Digital Commons Network^™

Adolescent Bereavement After Sudden Loss Of A Close Friend, Alora Elizabeth Zulliger

Walden Dissertations and Doctoral Studies

Despite the prevalence of sudden death in adolescence, there is a deficiency of resources and support for adolescents who have lost a close friend to premature death. These resources are vital, as the sudden and unexpected death of a close friend is often traumatizing and can contribute to a sense of instability in young people. Although a great deal of academic research has been conducted on sibling or parental grief during adolescence, there existed a need for further research on peer loss during adolescence. Therefore, the purpose of the study was to describe the essence and meaning of the lived …

Andragogical Methods And Teaching Strategies Used In Community College Composition Courses, Octavia Thorns-Jackson

Walden Dissertations and Doctoral Studies

A midwestern community college utilized a corequisite model to accelerate students’ developmental education that allows adult learners to take developmental writing and English composition simultaneously. First-year composition instructors had no formal training at the college on andragogical methods and teaching strategies to foster successful completion in developmental and first-year composition courses. The purpose of this basic qualitative study was to explore the andragogical methods and teaching strategies of six successful full-time and adjunct developmental writing and first-year composition instructors as well as what these instructors need to improve their approaches with these students. The study was grounded in a conceptual …

Mental Health Outpatient Services And Hospital Readmissions Among Adolescent Patients In Louisiana, Whitney Walker

Walden Dissertations and Doctoral Studies

Hospital admissions and readmissions among Medicaid patients significantly impact increased healthcare costs for the state of Louisiana and are associated with poor quality of care. The specific research problem under study was the relationships, if any, between mental health outpatient services in Louisiana, either individual therapy or home and community-based services post-hospital discharge, gender of the patient, and age of the adolescent patient with the number of hospital readmissions over 1 year. Secondary quantitative data analysis was performed using the Island Peer Review Organization Annual External Quality Review Technical Report and data from the managed care organization in Louisiana. No …

Relationship Between Generational Age Differences, Gender, And Unemployment Rates: An Ex-Post Facto Study, Khader Jumah Al-Mahdawi

Walden Dissertations and Doctoral Studies

Recent research has pointed out a critical problem of high rates of youth and young adults who are neither in school nor in the workforce. It is important for human resource managers to understand how to keep young adults engaged and gainfully employed to maximize economic output and maintain a stable social order. Grounded in the theories of frictional unemployment and the generational theory, the purpose of this quantitative ex post facto study was to examine the relationship between gender, different generational ages, and unemployment rates, to determine how to maximize youth employment and balance the workforce across genders and …

Moral Foundations For Political Party Preference Among Residents Of Politically Polarized U.S. Cities, Antoine Lee Barton

Walden Dissertations and Doctoral Studies

Excessive polarization, partisanship, and animosity can promote legislative gridlock in the American political electorate and can have a negative impact on democracy. The purpose of this qualitative study was to obtain a greater understanding of the moral foundations used by residents in polarized cities to determine political party preferences. Haidt and Graham’s moral foundations theory and Janis’s groupthink theory provided the conceptual framework. Secondary data consisting of open-ended responses from the 2020 American National Election Studies time series study were used. Secondary data were collected regarding likes and dislikes about the two major political parties (Democrat and Republican) from respondents …

Strategies For Improving The Interoperability Of Private Practices’ Electronic Health Care Systems, Anasa N. Holden

Walden Dissertations and Doctoral Studies

AbstractCommunication of data exchange is essential for all healthcare service lines to ensure the highest quality of care. For a long time, private practices and small businesses have needed help implementing electronic healthcare systems interoperability. Grounded in the technology acceptance model, the purpose of this qualitative multiple case study was to explore strategies private practices and small businesses use to sustain electronic healthcare systems with interoperability effectively. The participants were six CEOs, managers, and leaders of private practices and small businesses in Detroit, Michigan, with direct healthcare service lines that effectively sustained electronic healthcare systems with interoperability. Data were collected …

African Public Leadership On Technology Readiness And Diffusing The Circular Economy In Sub-Saharan Africa, Evans Jakpa-Johns

Walden Dissertations and Doctoral Studies

Sub-Saharan Africa is not yet ready to embrace the digital and the fourth industrial revolution, and there remains a literature gap about technology readiness and effective technology diffusion to support a circular economy transition in West and East African countries. The purpose of this qualitative, multiple case study was to describe African public leadership experts' views on how sub-Saharan African leaders can enable technology readiness and the technology diffusion needed for a successful transition to a circular economy. A multiple case study design was used to collect data from a purposeful sample of 14 African public leadership experts. Semistructured interviews, …

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 …

Childhood Experiences Of Black Americans Growing Up With A Suicidal Sibling, Barbara Maulding

Walden Dissertations and Doctoral Studies

Through this retrospective interpretative phenomenological analysis (IPA) qualitative research project, the childhood experience of growing up with a sibling who experienced a non-fatal suicide attempt was explored. The researcher used IPA as the conceptual foundation. This qualitative phenomenological study included interviewing eight siblings to retrospectively explore the childhood experience of growing up with a suicidal sibling (who had at least one incident of nonfatal suicidal behavior). The interview with each participant consisted of one interview and one follow-up review per Seidman’s semi-structured interviewing guide for phenomenological research. The results were analyzed using hand coding to explore the thematic elements. The …

The Effects Of Vesico-Vaginal Fistula In The Lives Of Women In Southeastern Nigeria, Chioma Esther Amutaigwe

Walden Dissertations and Doctoral Studies

Vesico-vaginal fistula (VVF) is a maternal health problem faced by women in developing countries. VVF is one of the most devastating consequences of prolonged obstructed labor and is still prevalent in resource-poor countries like Nigeria where fertility is high, the status of women is low, and obstetric services are often inadequate. The objective of this study was to enrich our understanding of the effects of VVF as it relates to women’s experiences in southeastern Nigeria. I adopted the Transactional Model of Stress and Coping in this study; this theory posits that people, when contending with any kind of stressors, are …

The Role Of Diversity Management Policies And Practices In Advancing Inclusive Culture, Christopher Emeka Babundo

Walden Dissertations and Doctoral Studies

AbstractThe Roles of Diversity Management Policies and Practices in Advancing Inclusive Culture by Christopher Emeka Babundo

MBA, Azusa Pacific University, 2014MA, Azusa Pacific University, 2013 BS, University of Benin, Nigeria, 2002

Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Industrial and Organizational Psychology

Walden UniversityAugust 2023

An Exploration Of The Lived Experiences Of Individuals Living With Hiv/Aids In Rural Uganda, Godfrey Ddungu

Walden Dissertations and Doctoral Studies

HIV/AIDS is the most stigmatized health condition globally, yet there are limited studies that have examined the needs of rural Ugandans diagnosed with HIV/AIDS. At a time when Ugandan voices could assist in the development and implementation of prevention and intervention strategies to reduce the spread of the virus, these voices remain unheard and silenced. The purpose of this phenomenological study was to describe the lived experiences of HIV-positive men and women in rural Uganda. A transcendental phenomenological approach provided the framework and design. This research used eight participants who were attending an AIDS health care center in Uganda. In-depth …

Risk Factors Of Human Papillomavirus Positive Oropharyngeal Cancer In Men, Kentress Davison

Walden Dissertations and Doctoral Studies

The human papillomavirus (HPV) is a leading domestic and global sexually transmitted disease. The purpose of this secondary quantitative, cross-sectional study is to investigate if there is an relationship between the rate of oral HPV-oropharyngeal squamous cell carcinoma (OPSCC) and race, exposure to smoking cigarettes (tobacco), risky sexual behavior, and participation in oral sex of male-to-male contact vs. male-to-female contact. The social cognitive theory grounded this study. The University of Alabama at Birmingham cancer database population supplied the study’s sample size of 337 males greater than 18 years of age with a diagnosis of OPSCC. I conducted descriptive analyses using …

Implementing Corporate Social Responsibility Strategies To Enhance The Profitability Of Firms, Franklin Alexander De La Rosa

Walden Dissertations and Doctoral Studies

Ineffective corporate social responsibility (CSR) strategies can negatively impact a company’s competitive advantage. A lack of competitive advantage may lead a business leader to experience poor performance and lost profits. Grounded in the stakeholder theory, the purpose of this qualitative multiple case study was to explore strategies some commercial banking, loan, and savings association leaders used to ensure successful CSR programs to enhance profitability. Participants comprised four leaders in Puerto Rico who successfully established CSR strategies to improve organizational profitability. Data were collected from semistructured interviews and banking websites. Thematic analysis was used to analyze the data. Three themes emerged: …

Strategies For Competing With Large Corporations Among Small Property Management Businesses, Dennis Halverson

Walden Dissertations and Doctoral Studies

Small businesses in the United States play a significant role in economic growth, yet many of these enterprises fail because of their inability to compete with larger firms. Finding solutions can help small business owners develop a competitive edge, compete with larger organizations, and sustain their operations. Grounded in entrepreneurship theory and stakeholder theory, this qualitative multiple case study was conducted to explore how small property management business owners sustain their businesses when competing against larger companies. The participants were three leaders of three small property management companies in Minnesota who successfully competed against larger corporations. Data were collected through …

Predictors Of Psychoactive Substance Abuse Among Eastern Nigeran Youth, Kingsley Chidiebere Izuka

Walden Dissertations and Doctoral Studies

AbstractPsychoactive substance (PAS) abuse is a major public health problem leading to increased morbidity and mortality. In Nigeria, the incidence rate of PAS abuse has remained high, particularly in the youth population. The purpose of this study was to examine the influence of social factors and school enrollment status on PAS abuse in youth in Southeast Nigeria. The social ecological model and the theory of reasoned action were the theoretical frameworks used for this study; they were selected due to their focus on multiple levels of factors that influence behavior. A quantitative cross-sectional study design approach was used to determine …

Association Of Income, Education, Employment And Covid-19 Mortality In Brazil, Marcelina Machado

Walden Dissertations and Doctoral Studies

The increased mortality rates from COVID-19 in Brazil have adversely affectedvulnerable populations and placed a severe burden on its public health system as compared to other nations. Focusing on socioeconomic status as a risk factor in this retrospective cohort study, I investigated the association between Brazilian COVID-19 mortality rate, income, school enrollment rate, and employment rate after controlling for the demographics and immunization rate. This is an important issue as an increase in incidence and mortality rates affects how governmental and public health leaders can effectively control and prevent disease spread. Using the fundamental causes of disease theory as the …

Age, Race/Hispanic Origin, And Covid-19 Mortality Among Sickle Cell Disease Patients In The United States, Joe Lamont Ndula

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic remains a global health challenge, with 6.7 million deaths worldwide as of January 2023. It has illuminated the health iniquities in underserved communities and populations like those with sickle cell disease (SCD). Researchers have associated the COVID-19 outcome among SCD patients in other regions of the globe. The purpose of this retrospective cross-sectional observational study was to investigate the relationship between age, race/Hispanic origin, and COVID-19 mortality among persons with SCD in the United States from January 2020 to March 2021. The Krieger ecosocial theory of disease distribution framed the study. Data were drawn from an existing …

Successful Innovation Strategies Of Ugandan Small And Medium Enterprises, Fidelis W. Oketch

Walden Dissertations and Doctoral Studies

Uganda’s small and medium enterprises (SMEs) face high business failure rates. Fifty percent of SMEs in Uganda fail during the first year of operations due to poor business performance stemming from the lack of innovative strategies and consistent policies for SMEs to guide their growth and development. Grounded in disruptive innovation theory, the purpose of this qualitative multiple-case study was to explore the innovation strategies leaders of SMEs in Uganda use to improve business performance. The participants included five leaders of five SMEs in Uganda with successful experience implementing innovation strategies to improve business performance. Data were collected from semistructured …

Evaluating U.S. Household Telemedicine Use In Primary Care Settings, Robert Osobase

Walden Dissertations and Doctoral Studies

AbstractThe COVID-19 pandemic's arrival in the United States restricted access and use of telemedicine in primary care providers (PCPs) settings. Addressing this issue is crucial since telemedicine is a confirmed method of encouraging patients and PCPs to promote quality health care. This quantitative study investigated the association between age, gender, and race, and PCPs offering telemedicine and U.S. household adults using telemedicine during COVID-19 pandemic in 2021. The Donabedian framework, which considers aspects of an organization's structure, process, and outcome, served as the study's foundation, incorporating age, race, and gender as independent variables, and PCPs and US adults as dependent …

Manufacturing Business Managers' Strategies To Increase Employee Engagement, Jennifer Morgan-Petgrave

Walden Dissertations and Doctoral Studies

AbstractEmployee engagement is critical for manufacturing businesses to achieve higher productivity, competitive advantage, and sustainability. Manufacturing business managers who implement effective strategies can potentially enhance employee job satisfaction to increase employee engagement. Grounded in Kahn’s personal engagement theory, the purpose of this qualitative multiple-case study was to explore strategies manufacturing business managers use to increase employee engagement. The participants were four manufacturing business managers from two manufacturing businesses in the southeastern region of Jamaica who successfully implemented strategies to increase employee engagement. Data were collected from semistructured interviews and company documents. Yin’s five-phase process was used to analyze data. Three …

Language Barrier: An Unmet Challenge For Low Screening Of Colorectal Cancer Among Hispanic Americans In Texas, Moses Owusu

Walden Dissertations and Doctoral Studies

AbstractHispanic population represents the fastest growing minority group in the United States, and only California surpasses Texas with Hispanic residents in the United States. Overall, non-Hispanic Whites have higher rates of colorectal cancer (CRC) incidence than Hispanics; however, Hispanic Americans have lower survival rates than non-Hispanic Whites. Using cross-sectional analysis, CRC screening modalities were examined to assess disparities among White only, non-Hispanic, Black only, non-Hispanic, and Hispanic populations in Texas to evaluate the impact of limited English proficiency (LEP) on CRC screening among Hispanic Americans residents. The age of study participants ranged from 50 to 79 (mean age = 65.8 …

Teachers’ Perceptions Of The Influence Of Teacher Evaluation Process Feedback On Improving Instructional Practice, Ericilda Ottley Herman

Walden Dissertations and Doctoral Studies

Research has shown that teacher evaluation feedback has not positively impacted teachers’ practice or instruction. An average of 53% of U.S. Virgin Island teachers disagreed or strongly disagreed on the value of the feedback they received from administrators on the evaluation system. The purpose of this basic qualitative study was to explore the influence of administrator feedback on the teacher evaluation system as it related to improving teacher instructional practice. Two research questions focused the study approach, one on teacher perceptions of the influence of administrator feedback to enhance their instructional practice and the other on teacher perceptions of the …

Family Perceptions Of Mental Health Service Use Among Mexican Americans, Vickie Gayle Nethercott

Walden Dissertations and Doctoral Studies

AbstractMexican immigrants are less likely to use psychiatric services compared to people from other race or ethnic groups in the United States, yet little is known about the reasons why the Mexican American population are less likely to seek mental health services. A qualitative descriptive study, guided by Leininger's culture care diversity and universality care theory, was used to explore the perceptions of mental health service use and barriers to psychiatric services for Mexican American immigrants living in the United States. After institutional review board approval was obtained, flyers were placed in five churches in a northwestern U.S state where …

The Experiences Of Latina Police Officers In Patrol, Jasmine Ivonne Reilly

Walden Dissertations and Doctoral Studies

The purpose of this research was to describe the experiences of Latina police officers working in a patrol function. Latina officers working in law enforcement agencies must contend with an agency that is traditionally male and White, leaving these officers with the need to navigate territory that has, historically, not taken their needs into account. In an age where police agencies are attempting to better serve the public, the need for officers that fit minority demographic characteristics is necessary if police agencies are to continue legitimizing their space in modern American society. This research addressed some of the issues that …

Nurse Education Regarding Hypertension And Use Of A Follow-Up Call Protocol In Primary Care, Edwin Omar Rivera-Figueroa

Walden Dissertations and Doctoral Studies

AbstractMany patients whose primary or secondary chronic condition is hypertension present to their first follow-up appointment in a primary care facility in the north of Puerto Rico with uncontrolled high blood pressure. Nurses’ knowledge of hypertension is vital to addressing a gap in practice for this patient population and patient quality of life and the prevention of cardiovascular diseases. The practice-focused question guiding this project focused on a nurse educational session for increasing hypertension management knowledge as well as a follow-up phone call protocol that aimed to improve patient care. The theoretical framework guiding this project was Pender’s health promotion …

Academic Performance And E-Cigarette Use Among Teenagers, Jeremy Tan Rondael

Walden Dissertations and Doctoral Studies

Early e-cigarette use by youth has the capacity to create an early addiction to nicotine, increasing the risk of life-long dependency and the possible development of multiple cardiovascular and pulmonary diseases. Reinforced by the socioecological model, the purpose of this study was to determine if academic performance is associated with e-cigarette use among teenagers and young people and if the presence of adverse childhood events (e.g., cyberbullying in school and/or the presence of homelessness) mediated this association. This study included all respondents (N = 1,401) from the state of Nevada who answered the 2019 National Youth Risk Behavior Survey. Binary …

Teacher And Administrator Perceptions Of The Effectiveness Of Instructional Coaching, Judith Salazar

Walden Dissertations and Doctoral Studies

Instructional coaching focuses on increasing the effectiveness of instructional practices. However, little is known concerning the perceptions of teachers and administrators regarding the role of instructional coaching related to student performance. This basic qualitative study was conducted to analyze the perceptions of administrators and teachers within one region in Texas. Semistructured interviews were conducted with 16 participants—eight administrators and eight teachers—using a researcher-designed questionnaire regarding the effectiveness of instructional coaching in addressing achievement gaps among African American, Hispanic, and European American students. Fullan’s coherence framework provided the basis for data analysis. Data collected from the interviews were analyzed and four …

An Examination Of Chronic Homelessness From The Perspective Of Counseling Professionals In Southeast Florida, Tonia Jackson

Walden Dissertations and Doctoral Studies

Homelessness continues to be a serious social problem in the United States. Despite the public and private resources expended to address homelessness, the crisis still exists. This phenomenological study was framed in Maslow’s human needs approach. Maslow created a list of basic five human needs to gain a better understanding of human behavior and motivation. The human behavior theory can also be applied to homelessness to provide a deeper understanding of the phenomenon. The research question addressed the strongest factors that counseling professionals consider to be related with chronic homelessness in Southeast Florida. Data were collected through semi-structured interviews of …

The Social Construction Of Performance Enhancing Steroid Policies And Their Impact On U.S. Army Service Members, Trevor Scott Jackson

Walden Dissertations and Doctoral Studies

The United States military has seen a continued rise in the use of illicit performance enhancing substances, particularly androgenic-anabolic steroids (AAS), by service members in highly demanding occupational specialties. Despite these rising trends, there remains a lack of understanding of how U.S. Army substance abuse policy impacts service members’ motivations to use banned performance enhancing drugs. The purpose of this qualitative study was to better understand the motivations of service members who use performance enhancing AAS, as well as the impacts of substance abuse policies on those individuals. This study’s questions asked how social constructs and Army policy impacted service …