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Walden Dissertations and Doctoral Studies

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How Healthcare Big Data Analytics Information Asymmetry Influences Organizational Design Absorptive Choices, Neil Black Jan 2023

How Healthcare Big Data Analytics Information Asymmetry Influences Organizational Design Absorptive Choices, Neil Black

Walden Dissertations and Doctoral Studies

Although the relationship between big data analytics (BDA) organizational, firm, and financial performance is well supported, little attention has been paid in extant research to exploring the organizational design issues resulting from information asymmetry caused by BDA; in particular, organizational absorptive choices that include acquisitions, mergers, reorganization, executive changes, or board of director adjustments. The purpose of this qualitative single case study within a U.S. hospital was to explore the conditions and circumstances that influence absorptive organizational design choices of hospital administration. The theoretical base of this study is Pfeffer and Salancik’s resource dependence theory (RDT). Logic model data analysis …


Comparison Of Rural Associate Degree Nursing Students’ Clinical Judgment After Curriculum Change, Karen Bowen Jan 2023

Comparison Of Rural Associate Degree Nursing Students’ Clinical Judgment After Curriculum Change, Karen Bowen

Walden Dissertations and Doctoral Studies

New graduate nurses often lack adequate clinical judgment skills to practice competent nursing care, which may result in increased risk of committing practice errors that threaten patient safety. To mitigate errors in patient safety, industry leaders have called for nursing program improvements in preparation of nursing students’ clinical judgement as they transition to professional practice. Guided by Tanner’s clinical judgment theory, the rural state nursing programs in this study implemented a concept-based curriculum to promote clinical judgment which includes thinking skills, priority setting, and management of care. The purpose of this three-part, quantitative, nonexperimental study was to compare the development …


Association Between Covid-19 Health Knowledge, Self-Efficacy And Preventive Behaviors Among Nursing Students, Josephine Miane Britanico Jan 2023

Association Between Covid-19 Health Knowledge, Self-Efficacy And Preventive Behaviors Among Nursing Students, Josephine Miane Britanico

Walden Dissertations and Doctoral Studies

Abstract Nursing students possess valuable public health knowledge to prevent the spread of COVID-19 infection. They can provide health education to the public with reliable information and adequate resources. To better understand the role nursing students can take in prevention efforts, the purpose of this quantitative correlational study was to examine the association between COVID-19 health knowledge, self-efficacy, and preventive behavior among undergraduate nursing students. The health belief model was the theoretical framework that guided this study. The primary research questions assessed (a) if there was a statistically significant association between COVID-19 health knowledge and preventive behavior among nursing students, …


Mental Health Utilization Among Former Pregnant And Parenting Teen Mothers, Chana Danielle Campbell Jan 2023

Mental Health Utilization Among Former Pregnant And Parenting Teen Mothers, Chana Danielle Campbell

Walden Dissertations and Doctoral Studies

Teen pregnancy and parenting at an early age can create numerous emotional stressors. Despite the documented need for mental health services among pregnant and parenting mothers, utilization rates of mental health services remain low. The purpose of this generic qualitative study was to explore the experiences of pregnant and parenting mothers who utilized mental health services. Bandura’s social learning theory was used to explore how the experiences, perceptions, learned behaviors, thoughts, and beliefs surrounding mental health services impacted teen mothers’ experiences with mental health utilization. One-on-one interviews were conducted with eight teen mothers or other young mothers who had given …


Spiritual Care Visits During Palliative Care Predicting Discharge Location, Saundra Denise Casey Jan 2023

Spiritual Care Visits During Palliative Care Predicting Discharge Location, Saundra Denise Casey

Walden Dissertations and Doctoral Studies

AbstractSpiritual care has an important role in the caring of terminally ill patients and their families. However, there is little research demonstrating the relationship between spiritual care in palliative settings and discharge location of terminally ill patients. This study addressed spiritual care as a part of the palliative care services. A total of 186 records were reviewed from the spiritual care department at a hospital in Michigan. Kirkpatrick and Shaver’s attachment theory was used to evaluate the relationship between palliative care and discharge location. The research questions addressed the relationship between spiritual care visits, gender, age, religion, primary diagnosis, and …


School Administrators’ Perceptions Of Leadership Practices Promoting Culturally Responsive Learning Environments, Latasha M. Cook Jan 2023

School Administrators’ Perceptions Of Leadership Practices Promoting Culturally Responsive Learning Environments, Latasha M. Cook

Walden Dissertations and Doctoral Studies

A number of kindergarten through Grade 12 (K–12) administrators face challenges promoting culturally responsive learning environments. The purpose of this basic qualitative study was to explore K–12 administrators’ perceptions of the challenges faced in using leadership practices and strategies that promote culturally responsive learning environments in an urban school district. The conceptual framework was informed by the tenets of culturally responsive school leadership. Data were collected through semistructured interviews with seven middle school administrators in a southeastern U.S. school district. Participants were principals or assistant principals with at least 1 year of administrator experience working at a school where more …


Mathematics Teachers’ Use Of Assessment And Instructional Strategies, Bianca Croutch Jan 2023

Mathematics Teachers’ Use Of Assessment And Instructional Strategies, Bianca Croutch

Walden Dissertations and Doctoral Studies

U.S. middle school teachers have struggled to meet the instructional needs of students in the area of mathematics. Teachers’ approaches to assessment and instructional strategies remain understudied; such knowledge could help educational leaders to devise strategies to boost student achievement. The purpose of this qualitative study was to examine teachers’ perceptions of assessment data usage and instructional strategies used in middle school mathematics. The conceptual framework was based on Fullan et al.’s three Ps (precision, personalization, and professional learning) framework. The guiding research questions for this study concerned teachers’ perceptions of assessment usage and instructional strategies and their considerations prior …


Clinical Social Workers’ Perceptions And Experiences Of Parental Alienation, Martinek Evans Jan 2023

Clinical Social Workers’ Perceptions And Experiences Of Parental Alienation, Martinek Evans

Walden Dissertations and Doctoral Studies

This qualitative research study aimed to explore clinical social workers’ perceptions and experiences of parental alienation (PA). Using Bowen’s family system theory as the framework, the research questions examined the problem from multiple levels of practice, including individual, family, institutional, and systematic. The individual interview approach aligned with the study goal by allowing participants opportunities to share their perspectives and experiences working with PA. The study used a purposive and snowball sampling of eight participants who were licensed social workers in the United States. Individual interview responses were transcribed and coded. Thematic content analysis was also used to analyze the …


Educator Preparedness In The Use Of Simulation In Nursing Education, Marcelene E. Hart Jan 2023

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

Walden Dissertations and Doctoral Studies

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


An Examination Of Chronic Homelessness From The Perspective Of Counseling Professionals In Southeast Florida, Tonia Jackson Jan 2023

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 …


Exploration Of Nurses' Knowledge About Healthcare For Transgender Patients, Elizabeth Kempt Jan 2023

Exploration Of Nurses' Knowledge About Healthcare For Transgender Patients, Elizabeth Kempt

Walden Dissertations and Doctoral Studies

AbstractThe transgender population is growing, and along with the population growth, the healthcare needs for gender transitioning of both medical and surgical procedures. Registered nurses (RNs) who care for hospitalized transgender patients are required to be knowledgeable about their care, yet little is known about what nurses know about the healthcare of the transgender patient. The purpose of this basic qualitative study, guided by Benner’s novice to expert theory, was to explore the knowledge and perceptions of RNs regarding healthcare of transgender persons undergoing transition to the opposite gender. Social media and snowball sampling were used to recruit 10 RNs …


Heart Attack Related Firefighter Fatalities And Compliance With Nfpa 1582, Ernest Lindqvist Jan 2023

Heart Attack Related Firefighter Fatalities And Compliance With Nfpa 1582, Ernest Lindqvist

Walden Dissertations and Doctoral Studies

Heart attacks have been the leading cause of on-duty firefighter fatalities for many years. Firefighters are subjected to health risks due to occupational practices and exposure to hazards. Firefighter fatality investigative reports suggest that comprehensive medical screenings consistent with the National Fire Protection Association (NFPA) 1582 standard would reduce deaths from heart attacks. The purpose of this study was to explore the extent to which fire departments comply with the NFPA 1582 standard. Using contextual interaction theory and a generic qualitative inquiry design, data were collected from fire departments that had a heart attack-related firefighter fatality incident. Semistructured interviews were …


Evaluating The Efficacy Of Video Self-Modeling Social Skills In Children With Autism Spectrum Disorder, Brittany Londer Jan 2023

Evaluating The Efficacy Of Video Self-Modeling Social Skills In Children With Autism Spectrum Disorder, Brittany Londer

Walden Dissertations and Doctoral Studies

The inability to display social reciprocity is a hallmark criterion of autism spectrum disorder (ASD). This lack of proper social skills (i.e., eye contact, cooperative play, and reciprocal interaction) indicates the importance of purposeful interaction, about which a research gap exists. The theoretical framework for this study was social learning theory, by which Bandura (1977) posited that learning occurs by observing the behavior of others. The current study involved examining the effectiveness of an intervention conducted with children who have ASD. The purpose of the intervention was to increase children’s playground social skills by having them watch themselves at play …


Future-Oriented Strategies That Small 501(C)(3) Nonprofit Organizations May Use To Support Financial Sustainability, Justine Lownsbury Jan 2023

Future-Oriented Strategies That Small 501(C)(3) Nonprofit Organizations May Use To Support Financial Sustainability, Justine Lownsbury

Walden Dissertations and Doctoral Studies

The age of mortality for a nonprofit organization is between 6-15 years. The problem is that leaders of nonprofit organizations face challenges in financially sustaining nonprofit operations, which directly affects the ability to achieve and maintain the organizational mission. The purpose of this qualitative classical Delphi study was to explore how an expert panel of nine purposively selected U.S.-based stakeholders from small U.S.-based 501(c)(3) nonprofit organizations viewed the desirability, feasibility, and importance of future-oriented strategies to support financial sustainability. The research questions addressed this purpose. The conceptual framework was rooted in effective leadership, innovation, sustainability, and positive social change, as …


Perceptions Of Women Of Color Improving Patient Outcomes Through Hospital Leadership Advancement, Benita A. Mclarin Jan 2023

Perceptions Of Women Of Color Improving Patient Outcomes Through Hospital Leadership Advancement, Benita A. Mclarin

Walden Dissertations and Doctoral Studies

Women of color have been underrepresented in hospital leadership positions and face challenges in advancing their careers. The benefit to hospitals providing women of color with training and support to move into leadership positions may be improved patient outcomes. Grounded in the interactional model of cultural diversity framework, the purpose of this basic qualitative study was to explore the perceptions of women of color advancing in leadership roles in hospitals and their impact on patient outcomes. The study participants included 16 women of color in leadership positions from hospitals in a western U.S. state. Data were collected through semi structured …


Adult Learning And Motivation Of Students Previously Involved In The U.S. Criminal Justice System, Saudia Krystal Mohammed Jan 2023

Adult Learning And Motivation Of Students Previously Involved In The U.S. Criminal Justice System, Saudia Krystal Mohammed

Walden Dissertations and Doctoral Studies

Motivation is an important factor in the overall success, achievement potential, and capabilities of students, especially adult learners. For individuals who are currently in the criminal justice system, motivator is a key factor in degree obtainment, research shows. However, there is limited research on adult learners who have previously been involved in the U.S. criminal justice system and the motivational factors that led to their academic reengagement. The purpose of this study was to gain a better understanding of those motivational factors. The theoretical framework that underpinned this study was the transformative learning theory, which centers on how learners make …


Financial Aid As A Predictor For Retention Of First-Year Black Male Community College Students, Malcom Jamar Morgan-Petty Jan 2023

Financial Aid As A Predictor For Retention Of First-Year Black Male Community College Students, Malcom Jamar Morgan-Petty

Walden Dissertations and Doctoral Studies

AbstractBlack male students are retained in higher education at less than half the rate of their Hispanic and White counterparts. At Southwestern Community College (SWCC, a pseudonym), there were indicators that the amount of financial aid received was related to retention; however, the extent of the relationship was unknown. The purpose of this nonexperimental quantitative correlational study was to examine the relationship between the amount of financial aid received and the retention of first-to-second-year Black male students at SWCC. Bean and Metzner’s model of nontraditional undergraduate student attrition provided the theoretical foundation. The research question sought to clarify the extent …


Gender Dynamics In The Management Care Of Internally Displaced Persons: The Boko Haram Insurgency, Evelyn Kikelomo Ikuenobe Otaigbe Jan 2023

Gender Dynamics In The Management Care Of Internally Displaced Persons: The Boko Haram Insurgency, Evelyn Kikelomo Ikuenobe Otaigbe

Walden Dissertations and Doctoral Studies

The Boko Haram asymmetric insurgency and warfare have decimated the Northeastern region of Nigeria and its neighboring environs of Chad, Niger, and Benin. The purpose of this study was to explore the peculiar socioethnic and cultural challenges encountered by female victims of Boko Haram terrorism at internally displaced persons camps in Abuja, Nigeria, including challenges in functioning, relocating, and acclimating back into society. A phenomenological approach was applied to understand participants’ lived experiences. Data collection occurred through interviews and observation. Data analysis involved the synthesis of narratives, and generation of themes. Among the emergent themes were poor feeding; lack of …


Academic Performance And E-Cigarette Use Among Teenagers, Jeremy Tan Rondael Jan 2023

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 …


Examining Psychosocial Characteristics Of Female Serial Murderers, Rachael Strebel Jan 2023

Examining Psychosocial Characteristics Of Female Serial Murderers, Rachael Strebel

Walden Dissertations and Doctoral Studies

Previous studies of serial murderers have focused primarily on male serial murderers.The reason for this is unknown, but is primarily reflective of media patterns, gender roles, and social norms that often exclude females from conversations surrounding female serial murder. This study focused on the psychosocial characteristics of female serial murderers. Both solo female serial murderers and serial murderers who worked with one partner were studied. Using a grounded theory approach, based on the review of 11 secondary data case studies, 12 female serial murderers were studied; six who murdered individually and six who murdered within a team. Six main themes …


Relationship Between Length Of Nicu Stay And Mothers’ Trauma And Self-Efficacy For Childcare Post-Nicu Discharge, Suzanne Switzer Jan 2023

Relationship Between Length Of Nicu Stay And Mothers’ Trauma And Self-Efficacy For Childcare Post-Nicu Discharge, Suzanne Switzer

Walden Dissertations and Doctoral Studies

Recent research has shown that having an infant admitted to the neonatal intensive care unit (NICU) can be a traumatic experience for parents. However, less is known about whether this trauma is related to later parenting self-efficacy for childcare after NICU discharge and whether that relationship is affected by the length of NICU stay. This quantitative study, guided by Bandura’s self-efficacy theory and Ehlers and Clark’s cognitive model of post-traumatic stress disorder (PTSD), examined the relationship between mothers’ trauma of having had a child in the NICU and maternal parenting self-efficacy related to childcare post-NICU discharge, with length of NICU …


Andragogical Methods And Teaching Strategies Used In Community College Composition Courses, Octavia Thorns-Jackson Jan 2023

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 …


Transitional Care For The End Stage Renal Disease Patient, Elaine Vitto Jan 2023

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 …


Teachers' And Coaches' Perspectives On The Challenges In Implementing A Literacy Coaching Program, Lucia West Jan 2023

Teachers' And Coaches' Perspectives On The Challenges In Implementing A Literacy Coaching Program, Lucia West

Walden Dissertations and Doctoral Studies

The problem in a local school district in the Southwest region of the United States was the lack of improvement in reading achievement scores in Grades 3 through 5 despite the implementation of a literacy coaching program during the previous 3 years. This lack of improvement in reading achievement has an impact on students’ subsequent academic performance and outcomes. The purpose of this basic qualitative study was to explore the perspectives of teachers and literacy coaches in the local setting regarding the challenges in implementing the literacy coaching program. The conceptual framework of the study was Vygotsky's third space theory. …


Exposure Of Ems Personnel To Violence In Urban Cities Of The Midwest, Alyssa Wheeler Jan 2023

Exposure Of Ems Personnel To Violence In Urban Cities Of The Midwest, Alyssa Wheeler

Walden Dissertations and Doctoral Studies

Emergency medical service (EMS) personnel experience both physical and verbal assaults towards them by patients, family members, and/or bystanders at the incident scenes. The mostly quantitative literature is limited in recognizing how this violence may affect the way that EMS personnel complete their jobs. Through in-depth, semistructured interviews with nine EMS personnel from the Midwest, this phenomenological study was used to understand EMS personnel’s lived experiences and perceptions of violence towards them by patients or bystanders at the response scene. How this violence towards EMS personnel affected the way they approach incident scenes and interact with patients and/or bystanders at …


African American Mothers’ Perceptions Of Trust Of Law Enforcement, Caisha Wilkes Jan 2023

African American Mothers’ Perceptions Of Trust Of Law Enforcement, Caisha Wilkes

Walden Dissertations and Doctoral Studies

AbstractFor many years, African American mothers have endured negative experiences with law enforcement (LE) involving themselves, their children, or both. These personal experiences with LE contribute to the lack of trust African American mothers have in LE. The purpose of this study was to explore African American mothers’ perceptions of LE in terms of trust. Social conflict theory was used as the conceptual framework for this study. Eight African American mothers residing in the United States were recruited by means of snowball sampling to participate in semistructured interviews. The resulting interview transcripts were coded via the six-steps method, and the …


Strategies For Mitigating U.S. Banks’ Risks From Exposure To Derivatives And The Underlying Assets, Othman Abdelmoumen Jan 2023

Strategies For Mitigating U.S. Banks’ Risks From Exposure To Derivatives And The Underlying Assets, Othman Abdelmoumen

Walden Dissertations and Doctoral Studies

Many banks’ executives lacked strategies to mitigate the risk of default on subprime mortgages and their linked derivatives to prevent bank insolvency. This led to severe financial losses and insolvency of many banks in 2008-2009. Grounded in the corporate governance agency problem and stewardship theories, the purpose of this qualitative multiple case study was to explore (CG) strategies some bank executives implemented to mitigate the risk of default of subprime mortgages and their linked derivatives to prevent bank insolvency. The participants were four bank executives who worked for federally insured banks in Colorado. Data were collected from semi-structured interviews and …


Evaluation Of The Implementation Of Primary Prevention Guidelines For The Treatment Of Hypertension, Aramide Alayande Jan 2023

Evaluation Of The Implementation Of Primary Prevention Guidelines For The Treatment Of Hypertension, Aramide Alayande

Walden Dissertations and Doctoral Studies

AbstractHypertension is a chronic disease that is associated with increased risk of cardiovascular mortality. This Doctor of Nursing Practice project was a quality improvement initiative that addressed the gap in practice that the nurse practitioners (NPs) were not consistently following the American College of Cardiology (ACC) and American Heart Association (AHA) recommended guidelines for the treatment of hypertension. The purpose of the project was to evaluate whether the NPs were consistently using the guidelines to treat patients with hypertension after an educational intervention. The project used a before-after approach to evaluate the consistency of using the guidelines in treatment of …


Marijuana Cultivation Laws And Admissions For Cannabis Use Disorder In Us Substance Abuse Treatment Facilities, Nada Al-Rubaiee Jan 2023

Marijuana Cultivation Laws And Admissions For Cannabis Use Disorder In Us Substance Abuse Treatment Facilities, Nada Al-Rubaiee

Walden Dissertations and Doctoral Studies

With approximately 4.4 million Americans addicted to cannabis, it is considered a dominant non-medical drug that is common in the US. The purpose of this study was to investigate the possible contribution of the state laws that allow the cultivation of marijuana to Marijuana Medical (MM) program cardholders on cannabis addiction. This study was conducted to address the issue of the increase in demand for cannabis-related admissions that contribute to an upsurge in the unmet treatment needs. The study is founded on the Ecological Models proposed by Urie. The key research question explored the association between state laws that allow …


Burnout And Positive Thinking Skills Among Critical Care Nurses, Evangeline Ani Jan 2023

Burnout And Positive Thinking Skills Among Critical Care Nurses, Evangeline Ani

Walden Dissertations and Doctoral Studies

AbstractBurnout is a global health problem with a significant negative impact on the physical, mental, and emotional health and well-being of critical care nurses, which in turn has serious effects on the critical care work environment. Positive thinking has the potential of transforming the work environment. The purposes of this quantitative, correlational study, guided by Lazarus’s theory of stress, were to determine (a) if there was a relationship between the use of positive thinking skills and burnout among critical care nurses, and (b) if there was a difference between the use of positive thinking skills and burnout among critical care …