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Nurses’ Perceptions Of Culturally Competent Care At The Bedside, Judith Cox
Nurses’ Perceptions Of Culturally Competent Care At The Bedside, Judith Cox
Walden Dissertations and Doctoral Studies
The population served by health care systems in the United States is widely diversified, which requires nurses to be culturally competent in their care practices. However, studies have shown that nurses do not consistently deliver culturally competent care. This basic qualitative study was designed to explore nurses’ perceptions of cultural competence at the bedside to understand what is needed to improve cultural competency practices. Campinha-Bacote’s conceptual framework for cultural competency was used to guide this study that included face-to-face, videoconference interviews using semi structured and open-ended questions from 13 voluntary, acute care bedside nurses. Interviews were audio recorded and uploaded …
Administrators And Teachers' Perceptions Of Instructional Leadership Practices To Increase Student Achievement, Keyna Crawford Anderson
Administrators And Teachers' Perceptions Of Instructional Leadership Practices To Increase Student Achievement, Keyna Crawford Anderson
Walden Dissertations and Doctoral Studies
AbstractThe lack of achievement in public schools has been a concern globally and has negatively affected the growth of communities and the economy. School principals have a central role in implementing effective instructional practices and creating a positive teaching and learning environment that fosters student achievement. The problem addressed was a lack of instructional leadership in a British territory. The conceptual framework for this research was the instructional leadership model of Hallinger and Murphy, which defines three main dimensions of instructional leadership: (a) defining the school's mission, (b) managing the instructional program, and (c) promoting a positive school learning climate. …
Effects Of Superflex Curriculum On Social Skills Of Children With Autism, Charli Elaine Doyle
Effects Of Superflex Curriculum On Social Skills Of Children With Autism, Charli Elaine Doyle
Walden Dissertations and Doctoral Studies
Applied behavior analysis (ABA) is considered an applied science under the umbrella of behavior analysis and was accepted into the mainstream science in the mid-1900s. An increase in the prevalence of autism gave rise to the need for evidence-based social skills curricula. Previous research indicated many children respond well to video modeling and positive reinforcement. However, literature on social curricula for children aged 7 to 10 years in a clinical setting versus a school setting was limited. The purpose of this quantitative study with a single-subject design was to examine the effectiveness of Superflex, a superhero social thinking curriculum, on …
A Qualitative Examination Of Single-Parent Matriarchal Homes’ Influence On Gang Membership, Darryl Edwards
A Qualitative Examination Of Single-Parent Matriarchal Homes’ Influence On Gang Membership, Darryl Edwards
Walden Dissertations and Doctoral Studies
There is a problem in the city of Chicago. Gangs are responsible for a substantial percentage of violent crimes in most jurisdictions. This study examined how and to what extent single-parent matriarchal households influenced African American men between 18 and 25 to join gangs in Chicago. This study’s theoretical foundations were matriarchal theory and critical race theory. This qualitative study’s research design is heuristic phenomenology design. An in-depth interview method was employed using purposeful and snowball sampling of 20 participants; in-depth interviews were conducted using telephone technology. This study, which investigated the connection between being raised in a single-parent matriarchal …
A Clinical Practice Guideline To Promote Medication Adherence Among Adult African Americans With Hypertension, Beatrice Chisara Ekechukwu
A Clinical Practice Guideline To Promote Medication Adherence Among Adult African Americans With Hypertension, Beatrice Chisara Ekechukwu
Walden Dissertations and Doctoral Studies
Medication nonadherence represents one of the major barriers to achieving optimal health, particularly for African Americans (AAs). Poor adherence to medications is a significant problem that can lead to increased morbidity, mortality, and health care costs. Clinical practice guidelines (CPGs) provide current, evidence-based interventions for changing health behaviors to improve medication adherence (MA). The purpose of this project was to develop an evidence-based patient education CPG to address MA among AA patients with hypertension (HTN). The project site was a medium-sized health care clinic in the South Central United States with a high rate of uncontrolled HTN among AA patients. …
Moral Obligation And Social Influence Predictors Of Compliance Behavior And Organizational Ethical Climate Among Healthcare Leaders, Tara M. Farmer
Moral Obligation And Social Influence Predictors Of Compliance Behavior And Organizational Ethical Climate Among Healthcare Leaders, Tara M. Farmer
Walden Dissertations and Doctoral Studies
The U.S. Congress has enacted many regulations managed by branches of government such as Medicare to ensure healthcare organizations comply. Organizational leaders who place value on building effective compliance programs seek ways to enhance compliance. Understanding what motivates individuals to behave in a compliant way may help leaders develop programs that enhance those motivations. This nonexperimental, correlational, quantitative research study tested the relationship between the predictor variables, moral obligation, and social influence, with the criterion variable compliance behaviors among healthcare organizational leaders and to determine the mediating effect of ethical climate on the relationship. A total of 186 managers working …
Strategies For Increasing The Sustainability Of Small Restaurant Business, Sahara J. Givens-Evans
Strategies For Increasing The Sustainability Of Small Restaurant Business, Sahara J. Givens-Evans
Walden Dissertations and Doctoral Studies
Small business owners who operate in the restaurant industry face many challenges and sometimes succumb to failures. Identifying solutions to avoid failure is important and will strengthen this community of entrepreneurs and help in terms of creating sustainability strategies. Grounded in Richard Cantillon’s entrepreneurship theory, the purpose of this qualitative multiple case study was to explore strategies small business owners in the restaurant industry use to sustain business beyond 5 years. Participants included six small restaurant business managers who survived beyond 5 years and specialized in fast-casual food service within Chicago. Data were collected using semi-structured interviews and participant reflections. …
The Impact Of Agency Culture On A Supervisor's Modeling Of Self-Care To Social Workers, Lacey Maxwell Godsby
The Impact Of Agency Culture On A Supervisor's Modeling Of Self-Care To Social Workers, Lacey Maxwell Godsby
Walden Dissertations and Doctoral Studies
Supervision is a field standard in which experienced social workers assist other social workers by modeling practical skills and teaching self-care standards. However, an agency's culture has the potential to negatively affect a supervisor’s ability to model self-care to social workers in a mental health setting, which can in turn increase the risk of burnout and the potential for harm to the agency including decreased employee retention, decreased employee satisfaction, and lower quality client care. The purpose of this project was to explore how agency culture affected a supervisor’s ability to model necessary self-care techniques to social work professionals. Another …
A Meta-Analysis Examining The Efficacy Of Flipped Instruction For Stem Academics, Daphne Marie Gricoski
A Meta-Analysis Examining The Efficacy Of Flipped Instruction For Stem Academics, Daphne Marie Gricoski
Walden Dissertations and Doctoral Studies
AbstractImproving education, particularly for the sciences, is an important and necessary endeavor which can lead to positive social change. Education reform tends to involve updating and aligning curriculum standards without considering methodologies or teaching strategies involved. Identifying evidence-based practices to improve achievement in science, technology, engineering, and mathematics (STEM) will contribute to improving the education system. Flipped classroom instruction is a pedagogical approach that emphasizes student involvement and engagement in the learning process. There is evidence that active learning strategies improve achievement in STEM academic areas. The purpose of this study was to compare traditional lecture teaching methods to the …
Practices Of Administrators And English As A Second Language Teachers For Third-Grade English Language Learners, Dr. Rochelle Danise Heslip
Practices Of Administrators And English As A Second Language Teachers For Third-Grade English Language Learners, Dr. Rochelle Danise Heslip
Walden Dissertations and Doctoral Studies
AbstractThe problem under study was that administrators were challenged to support ELL teachers because current instructional strategies did not address the gap between the academic achievement of ELLs and non-ELLs. A basic qualitative design was used to investigate how administrators supported teachers’ implementation of instructional strategies for this population. The resulting project was a 1-week professional development instructional program for ELL administrators and teachers. Wright’s self-awareness theory was used as the conceptual framework approach to examine how administrators encouraged ELL teachers to attend and use professional development because current instructional strategies did not address the gap between the academic achievement …
Retention Strategies For The Current Nursing Workforce, Jennifer Higgins
Retention Strategies For The Current Nursing Workforce, Jennifer Higgins
Walden Dissertations and Doctoral Studies
Retaining a robust nursing workforce is essential to care delivery. As the generation gap in the nursing field widens, retention strategies that align with the current nursing workforce must be considered. Rapid turnover is a looming concern as baby boomers retire and millennials become the leading generation in the nursing workforce. Nurse leaders must identify and deploy strategies that will provide a meaningful work environment to retain nurses in this majority group. The purpose of this project was to address the gap in practice of rising turnover, low nurse engagement, and reliance on premium labor to deliver care. The sources …
Value Co-Creation Paradigm Framework For Integrating Evidence-Based Practices In Child Welfare, Georgina Horton
Value Co-Creation Paradigm Framework For Integrating Evidence-Based Practices In Child Welfare, Georgina Horton
Walden Dissertations and Doctoral Studies
AbstractAlthough there has been increased utilization of evidence-based practice (EBP) in child welfare services, it has not been comprehensively incorporated or fully embraced by key decision makers. The purpose of this basic qualitative study was to explore a value co-creation (VCC) paradigm as a viable framework for collaboration between stakeholders in child welfare, and to explore what attitudes are necessary to enable child welfare stakeholders. The VCC paradigm framework comprising three elements (engagement platforms, experience domains, and capability ecosystems) was used to guide the study. Data were collected from semi structured, in-depth interviews with four key decision makers in the …
Development Of A Basic Nursing Education Course For Psychiatric Nurses, Tasha M. Jones
Development Of A Basic Nursing Education Course For Psychiatric Nurses, Tasha M. Jones
Walden Dissertations and Doctoral Studies
" Abstract" Development of a Basic Nursing Education Course for Psychiatric NursesThe integration of psychiatric and medical services for psychiatric patients has been problematic for psychiatric nurses. This care integration problem revealed the lack of clinician education and training needed to meet the diverse needs of psychiatric patients. The lack of clinician education and training resulted in poor patient outcomes that can also have negative implications for nurses, families, organizations, and communities. Proper education and training were necessary to effectively care for psychiatric patients with common physical health conditions such as cardiac diseases and diabetes at the inpatient facility where …
Family Presence During Cardiopulmonary Resuscitation: Clinical Practice Guidelines, Poonam Kalkat
Family Presence During Cardiopulmonary Resuscitation: Clinical Practice Guidelines, Poonam Kalkat
Walden Dissertations and Doctoral Studies
Healthcare providers can be skeptical if not resistant to patient-family centered care if standards of care are not written in a policy or guideline. The 2009 Emergency Nurses Association position statement supports giving families the option to be present during resuscitative measures to meet their emotional needs. However, healthcare organizations are frequently not implementing this statement into their practice. Based on peer-reviewed articles retrieved through an in-depth literature search and using the Appraisal of Guidelines for Research and Evaluation (AGREE) II model, the gap in practice was addressed by creating a clinical practice guideline (CPG). The practice-focused questions addressed what …
Providers’ Perceptions Of Chiropractic Care In Treatment Of Opioid Addiction, Rebekah Jan Khan
Providers’ Perceptions Of Chiropractic Care In Treatment Of Opioid Addiction, Rebekah Jan Khan
Walden Dissertations and Doctoral Studies
Fifteen hundred people in the United States die each week from opioid-related overdoses. In addition, the U.S. court system has been inundated with individuals facing legal proceedings, with opioid addiction, impacted competency, and recidivism. There has been a call for alternatives to address the crisis. The purpose of this qualitative study was to explore the perceptions of (addiction) providers regarding chiropractic treatment in the management of opioid addiction. The health belief theory was used to guide the study. Interview data were collected from six participants via Zoom or phone. Thematic analysis resulted in four emergent themes: lack of knowledge of …
Qualitative Exploration Of The Impact Of Bed Bug Infestation In Rural Settings, Dorota Anna Krotkiewicz
Qualitative Exploration Of The Impact Of Bed Bug Infestation In Rural Settings, Dorota Anna Krotkiewicz
Walden Dissertations and Doctoral Studies
AbstractBed bugs have been common household insects for centuries and are a challenge to eradicate, but the extent to which bed bug infestations psychologically impact individuals and families is largely uninvestigated. The purpose of this phenomenological study was to investigate the lived experiences of families in rural areas in Nevada who had experienced bed bug infestations. The transactional model of stress and coping was used as a framework for this research. Participants were recruited using posters placed in public areas, and semi-structured interviews were conducted with ten participants to gather data. Major and minor themes and meanings were derived from …
Transition Of Expert Clinical Nurse To Novice Nursing Professional Development Practitioner, Lisa Marie Langdale
Transition Of Expert Clinical Nurse To Novice Nursing Professional Development Practitioner, Lisa Marie Langdale
Walden Dissertations and Doctoral Studies
Nursing professional development (NPD) is an evolving nursing specialty role that combines expertise in clinical nursing with ongoing education in acute care settings. A novice NPD practitioner may not understand the complexities, demands, and stressors that accompany a work role transition. This qualitative case study used thematic analysis and revealed four themes associated with the successful work role transition of an expert clinical nurse to the novice NPD practitioner. The conceptual framework guiding this study was Nicholson’s work role transitions theory. The first research question sought to determine the professional experiences of expert clinical nurses as they transition into the …
How Do Social Relationships With Parole Officers Impact Parolee Experiences While On Community Supervision?, April Lynn Maeschen
How Do Social Relationships With Parole Officers Impact Parolee Experiences While On Community Supervision?, April Lynn Maeschen
Walden Dissertations and Doctoral Studies
The relationship between parolees and parole officers can be complicated, as parole officers often have dual functions. Parole officers try to encourage positive behavior while still enforcing rules and regulations on parolees in an attempt to help a parolee make pro-social decisions. Many challenges can arise during community supervision that can make it difficult for a parole officer to help guide the parolee. In this study, parole officers’ perceptions were examined regarding supportive communication and how this can affect parolees’ behavior during community supervision. Minimal research exists about parole officers and how effective communication styles can impact parolees. Two theoretical …
Intra-Racial Bullying Among African American Female Students In Middle School, Lashaunda Cunningham
Intra-Racial Bullying Among African American Female Students In Middle School, Lashaunda Cunningham
Walden Dissertations and Doctoral Studies
AbstractIntra-racial bullying is increasing within the African American population, especially middle school. This specific form of bullying can be difficult for administrators to investigate as it is unlike the typical forms of bullying that school officials observe or witness daily. There was a gap in the literature regarding limited research that has examined intra-racial bullying from the perspectives of teachers, administrators, and hallway monitors. The purpose of this qualitative study was to explore the patterns, trends, characteristics, and reasons that result in intra-racial bullying among African American female students in middle school from the perspectives of adults who work in …
Elementary School Teachers' Perspectives Of Instructional Strategies To Enhance Reading For African American Male Students, Nakita Annette Foreman
Elementary School Teachers' Perspectives Of Instructional Strategies To Enhance Reading For African American Male Students, Nakita Annette Foreman
Walden Dissertations and Doctoral Studies
Some state mandated tests showed that many African American male students are not proficient readers. Teachers need to understand how to implement instructional strategies that will help enhance African American male students to read proficiently. The purpose of this basic qualitative study was to explore elementary school teachers’ perspectives of instructional strategies to enhance reading for African American male students in second through fifth grades. The conceptual framework for this study consisted of Ladson-Billing’s culturally responsive teaching and the theory of social constructivism. The focus of the research questions explored elementary school teachers’ perspectives of instructional strategies they use to …
A Self-Analysis Point Sheet For Classroom Mediation With Disruptive Graduating Seniors, Teresia R. Gridiron
A Self-Analysis Point Sheet For Classroom Mediation With Disruptive Graduating Seniors, Teresia R. Gridiron
Walden Dissertations and Doctoral Studies
Researchers and educators recognize the need for an effective in-class mediator to avoid the removal of students from class, to accomplish and achieve positive academic and social change by eliminating classroom disruption. The purpose of this research study was to address this need by examining a classroom mediation using a self-analysis point sheet for disruptive, graduating seniors. The specific focus of this qualitative, phenomenological study was to examine the real-life classroom experience from the perspective of senior high school students as it relates to immediate classroom discipline via a self-analysis point sheet. The main question examined how students experience the …
Risk Or Contra-Political Correctness With Distrust Towards Muslims In The U.S. Military, Benedict Uzoma Iheanacho
Risk Or Contra-Political Correctness With Distrust Towards Muslims In The U.S. Military, Benedict Uzoma Iheanacho
Walden Dissertations and Doctoral Studies
Muslims are viewed by many in the United States with great anxiety and distrust. This mistrust encompasses Muslims in the U.S. military, especially since 9/11. The trust deficit has implications to U.S. security and military readiness in a global threat environment. Whereas the notion of Islamophobia has generated significant literature in modern public policy, there is a dearth of research on public perception towards Muslims serving in the U.S. military. The purpose of this study was to explore the experiences and perspectives of non-Muslim U.S. military personnel on the mistrust towards Muslim military personnel in the post-9/11 era. Theories of …
Perceptions Of Implicit Bias In New York City Healthcare System During Covid-19, Kiesha Jackson
Perceptions Of Implicit Bias In New York City Healthcare System During Covid-19, Kiesha Jackson
Walden Dissertations and Doctoral Studies
Implicit bias has been identified as a significant problem that hinders effective healthcare delivery. The purpose of this qualitative exploratory phenomenological study was to examine whether implicit bias influenced healthcare services for African Americans with comorbidities aged 30 and over living in New York City during the COVID-19 pandemic. Current studies show healthcare disparities, revealing barriers with healthcare delivery; however, they do not disclose a patient’s lived experience qualitatively, which constituted a gap in the literature. The frameworks of the behavioral model of health services use, and social construction and policy design guided this study. Research questions addressed (a) whether …
Middle School Teachers' Perceptions Of Administrator Support, Teacher Retention, And Attrition, Tonya Kabia
Middle School Teachers' Perceptions Of Administrator Support, Teacher Retention, And Attrition, Tonya Kabia
Walden Dissertations and Doctoral Studies
Teacher attrition has been an issue in the local urban area resulting in students being taught by teachers and substitutes who may not be knowledgeable about the content. The attrition of experienced teachers is a concern for administrators, fellow teachers, parents, and students. The purpose of this study was to investigate teachers’ perceptions of administrator support, teacher retention, and teacher attrition. Bronfenbrenner’s ecological system theory served as the conceptual framework that guided this study. A basic qualitative research design was used to capture the insights of 10 middle school teachers in an urban district in the eastern United States through …
Racial Differences Of Patient Satisfaction And Quality Of Care In Nursing Homes, Marie Chantal Lamothe
Racial Differences Of Patient Satisfaction And Quality Of Care In Nursing Homes, Marie Chantal Lamothe
Walden Dissertations and Doctoral Studies
AbstractLong Term Care (LTC) facilities are a vital contributor to the elderly community regarding their dependent care. However, less is known about how racial disparity impacts patient satisfaction and quality of care in LTC facilities. This non-experimental retrospective quantitative study compared the racial differences of patient satisfaction levels quality of care in LTC facilities (nursing homes that include predominately non-White patients versus predominately White patients). The theoretical framework used for this study the consumer multidimensional model of nursing home care quality to analyze quality of nursing home in the view of providers and consumers. Long Term Care: Fact on Care …
Emerging Adults' Lived Prenatal Care Experiences As First-Time Mothers: An Interpretive Phenomenological Study, Linda Mcclerklin
Emerging Adults' Lived Prenatal Care Experiences As First-Time Mothers: An Interpretive Phenomenological Study, Linda Mcclerklin
Walden Dissertations and Doctoral Studies
AbstractPrenatal care is fundamental in the lives of expectant mothers. Studies have highlighted the prenatal care experiences of mothers ranging from adolescents to older women, which included the experiences of emerging adults. However, emerging adults bring particular social, emotional, and developmental concerns to pregnancy experiences that are distinct from those of their counterparts. This study explored these experiences to answer the question of what are emerging adults’ lived prenatal care experiences are as first-time mothers. Interpretive phenomenology and assumptions from critical race, feminist, communication, and intersectionality theories helped frame the study. Through purposive and snowball sampling, nine participants were selected …
Developmental Evaluation Of A Clinical In-School Counseling Program For At-Risk Students In Crisis, Anthony Andrew Mormile
Developmental Evaluation Of A Clinical In-School Counseling Program For At-Risk Students In Crisis, Anthony Andrew Mormile
Walden Dissertations and Doctoral Studies
A K–12 public school district in the northeastern United States implemented its own clinical in-school counseling program (CISCP) to help at-risk students in Grades 7–12 who were experiencing a crisis. The problem was that the district was unaware of whether the CISCP is helping its students through their crises. The study was important as it provided insightful data into the CISCP’s perceived effectiveness to meet the students’ needs. The purpose was to examine the perceived program effectiveness of the CISCP in helping its at-risk students in Grades 7–12 through their crises. Through a program evaluation using the developmental evaluation model, …
Exploring Perceptions Of Staff Preparedness For Emergency Response In Transitional Houses In Texas, Patrick Onuoha
Exploring Perceptions Of Staff Preparedness For Emergency Response In Transitional Houses In Texas, Patrick Onuoha
Walden Dissertations and Doctoral Studies
AbstractDisaster preparedness for emergency response within transitional houses is a problem that often fails to receive attention, a situation that can lead to injuries or death during disaster events. One of the factors responsible for this lapse is the contractual nature of most of the transitional houses, with inherent inadequacies in types and quality of services. Although research in this area is relatively scarce, a synthesis of literature reviewed suggested greater focus on disaster management in other areas and almost nothing with regards to transitional houses. The purpose of this qualitative study was to better understand staff emergency preparedness in …
Evaluation Of Action Plan Management Strategy To Improve Survey Readiness And Decrease Negative Accreditation Findings, Carla Pierson
Evaluation Of Action Plan Management Strategy To Improve Survey Readiness And Decrease Negative Accreditation Findings, Carla Pierson
Walden Dissertations and Doctoral Studies
This project was an evaluation of a quality improvement (QI) initiative conducted in a large medical enterprise to address the problem of poor performance of their hospitals in accreditation surveys. The desired outcome was to evaluate whether an innovative plan of correction process was impactful in reducing the negative outcomes of regulatory and accreditation surveys. The practice-focused question guiding this project addressed the effect of the pre-accreditation evaluation and a plan of correction process in this QI initiative on reducing requirements for improvement (RFI) and condition-level deficiencies (CLD) cited in a recent The Joint Commission survey review. This project was …
Leadership Relationships And Advancement Opportunities Among African American Female Nurses, Kendra Pitts
Leadership Relationships And Advancement Opportunities Among African American Female Nurses, Kendra Pitts
Walden Dissertations and Doctoral Studies
A healthy work environment for nurses is critical to staff recruitment, retention, patient safety, and the financial sustainability and viability of a healthcare organization. The specific research problem under study was whether a lack of advancement opportunity or a lack of good leadership has an impact on African American female nurses leaving the nursing profession. Researchers have investigated the impact of leadership and advancement opportunity on the general population, but there is a dearth of research specific to African American female nurses and their reason for leaving the profession. Secondary quantitative data analysis was performed using survey data from the …