Digital Commons Network^™

Educating Nurses To Implement Serious Illness Conversations, Colleen Patricia Desai

Walden Dissertations and Doctoral Studies

AbstractAs part of investigating staff nurses’ reluctance to have serious illness conversations (SIC) at a local hospital, an educational deficit was noted. Nurses articulated they felt uneducated about how to have a SIC with a patient in need and questioned if the practice of conducting SICs was part of the nurses’ scope of practice in the New England State where they were employed. The purpose of this project was to create an educational tool and have it validated by a multidisciplinary group of experts. Once validated, the goal will be to educate nurses, raise awareness on the topic of SICs, …

Staff Education To Promote Probiotic Breastfeeding Therapy, José Diaz

Walden Dissertations and Doctoral Studies

Preterm birth is the leading cause of death in children under 5. In addition, there are 22 million babies born underweight each year which also contributes to the infant mortality rate. Some reasons for the inability to thrive and survive are the infants' immature system, allostatic load inadaptability, and undiversified and underdeveloped microbiota. Human breast milk (HBM) provides lifesaving nutrients, which prevents necrotizing enterocolitis and mortality. In addition, probiotic supplementation helps reduce late-onset sepsis, morbidities, and mortality. A literature review provided substantial evidence that HBM and probiotics can improve an infant's microbiota, thus improving thrivability and survivability. Probiotics offset the …

Facilitating Staff Education To Improve Effective Styles Of Nursing Leadership In An Orientation Setting, Tammy Melinda Finney

Walden Dissertations and Doctoral Studies

Nursing leadership is the cornerstone of the ever-changing landscape of healthcare. Minimal courses are included in nursing curriculums to prepare nurses to become proficient and develop knowledge of nursing leadership styles. There is a direct correlation of evidence-based leadership styles that impact effective communication, improved patient outcomes, succession planning, nursing retention, and relationship management. In an effort to bridge the gap of knowledge, an educational face-to-face training was developed and presented to new nursing staff in an orientation setting. The project practice question focused on commitment from nursing staff to implement increased knowledge of nursing leadership styles into their practice. …

Implementation Of Response To Intervention In An Urban Elementary School, Carla P. Graham

Walden Dissertations and Doctoral Studies

AbstractIn an urban Midwestern elementary school, the teachers and administrators were perplexed by the rise in special education referrals even with the implementation of response to intervention (RTI). The problem addressed in this study is the general education teachers’ implementation of RTI to identify if there were any gaps in practice and, if so, to create a plan that could correct those gaps and potentially decrease the number of special education referrals and students identified for special education services. The conceptual framework for this study was the multitiered system of support, of which RTI is one component. Four research questions …

Food Environment As A Moderator In The Relationship Between Ultra-Processed Food Intake And Mortality In The United States, Brandon Jerod Grandy

Walden Dissertations and Doctoral Studies

According to recent studies, the consumption of ultra-processed food is a major issue that leads to fatal outcomes within the United States, which is relevant because this type of food has become more accessible over the years. Using data from the National Health And Nutrition Examination Survey III (NHANES III), previous researchers found that frequent consumption of ultra-processed foods was associated with greater chances of all-cause mortality in U.S. adults, but little research has focused on factors that can impact ultra-processed food consumption, such as food environment. The purpose of this quantitative longitudinal study was to examine the effect of …

Stressors And Depression Among Adolescents With Co-Rumination As A Moderator, Angela Grosso-Burke

Walden Dissertations and Doctoral Studies

Stress, depression, and co-rumination have been a focus of scholars in recent years. Although studies have considered the relationship among stressors, depression, and co-rumination, little is known about the moderating effects of co-rumination. This study aimed to address the gap in the literature by examining moderating effects of co-rumination on relations between stressors and depression, along with further moderating effects of sex, race, and grade. The current study examined mean-level race, sex, and grade differences in the relation among stressors (total, family, peer, physical appearance, sport/physical activity, school) and depressive symptoms in adolescents. Analyses were conducted to determine the relationship …

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 Effect Of Public Budgeting Decisions And Tuition Costs On Student Graduation Outcomes In Michigan, Travis Charles Hadden

Walden Dissertations and Doctoral Studies

AbstractTuition costs for U.S. public universities have steadily risen in response to decreased state funding in the aftermath of the 2008 Great Recession. Researchers have studied the relationship between public budgeting and higher education but have not established the direct effects of budgeting decisions on student graduation outcomes. The purpose of this quantitative study was to understand why state funding has not kept up with tuition prices and how that affects student graduation rates. The effect of (a) tuition costs and (b) Michigan state funding for public universities on student outcomes was examined. Punctuated equilibrium theory and policy feedback theory, …

The Correlation Of Adverse Childhood Experiences And Pornography Consumption In Adulthood, Branden Henry

Walden Dissertations and Doctoral Studies

Over the past 25 years, significant research has gone into understanding how adverse childhood experiences (ACEs) correlate with a variety of negative health and behavioral outcomes, while at the same time, pornography consumption has increased dramatically. However, limited research has been done to understand whether a relationship exists between ACEs and pornography consumption. Attachment theory, which was used as the theoretical framework for this study, includes the idea that childhood experiences play a major role in a person’s development of various behaviors throughout life, including coping mechanisms like pornography consumption. The purpose of this quantitative, cross-sectional, correlational study was to …

Professional Staffing Small Business Strategies For Reducing Voluntary Employee, Gwendolyn L. Johnson

Walden Dissertations and Doctoral Studies

Some small business owners need help reducing voluntary employee turnover, often putting the business at risk for performance failure. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative single case study was to explore strategies professional staffing small business owners used to decrease voluntary employee turnover. The participants were five professional staffing small business leaders in the Washington, D.C., area with successful strategies to retain talented employees. Data were collected through semistructured interviews and analyzed using Yin’s five-step process. Three themes emerged: (a) employee recognition, (b) communication, and (c) advancement and training. A key recommendation for small business owners …

Identifying Supervision And Training Needs Within A Native American Reservation Co-Occurring Treatment Program, Jennifer Jones

Walden Dissertations and Doctoral Studies

Native American rural communities are not without substance abuse treatment needs; however, highly skilled mental health providers are often limited on a reservation, which leaves this population with clinicians with less experience and education. This project is a case study of a substance abuse treatment program within a Native American tribe in the western portion of the United States. The practice-focused research questions directly related to the training, certification, and education of staff in the addiction field, and to the ways in which the program evaluated the efficiency and effectiveness of the staff members. The purpose of this study was …

Traditional Healing And Biomedicine Use In Urban American Indians Living With Diabetes, Elin Elise Kambuga

Walden Dissertations and Doctoral Studies

The purpose of this interpretative qualitative study was to describe influences that affect the use of traditional healing and biomedical health services for type 2 diabetes to help health educators develop more culturally competent diabetes education programs for urban American Indian/Alaska Native (AI/AN) communities in the United States. The theoretical framework used for this study was the social ecological model (SEM). Using the SEM, the research questions were crafted to explore experiences of participants connected to personal, interpersonal, community, institutional, policy, and educational factors that influenced the use of traditional healing and biomedical health services. Urban AI/AN adults living in …

The Association Between Working Habits And Hypertension Among First Generation African Immigrants, Olalekan Kilo

Walden Dissertations and Doctoral Studies

Even though hypertension affects people of all races, it is more prevalent among African Americans. However, recent research has revealed that the prevalence of hypertension is progressively increasing across Africa. African immigrants in the United States are the least-studied immigrant group prone to health inequalities when compared to their African American counterparts. To help bridge this gap, a secondary data analysis of a cross-sectional study was conducted to investigate the association between working habits (hours worked, diet at work), length of stay in the United States, and hypertension rates for first-generation African immigrants residing in the United States. The study …

Discipline Without Punishment For African American Male Juveniles: From The Eyes Of A Mental Health Professional, Mia Nichole Lee

Walden Dissertations and Doctoral Studies

Juvenile rehabilitation and incarceration among African Americans are not equal and up to the standards and recommendations of society. This study focused on identifying the differences between the juvenile rehabilitation and incarceration punishment among African American offenders, with the goal of helping improve the way that the society looks at African Americans. The paper followed qualitative research methodology, which provided social evidence and helped in breaking down information. Data were collected from focus groups, observations, questionnaires, and interviews. The research highlights issues regarding juvenile rehabilitation and incarceration of African Americans, which can encourage change.

An Examination Of The Impact Of Police Chaplain Programs And Spirituality On Police Officers’ Mental Health, Samuel Protel Maxwell

Walden Dissertations and Doctoral Studies

Spirituality has been a fundamental aspect of treating post-traumatic stress disorder (PTSD) in many officers. PTSD affects a high percentage of officers and many of whom live a highly stressful and traumatic life even outside of work. The purpose of this qualitative study was to examine the impact of police chaplain programs and spirituality on police officers' mental health. The research question asked how a police chaplain program and spirituality impacted police officers. This study's theoretical framework was Pargament's theory. Qualitative research with a narrative analysis design was chosen to collect data from semi-structured interviews. The 10 participants, including six …

Perceptions And Knowledge Of Information Security Policy Compliance In Organizational Personnel, Jesus M. Mosqueda

Walden Dissertations and Doctoral Studies

All internet connected organizations are becoming increasingly vulnerable to cyberattacks due to information security policy noncompliance of personnel. The problem is important to information technology (IT) firms, organizations with IT integration, and any consumer who has shared personal information online, because noncompliance is the single greatest threat to cybersecurity, which leads to expensive breaches that put private information in danger. Grounded in the protection motivation theory, the purpose of this quantitative study was to use multiple regression analysis to examine the relationship between perceived importance, organizational compliance, management involvement, seeking guidance, and rate of cybersecurity attack. The research question for …

The Effects Of Gender, Age, And Year Of Study On Occupational Therapy Students’ Social Media Competency, Vikram Pagpatan

Walden Dissertations and Doctoral Studies

Occupational therapy students (OTSs) who misuse social media within academic and clinical learning environments may increase the instances of ethical health care violations and breaches of professional codes of conduct. The purpose of this quantitative, cross-sectional study was to assess the social media competency (SMC) scores of OTSs based on year of study, age, and gender. As a result, the research questions were developed to compare the SMC of OTSs based on year of study, age, and gender. The study was grounded by Bandura’s social learning theory and a rationale for allowing social media use in the curriculum. An archived …

Teachers' Perspectives Of Implementing Language Modeling In Pre-Kindergarten Classrooms, Gena R. Puckett

Walden Dissertations and Doctoral Studies

Teachers’ language modeling skills are important for children’s language development and school readiness. However, 34% of pre-kindergarten (pre-K) classrooms score in the low range on the language modeling dimension of the CLassroom Assessment Scoring System (CLASS) observation tool within the instructional support domain in a southern state. For this basic qualitative study, the purpose and research questions explored pre-K teachers’ perspectives on the challenges of implementing language modeling and the type of support they need to improve language modeling skills in a southern state. The conceptual framework that guided the study was Vygotsky’s sociocultural theory, specifically the concepts of the …

Staff Education For Enhancing Radiation Oncology Nurse Competency, Rebecca A. Mcclelland

Walden Dissertations and Doctoral Studies

Walden University

College of Nursing

This is to certify that the doctoral study by

Rebecca McClelland

has been found to be complete and satisfactory in all respects, and that any and all revisions required by the review committee have been made.

Review Committee Dr. Francisca Farrar, Committee Chairperson, Nursing Faculty Dr. Anna Hubbard, Committee Member, Nursing Faculty Dr. Corinne Wheeler, University Reviewer, Nursing Faculty

Chief Academic Officer and Provost Sue Subocz, Ph.D.

Walden University2023

Abstract Staff Education for Enhancing Radiation Oncology Nurse Competency by Rebecca McClelland

MSN, University of Phoenix, 2016BSN, South University, 2011

Project Submitted in Fulfillment of the …

Teachers’ Use Of Game-Based Technology Assessment Tools In United Arab Emirates Middle Schools, Simone Saad

Walden Dissertations and Doctoral Studies

Using technology in the 1:1 classroom has been a focus of scholars and has become the educational standard for many schools, especially those in the United Arab Emirates (UAE). However, researchers have demonstrated that even though access to laptops is no longer an issue in many schools, there remains low integration of engaging activities in the 1:1 classroom. The problem addressed in this study was the lack of adopting and incorporating game-based technology assessment tools at two middle schools in Abu Dhabi, UAE, both of which are 1:1 schools. The purpose of this basic qualitative project study was to better …

Associations Of Stress, Health Behaviors, And Obesity Among African American Immigrants, Wole David Akinsola

Walden Dissertations and Doctoral Studies

AbstractObesity has been identified as a predisposing factor that poses a serious threat for the development of chronic diseases and contributes to health disparities affecting both minority and vulnerable populations. Though previous studies reported the association of stress with health status and behavior, there is little or no research on the heterogeneity of obesity predictors in specific minority populations in the United States. The purpose of this study was to examine the predictors of obesity among adult African American immigrant populations in the United States. Studying obesity in this population may help policymakers tailor interventions that could reduce obesity prevalence. …

How College Professors Perceive The Managements Of Deliberate Acts Of Classroom Incivility Among Students, Sara Bengsch

Walden Dissertations and Doctoral Studies

Despite the negative consequences of incivility, there is a lack of research on how professors handle intentional student-to-student incivility. To address this gap, this study used qualitative, interpretative phenomenological research design to explore the experiences of 14 professors who have been teaching for five or more years at the university level in Dodge and Fond du Lac Counties in southeastern Wisconsin. The lens of facework and politeness theory was utilized. The data collected were analyzed using NVivo software, which identified five themes based on patterns within the interviews: intervention strategies, motivations, policies, participant worldview, and skills. These themes provided valuable …

Associations Between Socioecological Factors And Breastfeeding Duration Among Obese Mothers In Mississippi, Maria Mercedes Miranda Porter

Walden Dissertations and Doctoral Studies

There is a growing obesity pandemic in the United States. Low breastfeeding duration rates and socioecological factors lead to obesity in the most southern states. Overweight and obese breastfeeding mothers have not been primarily studied. There is mixed information regarding duration of breastfeeding, BMI, and heart health, as well as a lack of quantitative analyses involving reducing obesity rates in mother-child dyads. The purpose of this quantitative cross-sectional study was to investigate whether there were any associations between breastfeeding duration and BMI, heart health problems, breastfeeding support, and eating and exercise among Mississippi overweight and obese postpartum women based on …

Exploring The Implementation Of Culturally Relevant Pedagogy To Support Black Male Middle School Students’ Success In Math, Shwanda Ifeoma Onwuachi-Robinson

Walden Dissertations and Doctoral Studies

AbstractTeachers’ understanding of the socioeconomic background may result in improved skills at addressing the barriers to the academic achievement for middle school Black male students. However, there is a lack of understanding regarding teachers’ perceptions of barriers and culturally relevant pedagogy (CRP) efficacy when educating Black students in the literature. The purpose of this basic qualitative study was to gain an understanding of how teachers are implementing CRP to support the academic achievement of middle school Black male students in math. Ladson-Billings’ culturally relevant pedagogy was used as the theoretical framework for this study. This study included research questions regarding …

Early Childhood Teachers’ Perspectives On Professional Development Activities, Gordia A. Ross

Walden Dissertations and Doctoral Studies

AbstractEarly childhood teachers are an essential part of the education system in the United States, and professional development is a key means of ensuring that they have the required skills and education to meet the developmental needs of their young students. Although researchers have examined the professional development of kindergarten to Grade 12 teachers, they have not adequately explored early childhood practitioners' perspectives of professional development activities that support implementation of best practices. The purpose of this basic qualitative study was to explore early childhood educators' perspectives of professional development activities, using Knowles’s adult learning theory(andragogy) as the theoretical framework. …

Strategies Information Technology Leaders Used In Implementing Remote Work During The Covid-19, Jouliana Kamal Barghouth

Walden Dissertations and Doctoral Studies

With the imposed lockdown in many countries due to the spread of COVID-19, many leaders were forced to adopt online technologies in transitioning employees to remote work. Leaders not adopting online technologies or remote work during a pandemic are highly susceptible to business closure. Grounded in the technology acceptance model, the purpose of this qualitative single case study was to explore strategies information technology (IT) leaders in Kuwait used to successfully transition employees to remote work during the pandemic. The participants were six IT leaders from a single multinational IT organization who contributed to strategy development during the pandemic to …

Fall Prevention On The In-Patient Neurological Stroke Unit, Syvol Letwan Middleton

Walden Dissertations and Doctoral Studies

AbstractThe purpose of this quality improvement (QI) evaluation project was to decrease patient falls on a neurological stroke unit. This unit had the most falls throughout the hospital system. The unit averaged 50-60 falls per year with an average of 4.75 falls per month. Guided by Neumann’s system model, the project targeted those patients at the highest risk for falling related to deficits post-stroke and post-neurological disease process. Staff were informed about Last fall, Express needs, Awareness of safety, and Frequency of bowel and bladder (LEAF) to determine if this tool could decrease falls in the neurological stroke population patients. …

Parents’ Perceptions Of Low Involvement In An Urban Secondary School, Stephanie Pounders

Walden Dissertations and Doctoral Studies

Parent involvement is an important contributor to students’ academic and social success in school; however, parent involvement at an urban secondary school has lagged, specifically in activities that have been shown to have a positive influence on student achievement. The research problem focused on parents’ perceptions of their participation, reasons for and against engaging in school activities, and what the school under study could do to support their involvement. The purpose of this study was to explore parents’ perceptions about their involvement in school activities as a means of identifying strategies to increase their engagement. A conceptual framework based on …

Teachers' Perspectives Of Implementing Language Modeling In Pre-Kindergarten Classrooms, Gena R. Puckett

Walden Dissertations and Doctoral Studies

Teachers’ language modeling skills are important for children’s language development and school readiness. However, 34% of pre-kindergarten (pre-K) classrooms score in the low range on the language modeling dimension of the CLassroom Assessment Scoring System (CLASS) observation tool within the instructional support domain in a southern state. For this basic qualitative study, the purpose and research questions explored pre-K teachers’ perspectives on the challenges of implementing language modeling and the type of support they need to improve language modeling skills in a southern state. The conceptual framework that guided the study was Vygotsky’s sociocultural theory, specifically the concepts of the …

The Influence Of Associate Degree Attainment On Baccalaureate Degree Completion For Reverse Credit Transfer Students, Jonathan Taggart Reece

Walden Dissertations and Doctoral Studies

Nationally, reverse credit transfer is a practice of transfer credit. The reverse transfer program at the study site was implemented in 2013, but no information had been analyzed about the experiences of participating students. This study explored students’ experiences of the reverse transfer program at the study site. The theory of student persistence framed the study to understand students’ early departures from a two-year institution and persistence at a four-year institution. The research question was designed to capture students’ experiences with and perceptions of the reverse transfer program. In this basic qualitative study, 12 reverse transfer program participants were interviewed. …