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Stories Of Licensed Counseling Supervisors Who Identify As Wounded Healers, Carolyn Litteral
Stories Of Licensed Counseling Supervisors Who Identify As Wounded Healers, Carolyn Litteral
Walden Dissertations and Doctoral Studies
Although a large percentage of counselors who are wounded healers eventually become clinical counseling supervisors, little is known about the effects on clinical supervision. Counseling supervisors have the responsibility of gatekeeping, managing client care, and modeling counseling for counselors-in-training; the process is likely affected by woundedness as is the counseling process. The purpose of the current qualitative narrative study was to identify the stories of wounded healers as clinical counseling supervisors to recognize how supervision is affected and influenced by being a wounded healer. The data were analyzed using the theoretical lens of existentialism and the conceptual framework of the …
Association Between Antidepressant Adherence And Major Depressive Disorder Complications, Philip Lisinge
Association Between Antidepressant Adherence And Major Depressive Disorder Complications, Philip Lisinge
Walden Dissertations and Doctoral Studies
Despite evidence that antidepressants are more effective at treating major depressive disorder (MDD) symptoms, there is growing evidence that MDD management is still hampered by nonadherence to antidepressant treatment regimens. Researchers have suggested that MDD, if untreated, might lead to MDD-related complications, but other researchers have argued that adherence to antidepressants can lead to these same MDD-related complications. This quantitative cross-sectional study used primary data collected from 298 volunteers to examine the association between MDD-related complications and antidepressant adherence to clarify these diverging opinions. The study’s objective was to provide evidence to accept or reject the premise that antidepressant adherence …
Examination Of Exposure Types Association With Stigma And Impacts On Sharps Injury Reporting In Ambulatory Surgical Centers, Timothy William Lynch
Examination Of Exposure Types Association With Stigma And Impacts On Sharps Injury Reporting In Ambulatory Surgical Centers, Timothy William Lynch
Walden Dissertations and Doctoral Studies
Public health depends on the efficiency of work delivery among healthcare workers (HCWs) and their positive goal orientation in healthcare. Effective minimizing of needlestick and sharp injuries (NSSIs) and timely reporting are fundamental to meeting public health goals. The specific research problem addressed through this study is whether the independent variable of exposure type (needle stick injury, splash exposure injury, other sharp injuries) has an association with stigma associated with sharps injury reporting (dependent variable) among HCWs in ambulatory surgical centers. A quantitative, cross-sectional design involving secondary data analysis was used. Regression was used to analyze pre- and post-workshop survey …
Mindfulness Skills And Retention Risk In First-Generation Undergraduate Students, Tim Morenz
Mindfulness Skills And Retention Risk In First-Generation Undergraduate Students, Tim Morenz
Walden Dissertations and Doctoral Studies
First-generation college students experience more negative emotional states and higher stress levels than their continuing generation peers, take approximately two years longer to complete undergraduate degree programs, and are less than one percent likely to re-enroll in college. Mindfulness skills have been reported to alleviate anxiety and stress, improve adjustment to college, and improve academic performance, but a gap in the literature existed specific to first-generation college students. Guided by the theory of planned behavior and the monitor and acceptance theory, the purpose of this quantitative study was to examine the relationship between trait mindfulness skills and retention risk in …
Perceptions Of Teachers Regarding Instructional Strategies For Low Ses Students, Lesley Legere
Perceptions Of Teachers Regarding Instructional Strategies For Low Ses Students, Lesley Legere
Walden Dissertations and Doctoral Studies
Low socioeconomic status (SES) students tend to have poorer academic achievement in language arts and mathematics. One of the biggest influences for the academic success of low SES students is the use of varying instructional strategies. This problem is important because all students should receive an equitable education regardless of status. The purpose of the study was to investigate teachers’ perceptions regarding how they support low SES students in their academic achievement in language arts and mathematics. The conceptual framework for this study was based on Hersey and Blanchard’s situational leadership theory, which suggested that teachers are leaders who modify …
Microaggressions Against Ethnic Individuals From Minorities In Counseling, Joan Morton
Microaggressions Against Ethnic Individuals From Minorities In Counseling, Joan Morton
Walden Dissertations and Doctoral Studies
AbstractEven though the current literature addresses racial microaggressions among ethnic minority people and implications for counseling, no qualitative research that included the voices of ethnic minority individuals was found. Researchers have not fully addressed the prevalence of racial microaggressions in counseling sessions. The purpose of this qualitative narrative study was to explore the lived encounters of ethnic minorities concerning racial microaggressions in counseling. The study issue was analyzed through the lens of critical race theory. Four participants were recruited from the Walden University participation pool. Data were selected through semi-structure interviews and narrative analysis was used to analyze data to …
Moral Injury Themes Involving Criminal Recklessness Among Adults With Alcohol Use Disorder, Sandra Starch
Moral Injury Themes Involving Criminal Recklessness Among Adults With Alcohol Use Disorder, Sandra Starch
Walden Dissertations and Doctoral Studies
Moral injury (MI) can emerge following transgressive acts against one’s deeply held moral beliefs. Its symptomology involves individual psychological, spiritual, behavioral, and social spheres. It has primarily been studied within the military and in a few select civilian populations. This descriptive phenomenological study involved exploring MI themes among adults with alcohol use disorder (AUD) who had engaged in criminally reckless acts. Data collected from semi-structured interviews with eight participants were coded and analyzed, leading to six major themes revealing the symptomology of MI. Responses from study participants supported Festinger’s theory of cognitive dissonance via their descriptions of alcohol abuse cycles …
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 …
Nurse Educators' Experiences Of Student Remediation, Holly A Dever
Nurse Educators' Experiences Of Student Remediation, Holly A Dever
Walden Dissertations and Doctoral Studies
Little is known about the nurse educator's experiences in remediating novice undergraduate nursing students who failed an exam early in the program of study. While numerous strategies have been used by faculty for remediation, no evidence-based methodology for student remediation has been identified in published literature. The aim of this study was to build a foundation of qualitative research on nurse educators' experiences in the remediation of a student who failed an exam. This basic qualitative study, guided by Smith and Liehr's story theory, explored the nurse educator's experiences with remediation using interview data collected from six nurse educators. Interviews …
Ai Usage In Development, Security, And Operations, Maurice Ayidiya
Ai Usage In Development, Security, And Operations, Maurice Ayidiya
Walden Dissertations and Doctoral Studies
Artificial intelligence (AI) has become a growing field in information technology (IT). Cybersecurity managers are concerned that the lack of strategies to incorporate AI technologies in developing secure software for IT operations may inhibit the effectiveness of security risk mitigation. Grounded in the technology acceptance model, the purpose of this qualitative exploratory multiple case study was to explore strategies cybersecurity professionals use to incorporate AI technologies in developing secure software for IT operations. The participants were 10 IT professionals in the United States with at least 5 years of professional experience working in DevSecOps and managing teams of at least …
Differences Between Nurse-Led Intervention Topics, Longevity, Changed Practices, And Sustainability Planning, Robin Anselm
Differences Between Nurse-Led Intervention Topics, Longevity, Changed Practices, And Sustainability Planning, Robin Anselm
Walden Dissertations and Doctoral Studies
Though health care providers use evidence-based interventions (EBIs), a knowledge gap exists regarding lasting change associated with doctorate-prepared nurse interventions and sustainability planning. This quantitative cross-sectional descriptive design guided by the five pillars of the United Nations sustainable development goals (SDGs) was used to examine the differences between doctorate-prepared nurses’ sustainable EBI topics, intervention longevity, changed clinical practices, and sustainability planning. The dynamic sustainability framework, the adult learning theory, and the social learning theory framed this study. The design included a survey of 1,365 nurse anesthesiologists using a questionnaire composed of the Program Sustainability Assessment Tool (PSAT) version 2 and …
Factors Associated With Intent To Quit Smoking Among U.S. Adult Smokers, Patrese Ann Nesbitt
Factors Associated With Intent To Quit Smoking Among U.S. Adult Smokers, Patrese Ann Nesbitt
Walden Dissertations and Doctoral Studies
Smoking and tobacco use continue to be a public health issue for over 40 million Americans, which explains the appropriateness and abundance of smoking cessation programs throughout the United States. The purpose of this quantitative correlational study was to examine the associations between independent variables of marital status, advice from a medical clinician, and use of community smoking cessation resources and the dependent variable of intent to quit smoking, controlling for race, ethnicity, gender, and age. The theory of reasoned action was used to guide the study. Data from the National Adult Tobacco Survey (N = 12,357) were analyzed using …
Logistics Leader Strategies For Retaining Employees, Sandra Northern
Logistics Leader Strategies For Retaining Employees, Sandra Northern
Walden Dissertations and Doctoral Studies
Low employee retention can lead to a lack of the knowledge, skills, and abilities required for sustainable logistics operations. Logistics leaders are concerned with employee retention because turnover increases business costs, reduces operational efficiency, and decreases profitability. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative single case study was to explore strategies logistics leaders use to increase employee retention. The participants were three senior leaders from a logistics organization in the northeast region of the United States who possessed knowledge and experience of the research phenomena. Data were collected through semistructured interviews, company documents, publicly available data, and …
The Experiences Of Women In The Healthcare Profession With Alcohol Use During The Covid-19 Pandemic, Amber Olsen
The Experiences Of Women In The Healthcare Profession With Alcohol Use During The Covid-19 Pandemic, Amber Olsen
Walden Dissertations and Doctoral Studies
Women have severe health risks associated with drinking alcohol long-term and excessively. The purpose of this qualitative study was to explore the lived experience of women in healthcare positions regarding alcohol use during the COVID-19 pandemic. The study was informed by the theory of planned behavior. Semistructured interviews were used to gather information from participants based on their firsthand experiences with alcohol usage. Understanding women’s attitudes toward alcohol use during the COVID-19 pandemic can improve intervention. Data were analyzed using an inductive, thematic procedure. Participants associated their own use of alcohol with socialization, and all participants reported that they regarded …
Nurses’ Perception Of Pain Assessment In Cognitively Impaired Older Residents In Long-Term Care, Abigail Owolabi
Nurses’ Perception Of Pain Assessment In Cognitively Impaired Older Residents In Long-Term Care, Abigail Owolabi
Walden Dissertations and Doctoral Studies
AbstractPain has been a significant problem in old age and is more problematic in cognitively impaired older residents (CIOR) because of their inability to express themselves. The goal of pain assessment in CIOR is to treat pain before it escalates to behavioral problems. This descriptive qualitative study aimed to explore nurses’ perceptions of pain assessment in CIOR in long-term care facilities. Watson’s theory of human caring was used to frame the study. A purposive sample of eight nurses was recruited from two long-term care facilities for interviews conducted using the telephone and continued until saturation was reached. Data was manually …
Intersectionality Of Black Women Managers' Experiences With Gendered Racism In Corporate Finance, Venessa Marie Perry
Intersectionality Of Black Women Managers' Experiences With Gendered Racism In Corporate Finance, Venessa Marie Perry
Walden Dissertations and Doctoral Studies
Experiences of Black women with gendered racism remain a challenge in corporate America. Limited studies explore how Black women experience gendered racism due to the intersectionality of their dual identities. Black women experience chronic stress, burnout, and racial trauma. Disparities among Black women in management positions have gained traction and increased awareness; however, they remain underrepresented in corporate America. This qualitative study involved understanding Black women managers’ experiences with gendered racism in corporate finance. The generic qualitative study used intersectionality theory to illuminate the challenges of the intersecting identities of being a Black woman in corporate finance. Thirteen participants were …
Lived Experiences Of African American Women Engineers Regarding Employee Engagement, Organizational Support, And Organizational Commitment, Tamika Gwendolyn Riley
Lived Experiences Of African American Women Engineers Regarding Employee Engagement, Organizational Support, And Organizational Commitment, Tamika Gwendolyn Riley
Walden Dissertations and Doctoral Studies
African American women are underrepresented in the engineering workforce. Limited research exists focusing on the experiences of African American women engineers. This qualitative study aimed to understand the perceived lived experiences of African American women engineers concerning employee engagement, organizational support, and organizational commitment. Relational cultural theory and feminist theory comprised the theoretical framework used to guide this descriptive phenomenological study. Data were collected using semi structured interviews with 11 African American women engineers. An inductive thematic data analysis produced 15 themes to answer the study’s three research questions. The themes that addressed the first research question, on engagement, included …
Predictive Relationships Between Organizational Climate, Teacher Stress, And Teacher Turnover Intention, Susan L. Roebuck
Predictive Relationships Between Organizational Climate, Teacher Stress, And Teacher Turnover Intention, Susan L. Roebuck
Walden Dissertations and Doctoral Studies
The turnover rate for secondary school educators has increased to the highest in almost 30 years. Public teachers who leave teaching reported that general working conditions, increased job demands, and the inability to manage their workloads (organizational climate) contributed to their decision. The problem addressed in this study is that teacher turnover has negative impacts, including poor student performance and decreased teacher effectiveness of remaining teachers. The purpose of this quantitative correlational study was to determine the extent to which organizational climate and teacher stress predict teacher turnover intention. The theoretical framework applied to the interpretation of the statistical results …
Perception Of Effective Leadership Concerning Nurse Satisfaction And Intent To Leave, Tina Marie Rose
Perception Of Effective Leadership Concerning Nurse Satisfaction And Intent To Leave, Tina Marie Rose
Walden Dissertations and Doctoral Studies
Nurses are an essential part of patient care, and improving retention is important to quality outcomes and the cost of care. An integral aspect of nurse retention is job satisfaction, which may relate to communication provided by organizational leadership. The purpose of this quantitative study was to determine if there was a relationship between perceived effective leadership, nurse job satisfaction, and nurse turnover intent. This potential relationship between leadership communication and nurse turnover was studied with the competing values framework as the theoretical structure. The two research questions addressed the independent variables of perceived effective leadership in a hospital setting …
Principals’ Perceptions Of Their Role In Novice Teacher Retention In Title 1 Schools, Kassia Sutton
Principals’ Perceptions Of Their Role In Novice Teacher Retention In Title 1 Schools, Kassia Sutton
Walden Dissertations and Doctoral Studies
Current research suggests that retaining novice teachers, teachers with less than 5 years of teaching experience, in Title 1 elementary schools in the Southeastern United States is a problem for principals. Prior research on Title 1 elementary principal’s perceptions of their role in retaining novice teachers is limited. The purpose of this basic qualitative study was to examine six Title 1 elementary school principals’ perceptions of their role in retaining novice teachers in the Southeastern United States. The conceptual framework for this study was the job demands-resources theory, which defined working conditions through job demands and job resources. Purposeful random …
Hospital-Acquired Infections And Differences Between Magnet And Non-Magnet Hospitals, Linda Mary Valenti
Hospital-Acquired Infections And Differences Between Magnet And Non-Magnet Hospitals, Linda Mary Valenti
Walden Dissertations and Doctoral Studies
Hospital-acquired infections (HAIs), specifically clostridioides difficile (CDI) and methicillin-resistant staphylococcus aureus (MRSA) bacteremia, increase mortality and length of stay and cost the United States billions of dollars each year. Though preventable, continued incidence demonstrates that infection prevention interventions remain challenging for health system administrators. The purpose of this quantitative study was to identify whether there was a significant difference between Magnet accreditation and non-Magnet accreditation and the frequency of HAIs, specifically, CDI and MRSA bacteremia. The independent variable was Magnet accreditation status; the dependent variables were CDI and MRSA bacteremia. The foundation of the study focused on Donabedian’s framework of …
Transitional Care For The End Stage Renal Disease Patient, Elaine Vitto
Transitional Care For The End Stage Renal Disease Patient, Elaine Vitto
Walden Dissertations and Doctoral Studies
AbstractThe prevalence rates for end stage renal disease (ESRD) have continued to rise by approximately 20,000 cases per year, and the number of patients with kidney failure requiring dialysis in the United States had reached 554,038 at the end of 2018. Transition of care for patients between acute care facilities and other care facilities such as dialysis centers remains challenging for providers. Lack of clear communication between providers, poor patient understanding of post-hospital self-care, and gaps in healthcare scheduling contribute to a high rate of adverse events. This facility did not have a detailed clinical guideline for ESRD communication between …
Exploring The Benefits Of A Collaboration Between Behavioral Health Coaches And Clinicians, Devan White
Exploring The Benefits Of A Collaboration Between Behavioral Health Coaches And Clinicians, Devan White
Walden Dissertations and Doctoral Studies
This case study addressed how to best use health coaches in the field of behavioral health to improve the accessibility and outreach of a new program launched by the target organization that emphasizes coaching as an intervention for improving well-being and mental fitness. The purpose of this qualitative case study was to investigate the potential influence of coaching within the behavioral health field and explore how health coaches could partner with clinicians or behavioral health leaders to allow for more collaboration and accessibility to services. The RQs centered on how health coaches might support the treatment of those who have …
Former High School Bullying Victim Perceptions Of Support To Prevent Bullying Incidents, Aaron James John Woods
Former High School Bullying Victim Perceptions Of Support To Prevent Bullying Incidents, Aaron James John Woods
Walden Dissertations and Doctoral Studies
Bullying was a pervasive issue affecting high schools in the United States despite anti-bullying programs. The purpose of this qualitative study was to explore the perceptions of former high school bullying victims about why anti-bullying programs have not reduced incidents of bullying. The conceptual framework that supported this study was Bronfenbrenner’s ecology of human development, a theory that assumes an individual’s development is affected by the changing environment and the larger social context in which the environment resides. The research questions were designed to find out why anti-bullying efforts have been ineffective in preventing bullying incidents and what participants believe …
Retention Of Foster Parents For At-Risk Youth In Tennessee, Marvin Amos
Retention Of Foster Parents For At-Risk Youth In Tennessee, Marvin Amos
Walden Dissertations and Doctoral Studies
Federal legislation with the Family First Prevention Service Act (FFPSA) of 2017 required Tennessee to increase foster parent retention strategies. Tennessee does not have enough available foster homes for adolescents. The purpose of this generic qualitative study was to explore foster parent retention in Tennessee and to inform policymakers on how to adapt policy to increase the retention. The theoretical foundation for this study was based on the policy feedback theory, to identify the policy scope in Tennessee, and the two-factor theory, to guide the data analysis in the context of employee satisfaction and retention measures. Purposive sampling techniques were …
Former Juvenile Delinquents’ Perceptions Of Community Resources In Reducing Juvenile Recidivism, Mardochee Terese Casimir
Former Juvenile Delinquents’ Perceptions Of Community Resources In Reducing Juvenile Recidivism, Mardochee Terese Casimir
Walden Dissertations and Doctoral Studies
AbstractJuvenile recidivism is a concern for human service professionals who are dedicated to developing policies aimed at addressing and reducing such recidivism. The purpose of this generic qualitative study was to explore the perceptions of former juvenile delinquents as to how community institutions and resources prevented them from recidivating. Social learning theory was used to frame this study. Data were collected through semistructured interviews with nine former juvenile delinquents who had experience with community institutions and resource use. Saldana’s inductive coding process was used for data analysis. Nine themes were identified: (a) behavior modification contributed to prevention of recidivism, (b) …
Structural Empowerment Of Nurse Leaders In New York State During The Covid-19 Pandemic, Tracey Braithwaite
Structural Empowerment Of Nurse Leaders In New York State During The Covid-19 Pandemic, Tracey Braithwaite
Walden Dissertations and Doctoral Studies
The current phenomenological study explored the lived experience of Acting Chief Nursing Officers, Chief Nursing Officers, Chief Nursing Executives (henceforth CNOs) at hospitals in New York State who were charged with responding to executive orders while maintaining quality of patient care despite staffing constraints, inadequate supplies, or lack of additional support for the duties associated with their role. Their experience of structural empowerment in relation to the COVID-19 pandemic was also studied. The theoretical framework was Kanter’s theory of structural empowerment that addressed organizational behavior in the context of employee empowerment. The research question addressed how the CNOs perceived their …
Strategies Used By Small Traditional Retail Business Owners For Sustainability, Linda Ogbah Faas
Strategies Used By Small Traditional Retail Business Owners For Sustainability, Linda Ogbah Faas
Walden Dissertations and Doctoral Studies
Small businesses fail at an alarming rate, negatively affecting job creation because small business owners create a major portion of jobs in the United States. In March of 2020, 274,000 businesses failed in the United States, resulting in 76,000 lost jobs. Owners of small traditional retail stores are significantly challenged to avoid financial failure. Grounded in Schumpeter’s entrepreneurship theory, the purpose of this qualitative multiple-case study was to explore strategies owners of small traditional retail stores used to survive beyond the first 5 years of operations. Participants included five owners of small traditional retail stores in Missouri whose businesses survived …
Professional Discretion Of Child Protective Services Investigators In Foster Care Placements, Leonard Fikes
Professional Discretion Of Child Protective Services Investigators In Foster Care Placements, Leonard Fikes
Walden Dissertations and Doctoral Studies
Families of color in North Carolina have been disproportionately affected in the child welfare system, particularly in the foster care system. The purpose of this qualitative research study examined the discretionary powers of Child Protective Services (CPS) investigators and how they interpreted and applied child welfare policies that disproportionally impacted African American families from marginalized, underrepresented communities. Guided by Wallander and Molander’s professional discretion as the framework, this research expanded the current literature and increased awareness of racial disproportionality and the continued disproportionality of African American children in the child welfare system, especially foster care placements. The central research question …
Trauma-Informed Behavioral Health Leadership And Employee Engagement At A Child Advocacy Center, Andrew Krantz
Trauma-Informed Behavioral Health Leadership And Employee Engagement At A Child Advocacy Center, Andrew Krantz
Walden Dissertations and Doctoral Studies
Employee engagement is essential for an organization to meet its mission and vision. When employees are not engaged, there are higher levels of turnover, secondary traumatic stress, and burnout. Furthermore, when employees are not engaged, there is a decrease in the quality of patient care. Behavioral health leaders can positively impact employee engagement by engaging in trauma-informed behavioral health leadership. This qualitative case study reviews the impact of trauma-informed behavioral health leadership on employee engagement at a large Child Advocacy Center in the northeastern United States who was struggling with low levels of employee engagement and high levels of turnover …