effectively. The study's purpose was to determine the services available and those needed to help support the transition from school to work, college, or in living independently for youth with intellectual disabilities. The theoretical framework for this study was Bronfenbrenner’s ecological systems theory used to explore the errors …

Thematic Analysis Of Online Predatory Grooming Behavior Among Male Offenders, Ryan Christopher Dronek

Walden Dissertations and Doctoral Studies

Social media sites, gaming platforms, and online communication tools have been integrated into children’s everyday lives. This has created a new avenue for child predators to identify, communicate, and victimize children. Just as the internet and the ability to communicate online have evolved, predatory grooming behavior has evolved as well. This qualitative study aimed to identify predatory grooming themes and the thematic stage progression for online male offenders who target child victims using online chat rooms. O’Connell’s typology of cyber sexploitation and online grooming practices was used to explore online child predators’ grooming themes and stage progression. Nine male Wisconsin …

Entrepreneurial Leadership Strategies For Catalyzing Innovation Performance, Jason D'Souza

Walden Dissertations and Doctoral Studies

Inadequate innovation performance has the potential for adverse business outcomes. Business leaders are concerned with inadequate innovation performance, as innovation is a significant driver of business growth. Grounded in entrepreneurial leadership, the purpose of this qualitative multi-case study was to explore entrepreneurial leadership strategies that some healthcare business leaders used to catalyze innovation performance. The participants were six business leaders within three healthcare sectors who contributed to strategic healthcare innovation decisions using entrepreneurial leadership strategies within the last 5 years. Data were collected using semistructured interviews and a review of organizational strategy documents and websites. Through thematic analysis, six themes …

Disparate Access To Medical Coverage Associated With Type 2 Diabetes Care In Low-Income And Rural Communities In Georgia, Crystal Alexis Symone Edwards

Walden Dissertations and Doctoral Studies

Disparate access to diabetes care in rural and low-income communities among older adults has been an ongoing issue among Americans. Type 2 diabetes in low-income and rural communities has continuously burdened many residents due to age, costs of care, income, geographic location, and education levels. Researchers have demonstrated that providing resources and tools to rural and low-income communities would assist in decreasing type 2 diabetes and increase education and awareness. The purpose of this quantitative cross-sectional study using secondary data was to examine the relationship between health insurance status and lack of access to health care resources and delay of …

Workplace Bullying On Human Resources Management Performance In Correctional Facilities, Oliver Onyeka Ehiahuruike

Walden Dissertations and Doctoral Studies

AbstractWorkplace bullying, as part of a hostile work environment, impacts human resources management (HRM) work outcome metrics, employees' attitudes toward their job, organization, and behavioral intentions that collectively affect organizational goals. Addressed in this study are the problems of workplace bullying of corrections employees, which negatively affect HRM outcome measures of turnover intention, organizational commitment, and employee job satisfaction. The purpose of this quantitative correlational research study was to determine the relationship between workplace bullying and turnover intention, organizational commitment, and job satisfaction among corrections employees in Texas. Homans's social exchange and Bourdieu's social capital theories were used in this …

Addressing Counterproductive Work Behaviors In A Behavioral Health Organization, Abigail Flores

Walden Dissertations and Doctoral Studies

Studies show that counterproductive workplace behaviors impact organizations financially and operationally. The focus of this case study was to explore reasons for counterproductive workplace behaviors and to determine the actions of leadership to address and mitigate them. The Baldrige framework was used to guide this case study of a nonprofit behavioral health organization in the northeastern United States. Data sources for this study included structured interviews with the organization’s executive director, personal communications via email with the executive director, the organization’s website, and a review of academic literature. Data were analyzed with NVivo qualitative analysis software. Findings indicated a lack …

The American Founding Documents And Democratic Social Change: A Constructivist Grounded Theory, A I. Forde

Walden Dissertations and Doctoral Studies

AbstractExisting social disparities in the United States are inconsistent with the promise of democracy; therefore, there was a need for critical conceptualization of the first principles that undergird American democracy and the genesis of democratic social change in America. This constructivist grounded theory study aimed to construct a grounded theory that provides an understanding of the process of American democratic social change as it emerged from the nation’s founding documents. A post hoc polytheoretical framework including Foucault’s, Bourdieu’s, and Marx and Engels’s theories of power was used to understand power dynamics. The research question focused on understanding the process of …

Improving Staff Knowledge Of The Value Of Hourly Rounding, Dr. Melissa Gagliano, Dnp, Nea-Bc

Walden Dissertations and Doctoral Studies

Research has shown that consistent hourly rounds improve patient satisfaction and quality of care. Successful implementation and maintenance of this patient-centered practice hinges on nursing knowledge and proper training in the processes and procedures that support timely, purposeful, and effective hourly rounds. The purpose of this doctoral project was to implement a staff education project to improve staff perception of the value of hourly rounding on an inpatient orthopaedic unit. Project materials supplemented the hourly rounding program already in place at the facility. Following an in-depth literature search, pre-intervention multiple-choice knowledge assessment questionnaires were distributed to staff who volunteered to …

Best Practice Strategies To Prevent Suicide In Behavioral Health, David Solomon Gamble

Walden Dissertations and Doctoral Studies

AbstractThe capacity for mental health clinicians to provide culturally relevant suicide prevention services has become an issue within current society, given the complexity and impact of the circumstances that have disrupted everyday life. Thus, this became a problem for the organization and the target population used for this study. The current capacity of leadership and clinicians who provided prevention services was developed to address the underlying mental health disorders and not directly address the environmental impact. The approach for the study adhered to Yin's work on case studies. The case study research provided the process and outcome data by introducing …

Lived Experiences Of Stress And Burnout Among Pediatric Home Care Nurses, Johane Garcon-Paul

Walden Dissertations and Doctoral Studies

Abstract

Research shows that healthcare providers encounter stress in their workplaces whether in a home or a healthcare facility that results in reduced job satisfaction, burnout, and inadequate care of patients. There is a gap in the literature regarding the lived experiences of nurses caring for children in all work settings, including the home care setting, regarding stress and burnout. The lived experiences of pediatric nurses working in home care settings were explored to discover conditions that contribute to their occupational stress and burnout. The occupational stress model with a major focus on the job demands-resources occupational stress model was …

Small Retail Business Strategies Used To Prevent Employee Fraud In North Carolina, Jourdan Mariah Gayden

Walden Dissertations and Doctoral Studies

Fraud could result in adverse business outcomes for small business owners. Small business owners are concerned with preventing fraud to increase the financial stability of small businesses. Grounded in the fraud triangle theory, the purpose of this qualitative multiple-case study was to explore strategies small business owners use to prevent and detect fraud in their businesses. Participants included five small business owners in North Carolina who successfully implemented strategies to prevent and detect fraud. Data were collected using semistructured interviews and a review of company documents. The data were analyzed using thematic analysis, which yielded four themes: monitoring, contractual agreements, …

Clinicians' Perceptions Of Telehealth Services During The Covid-19 Pandemic In Virginia, Johnetta Hill Guishard

Walden Dissertations and Doctoral Studies

The onset of COVID-19 introduced unprecedented changes to how U.S. public health services were delivered. Many public and private agencies faced mandatory closures, social distancing mandates, and rapid transitions to telehealth interventions and treatment. Mental health clinicians witnessed disruptions in continuity of care and an increase in mental health risks overall. Although some studies have been conducted to survey clinicians’ perceptions of the usefulness and ease of use of technology-based interventions, knowledge about mental health clinicians’ experiences and perceptions in Virginia was sparse. The purpose of this generic qualitative study was to explore how mental health clinicians in Virginia described …

The Experiences Of Women Executive Leaders In A Leadership Development Program, Angela Ivy Gustus

Walden Dissertations and Doctoral Studies

The host organization is a nonprofit that has a mission of supporting the work of 19 other separate organizations, 47% of which are run by women. The problem addressed in this research is the host organization’s lack of knowledge related to how to create a leadership development program that will maintain or increase the current gender diversity. The purpose of this research was to gather information about the current leaders to inform the creation of a leadership development program for the host organization based on research conducted at Harvard University. The aim was to understand the experiences of the women …

Practice Size And Geographical Location And Annual Merit-Based Incentive Payment System Scores In Dermatology, Issam H. Harmouch

Walden Dissertations and Doctoral Studies

Despite the transition to value-based care in the healthcare industry using the Merit-Based Incentive Payment Systems (MIPS), small and rural physician practices still score in the poor category annually. These poor performances negatively impact funding for staffing and service availability; further, little research has focused on the factors behind these poor performance scores. The purpose of this study was to examine the relationship between practice size and organization geographical location on annual MIPS scores among dermatologists in the South-Central United States. The Donabedian model was used as the theoretical framework for this study that focused on the three qualities of …

Organizational Factors Of Emergency Room Fast-Track Admission Duplicate Data Entry Errors In An Alabama Health System, Shannon Harris

Walden Dissertations and Doctoral Studies

Inaccurate patient information resulting from duplicate record data entry errors can compromise patient safety. Emergency room (ER) visits in the United States have increased by 15% over the last decade, and the increase has prompted hospitals to implement fast-track admissions in the ER to mitigate overcrowding and expedite the admission process for patients with low-acuity symptoms. Although duplicate record data entry errors occur frequently in ER admissions, there is a lack of information about fast-track ER admissions and the predictors of different types of confirmed duplicate record data entry errors. This correlational quantitative study examined the associations between work shift …

Educator Preparedness In The Use Of Simulation In Nursing Education, Marcelene E. Hart

Walden Dissertations and Doctoral Studies

AbstractNurse educators lack preparation when using simulation as a teaching modality in educating nurses and nursing students within their clinical environment. The purpose of this basic qualitative study was to understand nurse educators’ perceptions of the challenges in preparing for simulation-based training experiences for nurses and nursing students. Vygotsky’s constructivist theory was used as the conceptual framework for the study to emphasize students’ innate ability to learn using active and hands-on processes through simulation experiences. Questions were developed to explore the challenges nurse educators encounter when preparing for simulation activities. Survey questionnaire invitations were sent through email to hundreds of …

Understanding The Impact Of Special Education Programs On African American Males, Jacques Houssou

Walden Dissertations and Doctoral Studies

AbstractAfrican American males placed in special education programs their entire time in high school often experience stigmatizing feelings of lack of self-worth and self-esteem as adults. The purpose of this qualitative case study was to explore and better understand the influence special education programs may have on African American males’ self-esteem and self-worth. Becker’s and Lemert’s labeling theory and Baumgartner and Jones’s and Gould and Eldredge’s punctuated equilibrium theory guided this study. The focus of the research questions was the influence of special education programs on African American males’ learning experiences and the changes needed. Purposive and snowball sampling techniques …

Teachers’ And Education Leaders’ Perspectives On Using Technology To Develop Vocabulary Among Kindergarten English Learners, Nelsy J. Jackson

Walden Dissertations and Doctoral Studies

AbstractResearch has shown that technology-mediated interventions in education can increase students’ understanding of academic vocabulary. However, it is not known how teachers provide opportunities for kindergarten English learners (ELs) to learn vocabulary using technology, and school leaders support teachers in this endeavor. The purpose of this basic qualitative study was to understand teachers' and school leaders’ perspectives on opportunities for kindergarten ELs to use technology to develop vocabulary in an urban school in the southwest United States. The theoretical framework for this study was based on Cummins’s theory of basic interpersonal communication skills and cognitive academic language proficiency. Using purposeful …

Kindergarten Through Second Grade Teachers’ Collaboration On Reading Instruction Through Virtual Communities Of Practice, Nakaydria Johnson

Walden Dissertations and Doctoral Studies

Kindergarten through second grade (K–2) teachers have different experiences with support when teaching beginning reading. However, there is a problem with K–2 teachers having access to virtual collaboration to support beginning reading instruction. The purpose of this qualitative study was to understand the experiences and perceptions of K–2 teachers collaborating virtually on Google Platforms to support beginning reading instruction within a community of practice (CoP). The research questions were used to understand the interaction and accountability of K–2 teachers collaborating within a CoP. The conceptual framework was constructed from elements of CoPs and the social theory of learning because of …