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Walden Dissertations and Doctoral Studies

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Posttraumatic Growth Following Critical Incident Exposure For Urban Firefighters, Deirdre Smith Jan 2022

Posttraumatic Growth Following Critical Incident Exposure For Urban Firefighters, Deirdre Smith

Walden Dissertations and Doctoral Studies

Firefighters are often exposed to critical/traumatic incidents. Regular exposure to critical/traumatic incidents has the potential to cause negative psychological problems among this population, though there is also a likelihood that firefighters can experience a positive effect such as posttraumatic growth (PTG) as a result of critical incident exposure. The purpose of this qualitative phenomenological study was to explore the lived experiences of PTG for urban firefighters following exposure to work-related traumatic events. The phenomenon of PTG provided the conceptual framework for the study. Data were collected from semistructured telephone interviews with eight urban firefighters. Findings from coding and thematic analysis …


Teachers’ Perceptions Of Their Self-Efficacy To Engage Elementary Students In Learning Science, Stacie I. Smith Jan 2022

Teachers’ Perceptions Of Their Self-Efficacy To Engage Elementary Students In Learning Science, Stacie I. Smith

Walden Dissertations and Doctoral Studies

Science teachers in the local area lacked self-efficacy to teach science and were struggling to engage students in science learning, which resulted in student underachievement. Principals reported that teachers’ lack of self-efficacy in teaching science may be limiting students’ goals for scientific careers. The purpose of this basic qualitative study was to explore teachers’ perceptions of their sense of self-efficacy to teach science and what they thought were the challenges to enhancing student engagement in science. The conceptual framework was Bandura’s theory of self-efficacy, which connects instruction to the confidence teachers possess in the classroom. Data were collected from individual …


The Lived Experience Of Older, Independent Residents During The Covid-19 Pandemic, Karen Graeb Stanley Jan 2022

The Lived Experience Of Older, Independent Residents During The Covid-19 Pandemic, Karen Graeb Stanley

Walden Dissertations and Doctoral Studies

The growing older population confronting the risks of the COVID-19 pandemic have a story to tell of their experiences that may influence the way society confronts future pandemics. Little research has been done on older adults in independent living communities and their experiences with the COVID-19 pandemic. This study aimed to fill that gap using the biopsychosocial model as a framework to guide the exploration of the research question addressing the lived experiences of older, independent residents during the COVID-19 pandemic. Using a basic qualitative analysis design, a purposive sample of 10 participants from a continuing care retirement community were …


Clinicians’ Experiences Working With Noncontact Sex Offenders, Jaclyn Nicole Stapleton Jan 2022

Clinicians’ Experiences Working With Noncontact Sex Offenders, Jaclyn Nicole Stapleton

Walden Dissertations and Doctoral Studies

Exploring the unique relationship between therapists and their noncontact sex offender clients can provide additional insight into the complexity of clinicians' occupations. The goal of this qualitative phenomenological study was to explore the personal experiences felt by mental health clinicians (psychologists, social workers, nurses) when working with noncontact sex offenders in a clinical setting. The theoretical framework of this study was guided by a psychosocial approach of cognitive dissonance and self-perception theory, which emphasized the development of defined behaviors and thoughts concerning physical and mental health. The data were collected from in-depth interviews with eight clinicians who treated and assessed …


Strategies For Success In Servitization Initiatives, Ralph F. Stauffer Jan 2022

Strategies For Success In Servitization Initiatives, Ralph F. Stauffer

Walden Dissertations and Doctoral Studies

Some software business leaders lack strategies for implementing servitization (Software-as-a-Service, or SaaS) initiatives, which has the potential for adverse business outcomes. Software business leaders are concerned with implementing service initiatives to remain competitive and foster sustainability. Grounded in the resource-based view theory, the purpose of this qualitative multiple case study was to explore strategies business leaders in the software industry use for implementing servitization SaaS initiatives. The data were collected using interviews with eight leaders from four software firms who successfully implemented servitization initiatives within at least the past 20 years. Interview data were confirmed with secondary data sources, including …


Key Strategies Used To Mitigate Business Risk When Managing Offshore Outsourcing, Lauren Stewart Jan 2022

Key Strategies Used To Mitigate Business Risk When Managing Offshore Outsourcing, Lauren Stewart

Walden Dissertations and Doctoral Studies

Ineffective risk management strategies can cause negative consequences to an organization’s business processes and operational costs. When engaging in offshore outsourcing, Organizational leaders who lack effective risk management strategies encounter negative customer experiences, interrupted business processes, wasteful resources, and increased operational costs. Grounded in the resource-based view theory, the purpose of the qualitative multiple case study was to explore strategies used to mitigate business risk when managing offshore outsourcing. Four outsourcing professionals in the information technology and consulting sectors who successfully managed risks during offshore outsourcing participated in the study. Data sources were semistructured interviews and a review of publicly …


Business Strategies For Reducing Professional Labor Shortages Within The U.S. Construction Industry, Leabert Stewart Jan 2022

Business Strategies For Reducing Professional Labor Shortages Within The U.S. Construction Industry, Leabert Stewart

Walden Dissertations and Doctoral Studies

The U.S. construction industry is faced with skilled labor shortages that have made it more challenging, especially amid the COVID-19 pandemic, for project and business managers to meet industry quality standards and complete projects within budget and on time. Grounded in transformational leadership theory, the purpose of this qualitative multiple case study was to explore strategies staffing managers use to hire and retain skilled labor. The data were gathered through semi-structured interviews with six successful staffing managers within the southeastern United States and then analyzed using thematic analysis. The themes that emerged were (a) employee retention, (b) recruitment of skilled …


U.S. High School Administrators’ Challenges In Creating Transgender Inclusive Policies, Kimberly Stilwill Jan 2022

U.S. High School Administrators’ Challenges In Creating Transgender Inclusive Policies, Kimberly Stilwill

Walden Dissertations and Doctoral Studies

A gap in practice exists regarding the lack of inclusive policies in U.S. schools for transgender students. U.S. high school administrators experience challenges in creating inclusive policies that could potentially protect transgender students from being bullied or harassed. Guided by empowerment of minority students theory and minority stress theory, the purpose of this basic qualitative study was to explore the challenges U.S. high school administrators face in creating inclusive policies that protect transgender students from being bullied or harassed. Data were collected using semistructured interviews with 12 current high school administrators across the United States who have implemented transgender-inclusive policies. …


Investigating The Experiences Of Foster Youth On Community College Campuses, Jerrica Stimage Jan 2022

Investigating The Experiences Of Foster Youth On Community College Campuses, Jerrica Stimage

Walden Dissertations and Doctoral Studies

At the age of 18, foster youth are considered adults and typically released from the state’s custody and left alone to transition into adulthood with little to no support. The lack of support that these youth experience forces many of them to seek refuge at colleges and universities. Prior to completing this study, I discovered that there is no current research that explores the lived experiences of former foster youth in the state of Mississippi or the challenges that they may face when transitioning to a community college in the state of Mississippi. The focus of this research study was …


High School Dual Enrollment Teachers’ Perceptions Of Student College Readiness, Lisa Stoll Jan 2022

High School Dual Enrollment Teachers’ Perceptions Of Student College Readiness, Lisa Stoll

Walden Dissertations and Doctoral Studies

Students graduating from high school are entering college unprepared for college-level academic readiness expectations. High school dual enrollment programs were established throughout the country to help address the lack of college readiness skills among students entering college. Empirical literature presented in this study demonstrates that dual enrollment programs do prepare students for college; however, a gap exists in understanding how these programs are able to accomplish this preparation. The purpose of this basic qualitative study was to gain insight into the perceptions of high school dual enrollment teachers regarding how dual enrollment programs prepare high school students for college. The …


Components Of Inclusive Education At A Public Charter School In The Northwestern United States, Jennifer Rebecca Sweet-Fears Jan 2022

Components Of Inclusive Education At A Public Charter School In The Northwestern United States, Jennifer Rebecca Sweet-Fears

Walden Dissertations and Doctoral Studies

Examining the components of the inclusive educational setting at Public Charter School is important for its positive impact in its community and being an example to other schools in the northwestern region of the United States. The problem is that the school’s surrounding area and region are underserved in inclusive charter school options. The school is an example to other charter schools that would like to engage in a more inclusive academic setting and seeks to explore replication. To gain a better understanding of the impacts of the school’s inclusive setting on the students, families, and community, as well as …


Elementary Special Education Teachers’ Perception On Technology Adoption In The Shift To Online Learning, Samuel Sykes Jan 2022

Elementary Special Education Teachers’ Perception On Technology Adoption In The Shift To Online Learning, Samuel Sykes

Walden Dissertations and Doctoral Studies

Elementary special education teachers are required to provide online learning instruction to students with disabilities as schools are navigating through the COVID -19 pandemic with a lack of information as to how to do so successfully. The purpose of this basic qualitative study was to explore the perceptions of elementary special education teachers in a school district in the southeastern United States on their pedagogical and technology concerns regarding the shift to online learning for students with disabilities. This study’s conceptual framework was based on Roger’s diffusion theory and concerns-based adoption model. The research questions addressed elementary special education teachers’ …


Clinical Practice Guideline On Suicide Prevention Among Adolescents, Beltta Gangwab Tachi Jan 2022

Clinical Practice Guideline On Suicide Prevention Among Adolescents, Beltta Gangwab Tachi

Walden Dissertations and Doctoral Studies

AbstractIncreasing rates of suicide among adolescents in the United States is an unsettling problem whereby suicide is the second leading cause of mortality among adolescents. Although interventions exist to address this problem, there is a lack of clinical practice guidelines (CPGs) to assist healthcare providers to identify and prevent adolescent suicide. Guided by the zero-suicide model, the purpose of this project was to develop a CPG to address this gap in practice. A literature review on adolescent suicide prevention resulted in 24 peer-reviewed articles published in the past 5 years that were graded and arranged in a literature matrix. These …


Impact Of Poverty On Antibiotic Prescribing Rates In The United States Through Mediation Effects Of Underlying Health Conditions, Nato Tarkhashvili Jan 2022

Impact Of Poverty On Antibiotic Prescribing Rates In The United States Through Mediation Effects Of Underlying Health Conditions, Nato Tarkhashvili

Walden Dissertations and Doctoral Studies

Resistance to antibiotics among bacteria develops largely due to frequent use of antibiotics in human and animal medicine. Little is known about how patients’ socioeconomic factors, in conjunction with chronic health conditions, impact antibiotic prescribing rates in the United States. The research questions aimed to explore the relationship between poverty and antibiotic prescribing rates while also adjusting for confounders such as population aged ≥ 65, physician density, prevalence of obesity, diabetes, and chronic obstructive pulmonary disease (COPD). The relationships were evaluated using a quantitative, ecological study design using the ecosocial theory and mediation analysis of 2020 survey results provided by …


The Meaning Of Spiritual Care For Behavioral Health Nurses, Rowan Sirri Teboh Jan 2022

The Meaning Of Spiritual Care For Behavioral Health Nurses, Rowan Sirri Teboh

Walden Dissertations and Doctoral Studies

Patients with mental and substance use disorders who are under the care of behavioral health nurses (BHNs) frequently present with spiritual needs. However, there is no information related to how these needs are addressed. It was relevant to explore the lived experiences of the BHNs as they attend to the spiritual needs of this patient population. Therefore, this qualitative study explored the meaning of spiritual care and the lived experiences for BHNs as they attend to the spiritual needs of patients with mental and substance use disorders. Using the descriptive phenomenological design, open-ended interview questions were administered via telephone and …


Military Health Services Impact On Patient Understanding Of The Zika Virus Within A Military Community, Gabrielle Tellis Jan 2022

Military Health Services Impact On Patient Understanding Of The Zika Virus Within A Military Community, Gabrielle Tellis

Walden Dissertations and Doctoral Studies

AbstractThe Zika virus does not have a known treatment, despite ongoing efforts since 2016 to develop a vaccine. The Zika virus has been labeled by World Health Organization and the Department of Defense as a threat to the readiness, resiliency, and preparedness of military service members and dependents that currently travel or serve in areas where high concentrations of the virus are present. As such, it is important to understand how the military community understanding of the Zika virus is impacted by military health services and education. A phenomenological qualitative approach was utilized to conduct this study. Twenty active-duty military …


Factors Influencing The Effectiveness Of Managing Human–Robot Teams, Theodore B. Terry Jan 2022

Factors Influencing The Effectiveness Of Managing Human–Robot Teams, Theodore B. Terry

Walden Dissertations and Doctoral Studies

Certain factors can influence the capabilities of a robot–human team by affecting their social and behavioral dynamics in a work environment. But these factors were not known due to the progressive nature of human–robot partnerships and a lack of peer-reviewed literature on the topic. This e-Delphi study aimed to identify and understand these unknown influential factors based on the participants’ insights. The overarching research question asked about the need to determine factors that might influence the effectiveness of managing human-robot teams. The basis for the conceptual framework for this study was the theory of communication used in organizational management. Twelve …


How Teachers Promote Academic Success Of Primary Grade Students In Rural Schools By Supporting Their Resilience, Miranda Kay Teston Jan 2022

How Teachers Promote Academic Success Of Primary Grade Students In Rural Schools By Supporting Their Resilience, Miranda Kay Teston

Walden Dissertations and Doctoral Studies

Low levels of academic success for primary grade students attending rural schools located in the southern region of the United States may be related to student resilience. Researchers have found that educators can support the development of students’ resilience, which can result in improved academic success, but little is known about how teachers in rural schools promote their students’ academic success by supporting the development of their resilience. Guided by a conceptual framework that combined ecological systems theory with resilience theory, this basic qualitative study explored how rural-school teachers promoted the academic success of primary grade students by supporting the …


Differences On Employee Satisfaction And Intent To Leave Between Older And Younger Federal Leaders, Alex P. Thames Jan 2022

Differences On Employee Satisfaction And Intent To Leave Between Older And Younger Federal Leaders, Alex P. Thames

Walden Dissertations and Doctoral Studies

The retiring of an aging workforce leaves significant deficits in leadership positions across the federal government. As employee turnover increased, onboarding was not occurring at rates necessary to replace retirees, ultimately contributing to the leader deficit. The evidence was insufficient on how the employee satisfaction of both older and younger leaders affects their intent to leave and ultimately the leader deficit. The purpose of this quantitative study was to examine the differences in employee satisfaction and the intent to leave between older (i.e., age >= 40) and younger (i.e., age < 40) federal leaders to discern how their age influences their satisfaction and desire to leave federal service. Grounded in Herzberg’s two-factor theory and Strauss and Howe’s generation theory, the research questions addressed if the independent variable, categorized age of supervisory employees, had an effect on the dependent variables, employee satisfaction and intent to leave. Archival data from the 2016 Federal Employee Viewpoint Survey were analyzed. The results of the Welch t-test and Fisher’s exact test (r x 2) found no significant statistical differences (p > .05) between the categorized age group of supervisory employees and …


Factors Of Employee Retention Within Youth-Serving Nonprofits In The Mid-Atlantic Region Of The United States, Meleny Thomas Jan 2022

Factors Of Employee Retention Within Youth-Serving Nonprofits In The Mid-Atlantic Region Of The United States, Meleny Thomas

Walden Dissertations and Doctoral Studies

Factors of employee retention have been widely researched and examined. However, research on factors of retention in relation to youth-serving NPOs was limited. Turnover was an issue that many organizations face, but the impacts and implications of turnover for youth-serving nonprofits may be greater. Using Herzberg’s two-factor theory of motivation, this study identified the factors that local and national NPO employees in the Mid-Atlantic region of the eastern United States provided as to why they remained at or left NPOs. The aim of this study was to identify the motivator and/or hygiene factors that employees or former employees of NPOs …


African American Women Leader Perspectives On Advancement Strategies In A Community College System, Laquanda Rena Thomas Jan 2022

African American Women Leader Perspectives On Advancement Strategies In A Community College System, Laquanda Rena Thomas

Walden Dissertations and Doctoral Studies

AbstractAfrican American women are not retained or advanced in the community college system, resulting in an underrepresentation of African American women in administrative decision-making roles. The purpose of this basic qualitative study was to examine the experiences of African American female leaders in the community college setting and to explore the strategies that these women used to obtain these positions. Semistructured interviews were conducted with seven African American women in decision-making roles within a southeastern state’s community college system. Critical race theory and Black feminist theory helped to inform how race and gender impacted the selection of strategies used by …


Bmi Screening Tool To Identify Elementary School Children At Risk For Obesity, Talia S. Thompson-Jones Jan 2022

Bmi Screening Tool To Identify Elementary School Children At Risk For Obesity, Talia S. Thompson-Jones

Walden Dissertations and Doctoral Studies

Obesity is a public health epidemic and is as relevant in the pediatric population as it is in adults. The purpose of this DNP project was to develop a clinical practice guideline (CPG) that would use existing evidence to support the development of body mass index (BMI) screening in primary schools for the early detection of childhood obesity. Globally, more than 41 million children were obese or overweight by 2018. Due to incidence rates, developing an effective strategy to address childhood obesity is critical. The practice-focused question asked whether the evidence supported the development of a CPG for implementing BMI …


Leadership Strategies For Obtaining Employee Involvement In A Behavioral Health Organization, David Henry Thompson Jan 2022

Leadership Strategies For Obtaining Employee Involvement In A Behavioral Health Organization, David Henry Thompson

Walden Dissertations and Doctoral Studies

Maintaining a stable and engaged workforce is essential in providing quality treatment to individuals with behavioral health disorders. Soliciting and accepting input and feedback from workforce members is vital in ensuring that competent staff is available to this vulnerable population. Behavioral health leaders can facilitate this goal by cultivating environments that support employee involvement in organizational decision-making. This case study focused on identifying strategies for obtaining employee involvement by examining organizational culture and perceptions, with specific attention to existing opportunities for engaging the workforce in corporate decisions. Using the Baldridge Excellence Framework conceptually, data collection comprised five leadership interviews, organizational …


The Veteran Administration’S Appointment Scheduling Processes’ Effect On The Homeless Women Veteran’S Phenomenon, Vicki Ann Thompson Jan 2022

The Veteran Administration’S Appointment Scheduling Processes’ Effect On The Homeless Women Veteran’S Phenomenon, Vicki Ann Thompson

Walden Dissertations and Doctoral Studies

Concealed numbers of homeless women veterans could be exposed in the Veterans Administration (VA) appointment scheduling data. The challenges of scheduling healthcare or mental health appointments with the VA could prevent homeless women veterans from gaining access. Studies have shown the problems that male veterans have with scheduling appointments. However, not much research exists on the issues homeless female veterans face in scheduling appointments with the VA. This quantitative study examined the correlation between the number of women and men veterans on the VA’s electronic wait list and the percentages of unsheltered women and men veterans at the Continuum of …


Vitamin K Deficiency And Ischemic Stroke In Atrial Fibrillation Patients On Warfarin, Kimberly Therese Thompson Jan 2022

Vitamin K Deficiency And Ischemic Stroke In Atrial Fibrillation Patients On Warfarin, Kimberly Therese Thompson

Walden Dissertations and Doctoral Studies

Individuals with poor nutritional vitamin K status can suffer from atrial fibrillation (AF) due to misinterpretation of warfarin instructions by healthcare providers. The purpose of this quantitative study was to determine if there was an association between inadequate dietary vitamin K intake in AF patients and stroke outcomes to address the lack of research surrounding stroke outcomes in patients with true vitamin K deficiency. Grounded in the health belief model, this study assessed if individual beliefs from health education influenced the nutritional quality of their diet and health outcomes. The study is a secondary data analysis of the Framingham Heart …


Clinical Practice Guideline For Preventing Falls In Geriatric Patients, Rachida Abboud Todd Jan 2022

Clinical Practice Guideline For Preventing Falls In Geriatric Patients, Rachida Abboud Todd

Walden Dissertations and Doctoral Studies

AbstractFalls among geriatric patients within the acute care setting constitute significant threats to their physical and mental health and quality of life. Falls, with or without injuries, can prolong the length of stay at the hospital and cause early placement in an aged care institution. The etiology of falls is a multifactorial phenomenon involving cumulative risks shared by many adults. In answering the practice focused question, the purpose of this doctorate project was to develop an evidenced-based clinical practice guideline (CPG) to provide a standardized guide to provide ready access to the evidence-based interventions found to be most effective in …


Depression Among Older Immigrant African Women In Metro West Massachusetts, Bi Toh Jan 2022

Depression Among Older Immigrant African Women In Metro West Massachusetts, Bi Toh

Walden Dissertations and Doctoral Studies

AbstractThis study addressed depression among older immigrant African Women in Metro West Massachusetts to better understand the causes and prevalence of depression among older women coming from Africa to live in the United States. The study situated older women to be above the age of 55 and focused on exploring the views of social workers in relation to issues of depression among these women. It addressed the factors that influence older immigrant African women’s adaptive capacity in Metro West Massachusetts, the mental health service social workers offer to older women from Africa living in the United States, how social workers …


Fourth-Grade Writing Teachers' Perceptions Of Learner-Centered Strategies, April Lorraine Townsend Jan 2022

Fourth-Grade Writing Teachers' Perceptions Of Learner-Centered Strategies, April Lorraine Townsend

Walden Dissertations and Doctoral Studies

Writing is a fundamental skill needed for academic success and is considered a lifelong tool. Most students in the United States, however, do not meet grade-level proficiency in writing. Since 2015, the fourth-grade writing performance has not exceeded 50% proficient at the study site. The purpose of this basic qualitative study was to explore fourth-grade writing teachers’ perceptions of learner-centered instructional writing strategies and to identify best practices that can be shared via professional development. The conceptual framework was based on Weimer’s learner-centered principles. The research questions focused on exploring fourth-grade writing teachers’ perceptions of learner-centered writing instructional strategies and …


Strategies Small-And Medium-Sized Enterprise Leaders Use For Sustainability Beyond 5 Years In Rivers State, Olawe Alaba Tula Jan 2022

Strategies Small-And Medium-Sized Enterprise Leaders Use For Sustainability Beyond 5 Years In Rivers State, Olawe Alaba Tula

Walden Dissertations and Doctoral Studies

Small and medium-sized enterprise (SME) leaders lacking sustainability strategies experience high rates of business failure through loss of profit. A high rate of SME failure is linked to a lack of competitive advantage, resulting in decreased productivity and profitability. Grounded in resource-based view theory, the purpose of this qualitative multiple case study was to explore strategies that three SME leaders in Rivers State used to sustain their businesses beyond 5 years. Data were collected from semistructured interviews and company documents, including employee handbooks and annual reports. The three themes that emerged through thematic analysis were strategic management, stakeholder management strategies, …


Physical Activity Assessment And Staff Education For Oncology Nurses, Laurie Jean Tyer Jan 2022

Physical Activity Assessment And Staff Education For Oncology Nurses, Laurie Jean Tyer

Walden Dissertations and Doctoral Studies

Physical activity and mobility are key indicators of treatment and disease tolerance in cancer patients. Patients are living longer during and after cancer treatment, and staying active prevents many side effects of the disease and the treatment. Staying mobile also prevents some conditions from occurring including bone and muscle loss. A nursing educational platform was identified as a need in the facility site’s cancer center on the importance of patients staying physically active throughout cancer treatment. Nurses did not feel confident to coach patients on their activity levels which was an identified gap in their nursing practice. A nursing educational …