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Registered Nurses’ Perceptions Regarding Postoperative Pain Management And Opioids For Adolescents, Susan Miller
Registered Nurses’ Perceptions Regarding Postoperative Pain Management And Opioids For Adolescents, Susan Miller
Walden Dissertations and Doctoral Studies
More than 2.4 million children undergo surgery annually in the United States and many experience postoperative pain. Poor pain management causes negative outcomes to both the individual and society. Increased rates of prescription drug misuse and rising death rates for adolescents from drug overdoses underscore the need for improvements in pain management. However, there is a lack of research, limited guidelines, and significant provider variability in managing adolescents’ acute postoperative pain. The purpose of this qualitative study was to explore the topic of acute postoperative pain management for adolescents through the lens of registered nurses (RNs). Nurses play an essential …
Hiv Testing And Counseling Uptake Predictors Among University Students In Southwest Cameroon., Lilian Belole Motia Pencille
Hiv Testing And Counseling Uptake Predictors Among University Students In Southwest Cameroon., Lilian Belole Motia Pencille
Walden Dissertations and Doctoral Studies
AbstractDespite public health efforts to increase human immuno-deficiency virus testing and counseling (HTC) uptake, screening among college students remains low and understudied. The purpose of this cross-sectional correlational quantitative study was to explore the relationship between the constructs of the health belief model (perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action, and self-efficacy) and HTC uptake while controlling for age, sex settlement type, relationship status, area of residence, religious affiliation, and level of education. Four hundred and eighty-seven (N = 487) university students in Southwest Cameroon were recruited using a convenience sampling method. Data were collected using …
Factors Leading To Alcohol Relapse During The Covid-19 Pandemic, Robert Michael Ibraham
Factors Leading To Alcohol Relapse During The Covid-19 Pandemic, Robert Michael Ibraham
Walden Dissertations and Doctoral Studies
Little research has been conducted exploring contributing stressors from the COVID-19 pandemic that may have led to alcohol relapse among individuals diagnosed with alcohol use disorders (AUDs). Prior to the pandemic, alcohol use was at an all-time high; during the pandemic, the rates of substance use rose significantly more. AUDs are a leading mental health problem with over 32.6 million meeting diagnostic criteria in the United States. This study was conducted to explore self-identified factors leading up to relapse during the COVID-19 pandemic among individuals diagnosed with AUDs, with a focus on the circumstances and events leading up to relapse. …
Exploring Relationships Between Psychological Capital And Perceived Stress Among Newly Graduated Nurses, Rita June Jarvis-Isaac
Exploring Relationships Between Psychological Capital And Perceived Stress Among Newly Graduated Nurses, Rita June Jarvis-Isaac
Walden Dissertations and Doctoral Studies
Stress among the newly graduated nurses has been linked to physical and emotional distress, high turnover rates, and the quality of patient care. Psychological capital is a positive state of mind that consists of four components (hope, efficacy, resilience, and optimism). Higher levels of psychological capital have been linked to improvements in the work environment and the psychological and emotional state of nurses. Despite the extensive work of researchers exploring psychological capital among nurses, its relationship to stress among new graduate nurses has not been well studied. The purpose of this quantitative, correlational study was to explore the relationship between …
Strategies Information Technology Managers Use To Retain Qualified Information Technology Employees, Wayne Arnold Reu
Strategies Information Technology Managers Use To Retain Qualified Information Technology Employees, Wayne Arnold Reu
Walden Dissertations and Doctoral Studies
Retaining qualified information technology (IT) personnel can take time and effort, given the high demand for skilled positions. Business leaders are concerned with the high turnover of IT employees because of the cost of recruiting and training personnel and the disruption to organizational processes and performance. Grounded in job characteristics theory, the purpose of this qualitative pragmatic inquiry was to explore IT managers' strategies to retain qualified IT employees in organizations across the southwestern United States. Eight IT leaders participated because of their years of experience implementing strategies to retain qualified IT professionals. Data were collected using semistructured interviews and …
Teacher Perceptions About Using Collaborative Inquiry In Professional Learning Communities, Linda Maria Armwood
Teacher Perceptions About Using Collaborative Inquiry In Professional Learning Communities, Linda Maria Armwood
Walden Dissertations and Doctoral Studies
A large suburban school system in the mid-Atlantic United States identified the Data Wise Improvement Process (DWIP) as a systemic strategy to achieve the district-wide goal of student achievement for college and career readiness. Elementary science teachers marginally participated in school-based instructional team meetings to analyze student data. The purpose of this qualitative case study was to understand teacher perceptions of working with colleagues in a collaborative learning environment focused on shared student data. Adult learning theory, social constructivist theory, and collaborative inquiry practices served as the conceptual framework for this study. Data were collected through an electronic web-based survey …
The Impact Of Gender On Relationship Satisfaction In Law Enforcement, Carole Ann Presson
The Impact Of Gender On Relationship Satisfaction In Law Enforcement, Carole Ann Presson
Walden Dissertations and Doctoral Studies
Relationships have been identified as a critical component of mental wellness. Law enforcement has been recognized as a profession with high divorce rates and relationship failure, contributing to reduced mental health in law enforcement. By addressing and identifying relationship concerns, issues of suicide, use of force, productivity, and reduced tenure can be addressed. This quantitative study aimed to identify areas of stress contributing to relationship dissatisfaction. The study’s initial focus was to identify if gender impacted satisfaction outcomes. Male and female officers participated equally in completing surveys to identify organizational and operational police stress, romantic partner conflict, and relationship assessment. …
Public-School Superintendents’ Perceptions Of Trauma-Informed School Assumptions And Principles, Denise Gay Presnell
Public-School Superintendents’ Perceptions Of Trauma-Informed School Assumptions And Principles, Denise Gay Presnell
Walden Dissertations and Doctoral Studies
Research shows that trauma-informed practices in schools can increase student performance and well-being. School social workers are well-suited to bring these practices to their system but are most successful when partnering with public-school superintendents. The purpose of this generic qualitative study was to understand public-school superintendents’ perceptions of trauma-informed school assumptions and principles. The study was guided by four assumptions for trauma-informed care, six principles for trauma-informed schools, ecological systems theory, and empowerment theory. Research questions were designed to ask participants about their experiences of trauma in their schools, their perceptions of the assumptions and principles, the benefits and challenges …
University Interdisciplinary Linked Block Schedules And Developmental Student Success, Linda S. Reeves-Wymer
University Interdisciplinary Linked Block Schedules And Developmental Student Success, Linda S. Reeves-Wymer
Walden Dissertations and Doctoral Studies
Developmental education is the starting point for many 1st-year college students, especially from underrepresented, low-income, and first-generation populations. One such 1st-year program linked block-scheduled academic skill-development courses with a required interdisciplinary general education science course where instruction was provided simultaneously in a lecture format to college-ready nondevelopmental students and developmental students in three skill-development courses: reading, writing, and combined reading/writing. Although this program had existed for over 20 years, the effectiveness of the program, meaning whether the linked skill-development courses were associated with academic success, had not been assessed. Guided by Tinto’s integration theory, a causal comparative design with the …
Influence Of Conspiracy Mindset, Trust In Science, And Political Affiliation On Covid-19 Reactance, Bonnie L. Rinato
Influence Of Conspiracy Mindset, Trust In Science, And Political Affiliation On Covid-19 Reactance, Bonnie L. Rinato
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic exposed extreme divisions in the social and political structure of the United States. When health organizations recommended strategies such as physical distancing, hand hygiene, sanitation of surfaces, and isolating when sick to slow the spread of the disease, Americans appeared to divide into two factions; those who followed the public health guidance and those who persistently ignored it, often voicing perceptions of loss of freedom due to the guidance. The purpose of this quantitative study was to examine the extent to which political affiliation moderated the relationship between conspiracy mindset, trust in science, and reactance responses to …
The Experiences Of Female Sexual Minority Service Members After 2013, Ada I. Rivera
The Experiences Of Female Sexual Minority Service Members After 2013, Ada I. Rivera
Walden Dissertations and Doctoral Studies
In 2010, the United States Armed Forces ended the policy Don’t Ask, Don’t Tellthat excluded sexual minorities from being able to serve openly in the military. Full military benefits were extended to them and their family members in 2013. Despite these changes, victimization, stigma, and discrimination have continued to impact the lives of service members who identify as a sexual minority, as the result of microaggressions due to their sexual orientation. Past literature has examined experiences of sexual minorities, but little research has focuses on sexual minority women whose minority gender identity creates greater risk to experience micro assaults with …
Fourth Grade Teacher Perspectives Of Instructional Practices To Support Students With Reading Deficits, Juanita Carter Robbins
Fourth Grade Teacher Perspectives Of Instructional Practices To Support Students With Reading Deficits, Juanita Carter Robbins
Walden Dissertations and Doctoral Studies
The problem that was the focus of this study was that only 30% of fourth grade students in the United States read at or above grade-level proficiency. Lack of reading proficiency affects fourth-grade students’ ability to master content presented in subjects across the curriculum and may limit their educational attainment. The purpose of this basic qualitative study was to explore fourth-grade teachers’ perspectives of instructional practices to support students with reading deficits, the challenges teachers encounter, and the resources teachers need to meet those challenges. The conceptual framework comprised Tomlinson’s model of differentiated instruction. Three research questions explored the instructional …
Perceptions And Experiences Of The Benefits Of Premarital Counseling Among African American Couples, Evelyn N. Roberts
Perceptions And Experiences Of The Benefits Of Premarital Counseling Among African American Couples, Evelyn N. Roberts
Walden Dissertations and Doctoral Studies
Researchers have conducted studies on the benefits of premarital counseling. However, little was known about the experiences of African American couples. The purpose of this generic qualitative study was to explore African American couples’ perceptions and experiences concerning the benefits of premarital counseling. Social learning theory provided the framework for the study. Data were collected from semistructured interviews with eight heterosexual African American couples. Colaizzi’s seven-step method of coding was used to analyze participants’ responses. Four themes emerged: couples’ expectations of premarital counseling, influences regarding participation, quality and structure of sessions, and overall experience. Findings could impact social change by …
Leadership Strategies That Support The Reduction Of Student Discipline Problems, Aaron J. Rose, Sr.
Leadership Strategies That Support The Reduction Of Student Discipline Problems, Aaron J. Rose, Sr.
Walden Dissertations and Doctoral Studies
AbstractThe problem addressed in this study is that, in a rural Title I public school in the Northeastern United States, administrators have struggled to implement leadership strategies to support the reduction of student discipline issues in the classroom. The purpose of the study was to investigate how administrators implement leadership strategies that are intended to reduce student discipline issues in the classroom. The conceptual framework was developed from DeMatthews’s leadership theory and Wachtel’s restorative justice theory, which describe systems intended to build and restore relationships in schools and thereby reduce conflicts. The research question explored how administrators implement leadership strategies …
Outsourcing Interruptions And The Emergence Of Reshoring, Enrico Castillo Santos
Outsourcing Interruptions And The Emergence Of Reshoring, Enrico Castillo Santos
Walden Dissertations and Doctoral Studies
Over the last 25 years, offshore outsourcing has been accepted as a standard business practice, primarily for the cost advantage of operating in lower costs offshore locations. Lately, the trend is reversing; business leaders are moving their manufacturing operations back home despite the near-term negative impact of the reversal decision. This qualitative multiple case study aimed to understand the factors that influenced manufacturing business leaders of U.S.-based companies to reverse previously made offshoring decisions and reshored at a high reversal rate. In this study, I applied the conceptual framework proposed by Fratocchi et al. (2016). Data were collected from five …
Perspectives On Motor Skills Necessary For Kindergarteners’ Formal School Readiness, Allyson M. Schildt
Perspectives On Motor Skills Necessary For Kindergarteners’ Formal School Readiness, Allyson M. Schildt
Walden Dissertations and Doctoral Studies
Researchers have noted that before children can learn academics, they must first have developed motor skills. Motor skills are foundational to learning and integrated into other domains of learning as a child develops. The problem addressed through this basic qualitative study is that some kindergarten students in the northeastern United States lack motor skills necessary for formal school readiness, and kindergarten teachers are challenged to support students’ development of motor skills necessary for formal school readiness. The purpose of this study was to explore kindergarten teacher perspectives on kindergarten students’ motor skills necessary for formal school readiness. Thelen’s dynamic systems …
Leading A Motivated Home Healthcare Company, Jekea Scott
Leading A Motivated Home Healthcare Company, Jekea Scott
Walden Dissertations and Doctoral Studies
The lack of employee engagement and increase in employee turnover adversely affect the healthcare industry’s business outcomes. Home healthcare leaders need engagement strategies to retain experienced employees as failure to engage employees results in decreased productivity and increased expenses associated with recruiting and training new hires. Grounded in Blau’s social exchange theory, the purpose of this qualitative multiple case study was to explore strategies that home healthcare leaders use to increase employee engagement and decrease employee turnover. The participants comprised eight current and former leaders and employees of home healthcare companies in Charlotte, North Carolina. The data collection processes included …
Relationship Between Type Of Health Insurance And Access To Care Among African American Males, Tiffani Simmons
Relationship Between Type Of Health Insurance And Access To Care Among African American Males, Tiffani Simmons
Walden Dissertations and Doctoral Studies
Insurance based discrimination is a bias that has the potential to harm patients by limiting their access to care and widen health disparities between patients with private and public insurance. The purpose of this study was to examine whether there is a relationship between type of health insurance (private and public) and access to care factors (acceptability and availability) among African American males ages 25–64 with chronic conditions. The Andersen healthcare utilization model framework supported this research in focusing on the determinants that influences a patient’s ability to access to health care. The research questions examined whether a relationship existed …
Mainstreaming Hate: An Analysis Of The Rebranding Of White Supremacy, Lowell Smith
Mainstreaming Hate: An Analysis Of The Rebranding Of White Supremacy, Lowell Smith
Walden Dissertations and Doctoral Studies
AbstractThe purpose of this qualitative dissertation was to examine the feasibility of white supremacist and white nationalist organizations’ abilities to alter their appearance and gain increased support in White American society. Nationalist agendas pushed by mainstream political platforms have been used by white supremacist and white nationalist organizations to alter their appearance and embed themselves into a political environment that has seen the former President of the United States Donald Trump and congressional representatives openly associating with known and self-proclaimed white nationalists. The research question included the understanding the perspectives of two civil rights organizations who work to address white …
Race As A Predictor Of Co-Rumination In Friendship Among Adolescents, Jendayi A. Stafford
Race As A Predictor Of Co-Rumination In Friendship Among Adolescents, Jendayi A. Stafford
Walden Dissertations and Doctoral Studies
Co-rumination refers to the excessive and extensive discussion and revisiting of problems and negative feelings within dyadic relationships. Differences in friendships concerning co-rumination have found that girls co-ruminate more than boys, however, researchers have not examined the relations between the racial composition of friend dyads and co-rumination in the friendships of adolescents. Theoretical frameworks included response styles theory and fictive kin theory. The study involved secondary analyses of an archival data set in which adolescents responded to surveys about co-rumination and their same-sex friendships. The population used for the study consisted of 265 adolescent friend dyads from a town in …
How Elementary Teachers Implement The Eureka Mathematics Curriculum To Improve Mathematics Outcomes, Shannell A. Swan-Clarke
How Elementary Teachers Implement The Eureka Mathematics Curriculum To Improve Mathematics Outcomes, Shannell A. Swan-Clarke
Walden Dissertations and Doctoral Studies
Many states use research-based mathematics curricula as an instructional tool to improve mathematics performance outcomes on state assessment scores. The problem was that despite the implementation of a research-based curriculum, students at XYZ Elementary School (pseudonym) had underperformed on the Partnership for Assessment of Readiness for College and Careers standardized mathematics tests since 2018. The purpose of this basic qualitative study was to discover the implementation practices of teachers using the Eureka Mathematics Curriculum to improve student outcomes at XYZ Elementary School. Dewey’s experiential learning theory was used to support and explore ideas involving the influences of curriculum implementation on …
Sub-Saharan African Immigrants’ Experiences In Utilizing Mental Health Services In Baltimore, Helen Tanwani
Sub-Saharan African Immigrants’ Experiences In Utilizing Mental Health Services In Baltimore, Helen Tanwani
Walden Dissertations and Doctoral Studies
AbstractMental illness is associated with poor quality of life evidenced by unemployment, homelessness, and substance abuse. Despite the adverse effects of mental illness, research has indicated that mental health-seeking behaviors and experiences in accessing mental health services among immigrants from sub-Saharan Africa are under-researched. The purpose of this qualitative study was to explore the experiences of sub-Saharan African immigrants in accessing mental health services in Baltimore, Maryland. To achieve the objective of this study, a descriptive research study was conducted utilizing semistructured one-on-one in-depth interviews with eight sub-Saharan African immigrants in Baltimore. Braun and Clarke’s six-step thematic data analysis approach …
The Prison Reentry Experience Of Justice-Involved Veterans, Latta Roosevelt Thomas Jr.
The Prison Reentry Experience Of Justice-Involved Veterans, Latta Roosevelt Thomas Jr.
Walden Dissertations and Doctoral Studies
Prison reentry programs attempt to equip justice-involved veterans with life skills necessary for their transition out of prison. This qualitative study addressed the scant understanding of the impact pre-released prison reentry programs have on justice-involved veterans’ transition and reintegration back to the community. The purpose of this qualitative study was to describe the perceptions of justice-involved veterans regarding prison reentry programs that have impacted their transition out of prison. The well-being development model and Castro’s military-to-civilian transition model provided the conceptual framework for this qualitative study, using semistructured questions to interview 11 justice-involved veterans regarding their participation in prison reentry …
Reading Teachers’ Perspectives On Professional Development In Phonological Methods And Implementation Of Instructional Strategies, Lisa M. Toole
Reading Teachers’ Perspectives On Professional Development In Phonological Methods And Implementation Of Instructional Strategies, Lisa M. Toole
Walden Dissertations and Doctoral Studies
The problem addressed through this research study was although kindergarten through Grade 3 (K–3) reading teachers have received specific professional development in phonological methods, a gap in practice exists with the implementation of instructional strategies. The purpose of this study was to explore K–3 reading teachers' perspectives regarding their professional development in phonological methods and what further professional development is needed for consistent and effective implementation of instructional strategies to support student achievement in phonemic awareness and phonics. Flavell's theory of thinking about thinking, otherwise known as metacognition, was the grounding conceptual framework. The research questions guided the study by …
The Relationship Between “Speak Up” Culture Level, Team Effectiveness, And Organizational Performance Among Clinical Laboratory Professionals, Emmanuel Udasco
The Relationship Between “Speak Up” Culture Level, Team Effectiveness, And Organizational Performance Among Clinical Laboratory Professionals, Emmanuel Udasco
Walden Dissertations and Doctoral Studies
The clinical laboratory plays a crucial role in aiding physicians to diagnose disease. With numerous studies on “Speak Up” culture well-documented among providers and nurses surrounding patient safety, gaps in literature exist concerning “Speak Up” culture that address team effectiveness and organizational performance within the clinical lab setting. The purpose of this quantitative correlation study was to investigate the relationship between “Speak Up” culture level, team effectiveness, and organizational performance among health care workers employed in the clinical lab. The high-performance work practices model was utilized as the conceptual framework to ground this study. Research questions assessed the link between …
Discrepancies In Race, Occupational Prestige Score, Socioeconomic Index, Income/Wealth, And Social Class Between Blacks And Whites, Queensley Udofia
Discrepancies In Race, Occupational Prestige Score, Socioeconomic Index, Income/Wealth, And Social Class Between Blacks And Whites, Queensley Udofia
Walden Dissertations and Doctoral Studies
An argument that has gained prominence recently is that race is/will no longer be a significant factor in explaining any Black - White gaps. The argument is that in the post-Civil Rights era, the implementation of affirmative action and antidiscrimination policies at local, state, and federal levels has closed, if not almost erased, the gaps between Blacks and Whites. Research, however, has disputed the claims of proponents of color-blindness that issues of race are on the decline and will no longer be a factor in explaining racial inequalities between Blacks and Whites. This study used General Social Survey 2021 data …
Oncology Nurses’ Experiences Dealing With And Managing Compassion Fatigue While Caring For Terminally Ill Patients, Stacey-Ann Mary Whyte
Oncology Nurses’ Experiences Dealing With And Managing Compassion Fatigue While Caring For Terminally Ill Patients, Stacey-Ann Mary Whyte
Walden Dissertations and Doctoral Studies
Compassion fatigue (CF) is a significant cause of nurse burnout (BO). Oncology nurses are particularly susceptible to CF because of the continual contact with terminally ill patients and recurrent experiences with patients’ death. A search of existing literature found no published studies that explicitly focused on interviewing oncology nurses to gain their expression of their lived experiences with CF while caring for terminally ill patients. This phenomenological qualitative study explored oncology nurses’ experiences dealing with and managing CF when caring for terminally ill patients. Figley’s compassion fatigue theory grounded this study. The research questions focused on the lived experiences of …
Faculty Perceptions Of Student Retention Strategies At A Career-Based University, Sheila Annette Williamson-Branch
Faculty Perceptions Of Student Retention Strategies At A Career-Based University, Sheila Annette Williamson-Branch
Walden Dissertations and Doctoral Studies
In 2008, a career-focused university implemented a set of faculty-led retention strategies to address a steady decline in retention. Yet, despite the implementation of this program, retention continued to decline. The purpose of this study was to examine the perceptions of full-time faculty and part-time faculty regarding what aspects of the existing student retention program were falling short in the university’s efforts to identify strategies to improve student retention. The conceptual framework used for this study was Tinto’s student retention theory promoting momentum to support the examination of the perceptions of faculty to improve student retention. The research questions examined …
Preschool Teachers’ And Parents’ Perspectives Regarding Factors That Affect Kindergarten Readiness, Ebony Catrice Williams
Preschool Teachers’ And Parents’ Perspectives Regarding Factors That Affect Kindergarten Readiness, Ebony Catrice Williams
Walden Dissertations and Doctoral Studies
When children enter kindergarten, they are expected to demonstrate an interrelated set of skills and competencies including pre-academic skills, cognitive abilities, socioemotional well-being, and physical health. The problem that was the focus of this study was that many students who complete prekindergarten are not ready for kindergarten. Guided by Garcia’s kindergarten readiness framework, the purpose of this basic qualitative study was to increase understanding of the perspectives of parents and prekindergarten teachers regarding their role in developing kindergarten readiness, and the factors they believe support or hinder their efforts. Eight prekindergarten teachers and 8 parents of prekindergarten students from one …
Strategies For Developing Effective Teams Within Small Businesses, Jennifer Holly Wolfson
Strategies For Developing Effective Teams Within Small Businesses, Jennifer Holly Wolfson
Walden Dissertations and Doctoral Studies
Due to the prominence of building larger teams, some small businesses lack strategies to create effective teams for improving organizational performance. Small business managers yearn to instill team development strategies because they could produce a team that will use their abilities to enhance organizational performance. Grounded in Tuckman’s group development theory, the purpose of this qualitative multiple case study was to explore strategies small business managers use to create effective teams for improving organizational performance. The participants were three managers from three small businesses who created effective teams. Data were collected using semistructured interviews and reviewing manuals, protocols, and training …