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Hospice Social Workers In The Death With Dignity Process, Lisa M. Carter
Hospice Social Workers In The Death With Dignity Process, Lisa M. Carter
Walden Dissertations and Doctoral Studies
Hospice social workers are in an ethical conundrum due to the contrast between honoring clients’ self-determined life closure and hospice organization prescribed non-participation in requests for physician-assisted death. The National Hospice and Palliative Care Association and the International Hospice and Palliative Care Association have issued position statements that the hospice philosophy of care is to provide comfort and reduce suffering, not to hasten death. Social workers are bound by a code of ethics to honor patient choice in end-of-life decisions. This generic qualitative study gives voice to hospice social workers in the Pacific Northwest regarding their motivations and responses to …
The Impact Of Midwifery On Infant And Maternal Outcomes Among Black Mothers, Joann Honoré
The Impact Of Midwifery On Infant And Maternal Outcomes Among Black Mothers, Joann Honoré
Walden Dissertations and Doctoral Studies
According to recent studies, disparities are prevalent in maternal and fetal outcomes between Black and White mothers in the United States. Researchers have established that using a midwife versus other healthcare practitioners can elicit positive maternal and fetal outcomes for Black mothers. However, no within-race research has been conducted exploring midwifery as an insulating factor against these disparities. The purpose of this quantitative retrospective cohort study was to explore the impact of midwifery on infant and maternal outcomes compared to outcomes associated with other prenatal care models/caregivers among Black mothers in California using secondary data. The ecological model was used …
Higher Education Administrator Perceptions And Experiences In Predicting And Tracking Retention, Judee Lynn Mulhollen
Higher Education Administrator Perceptions And Experiences In Predicting And Tracking Retention, Judee Lynn Mulhollen
Walden Dissertations and Doctoral Studies
AbstractThe problem guiding this study is that many administrators of 4-year colleges do not have efficacious application practices in terms of tracking and predicting student retention. This basic qualitative study was conducted to explore perceptions and experiences of administrators of U.S. 4-year colleges regarding tracking and predicting retention. The conceptual framework was based upon the Attaran analytics model and the three V model. Both involve decision-making perspectives seen frequently in higher education. The research question guided exploration of the perceptions and experiences of higher education administrators of 4-year U.S. colleges in terms of the application of student data for tracking …
Strategies Used To Retain United States Veterans, Lucy Rene Moore
Strategies Used To Retain United States Veterans, Lucy Rene Moore
Walden Dissertations and Doctoral Studies
AbstractThe United States has a 20% average overall turnover rate, requiring employers to absorb the additional costs related to employee turnover, which can exceed 300% of each departed employee’s annual salary. Human resource leaders who lack strategies to retain veterans as employees experience increased turnover and replacement costs. Grounded in person organization fit theory and human capital theory, the purpose of this qualitative multiple case study was to explore the strategies leaders in human resource departments use to retain United States veterans. The participants included three human resources leaders in Washington who developed successful retention strategies for veterans. Data were …
Early Childhood Educators’ Perceptions Of Active Shooter Drills In Early Childhood Classrooms, Melissa Joy Racioppa
Early Childhood Educators’ Perceptions Of Active Shooter Drills In Early Childhood Classrooms, Melissa Joy Racioppa
Walden Dissertations and Doctoral Studies
The threat of an active shooter is something early childhood educators need to prepare for, but a literature review regarding active shooter drills indicated a gap in the research focused on the perceptions the early childhood educators. Using a conceptual lens based on developmentally appropriate practice and the developmental theories of Piaget and Vygotsky, this qualitative case study aimed to explore the perceptions of early childhood educators on the current model of active shooter drills and the developmental appropriateness of these drills when used with an early childhood population. The participants were early childhood educators familiar with their school’s emergency …
Professional Nurse Attitudes Of Poverty Before And After Participation In A Poverty Simulation, Beth Mueller
Professional Nurse Attitudes Of Poverty Before And After Participation In A Poverty Simulation, Beth Mueller
Walden Dissertations and Doctoral Studies
Implicit bias in healthcare toward those living in poverty may contribute to inequalities in care and increase the likelihood of patient noncompliance. The purpose of this study was to determine if participation in a poverty simulation had an impact on the attitudes of professional nurses toward those in poverty. Mezirow’s transformational theory was used to guide the study by allowing the learner to examine meaning and revise perspective after participation in an online module. This module included an online poverty simulation created by The United Way of Connecticut titled Making Tough Choices as well as a pre- and post-simulation survey …
Somali Remittance Companies’ Transition To Islamic Banks, Ali Abdi Farah
Somali Remittance Companies’ Transition To Islamic Banks, Ali Abdi Farah
Walden Dissertations and Doctoral Studies
Somalia’s financial industry is transforming. Some remittance companies havetransformed into Islamic banks, which was not easy because the remittance companies lacked the technology, finance, and human capital necessary to make the banks sustainable. Money transfer operators that transform into Islamic banks also risk failure due to limited knowledge of the transformation’s effects. The purpose of this descriptive phenomenological study was to explore the lived experiences of a sample of leaders of Somali remittance companies that were transformed into Islamic banks. A three-step conceptual framework consisting of goal, process, and outcome guided the inquiry. The research question concerned the lived experiences …
Clinical Practice Guidelines For Community-Based Resources For Substance Abuse Patients In An Emergency Department, Julie Ann Thompson
Clinical Practice Guidelines For Community-Based Resources For Substance Abuse Patients In An Emergency Department, Julie Ann Thompson
Walden Dissertations and Doctoral Studies
Substance use disorder (SUD) has plagued the United States for decades and has been an ongoing issue in a Midwest hospital emergency department where SUD patients were provided discharge information that did not include SUD specific recovery and rehabilitation resources available in the community. The purpose of this project was to develop a clinical practice guideline (CPG) for nurses to use when discharging a SUD patient with an accompanying evidence-based recovery and referral resource list including Narcan, medication-assisted treatment, crisis hotlines, needle exchange programs, and treatment options. The Johns Hopkins Nursing Evidence-Based Practice framework was used to grade the levels …
Child Abuse Reporting By Mandated Reporters In Schools, Kliche Adebanjo
Child Abuse Reporting By Mandated Reporters In Schools, Kliche Adebanjo
Walden Dissertations and Doctoral Studies
Child maltreatment has proven to be a mainstream issue in the United States, with millions of children being referred to state welfare systems for investigation or alternative response intervention. Research has identified mandated reporters as being responsible for reporting the majority of these cases. Amongst those identified as mandated reporters, education personnel refer the greatest number of children for suspicion of child abuse or neglect, partly because of their ongoing contact daily; however, many of the cases they report are unsubstantiated. Past research findings have concluded that mandated reporters in schools lacked proper child abuse training. The purpose of this …
The Lived Experiences Of African American Nurses In South Carolina Emergency Rooms, Debra A. Dixon
The Lived Experiences Of African American Nurses In South Carolina Emergency Rooms, Debra A. Dixon
Walden Dissertations and Doctoral Studies
The underrepresentation of African American (AA) nurses in South Carolina (SC) emergency rooms (ERs) may affect quality patient care for AAs and all other patients in culturally diverse populations. This qualitative interpretive (hermeneutic) phenomenological study explored the lived experiences of AA nurses in several SC ERs concerning quality patient care in culturally diverse populations. Herzberg's two-factor theory and Maslow's hierarchy of needs theory framed the study. The research question investigated the lived experiences of AA ER nurses in SC ERs concerning quality patient care in culturally diverse populations. Interpretive phenomenology was used to gain insight from a sample of 17 …
Diabetes Management And Self-Perception Of Health Among Adults In The United States, Moses Ajoku
Diabetes Management And Self-Perception Of Health Among Adults In The United States, Moses Ajoku
Walden Dissertations and Doctoral Studies
The burden and complications of diabetes have been a public health concern and societal challenge for decades, and the rate of prevalence is projected to increase in the future. The study aims to examine the association between blood glucose monitoring, glycated hemoglobin test, and self-perceived health status among diabetic adults in the United States. Guided by the chronic care model, the study used data from the 2019 Behavioral Risk Factor Surveillance System to investigate diabetes management practices among diabetic adults in the United States. Quantitative and cross-sectional methods were used to assess the associations between diabetes management practices and self-perceived …
Intelligence Readiness And Operational Capability Of The National Guard Within The U.S., Jose Felipe Perez
Intelligence Readiness And Operational Capability Of The National Guard Within The U.S., Jose Felipe Perez
Walden Dissertations and Doctoral Studies
The National Guard has a highly specialized and operable intelligence force that can be useful to the communities it serves, and how that intelligence can be best used has been the focus of scholars in recent years. Researchers have demonstrated, however, that such integration of intelligence is a daunting task due to many barriers and misconceptions. Researchers have as yet been unable to establish how this might best be accomplished and those barriers diminished. The purpose of this qualitative case study was to define the National Guard’s potential roles and examine their possible integration into the domestic Intelligence Community. Theories …
Association Between Food Insecurity And Influenza Outcome In The United States., Sabrina Fiona Pink
Association Between Food Insecurity And Influenza Outcome In The United States., Sabrina Fiona Pink
Walden Dissertations and Doctoral Studies
AbstractThe influenza virus is one of the most commonly occurring respiratory viral infections in the world. The outer capsule of the virus contains 18H proteins and 11N proteins, which allows the virus to reform in over 100 different strands and outperform the vaccine. Despite efforts to improve access to care and reduce vaccine inequities; the Center for Disease Control and Prevention estimates 9-45 million documented influenza-related illnesses, 140,000 to 810,000 hospitalization, and 64,000 deaths yearly. The purpose of this study is to investigate whether food insecurity, access to care and other social determinants of health such as age, race, and …
Invariant Structural Features Of Retrograde Amnesia Affected Memory, Daniel K. Burch
Invariant Structural Features Of Retrograde Amnesia Affected Memory, Daniel K. Burch
Walden Dissertations and Doctoral Studies
Traumatized individuals may use one or several emotional defensive strategies to cope with their experience; one method is via autobiographical amnesia which may influence the efficacy of amnesiac patients’ psychological adjustment during a sensitive period. Little research has addressed the potential of how emotionally invariant structural features may impact the reconsolidation of autobiographical memory, which in turn may support patients to complete successfully psychotherapeutic treatment or intervention. This phenomenological study addressed how lived experiences (i.e., invariant emotional and behavioral conscious states) may play into patients’ transformational memory of some or all of the traumatizing event details. To answer these questions, …
Perceptions Of Parents Of K-5 English Language Learners Regarding Teacher-Parents Nights, Jean David Annulysse
Perceptions Of Parents Of K-5 English Language Learners Regarding Teacher-Parents Nights, Jean David Annulysse
Walden Dissertations and Doctoral Studies
AbstractFewer than 10% of the parents of K-5 English language learners (ELLs) participated in teacher-parents interview nights in a Northeastern United States urban public elementary school district. The purpose of this basic qualitative research was to identify the factors influencing the capacity of the parents of K-5 ELLs to participate in teacher-parents interview nights. The research question focused on identifying the factors influencing the capacity of the parents of K-5 ELLs to participate in teacher-parents interview nights. The conceptual framework was the school community theory developed by Epstein, which posits separate responsibilities of families and schools, shared responsibilities of families …
The Predictive Relationship Of Allostatic Load In Asthma, Mohamed Mustafa Hassan
The Predictive Relationship Of Allostatic Load In Asthma, Mohamed Mustafa Hassan
Walden Dissertations and Doctoral Studies
Research on populations emphasizes the influence of allostatic overload, a marker of biophysical and biochemical stress, in driving adverse health outcomes. Unknown is the impact of allostatic load and its cardiovascular, metabolic, and inflammatory components as they pertain to asthma prevalence in U.S. populations. Specifically, there is a need to understand the nature of the relationship between allostatic load and asthma in light of confounders such as socioeconomic status, race, education, and gender. Using Bronfenbrenner’s bioecological model as a theoretical underpinning and binary logistic regression as a statistical modality, the predictive relationship between allostatic load and asthma was examined in …
The Diffusion Of Innovation In A Math Professional Learning Community, Daphne Shannon Kahn-Wiley
The Diffusion Of Innovation In A Math Professional Learning Community, Daphne Shannon Kahn-Wiley
Walden Dissertations and Doctoral Studies
AbstractIn a southern U.S. suburban middle school, officials required the implementation of professional learning communities (PLCs) to improve student achievement in math. Despite PLC implementation, math student achievement did not improve over 4 years since implementation in the fall of 2014. The problem was that middle school math teachers and educational personnel struggled to implement the innovation of a PLC at the target school. The purpose of this exploratory case study was to examine teachers’ and school officials’ perceptions of the math PLC process using Rogers’s diffusion of innovation (DOI) framework and archival documents to determine reasons for the challenges …
Relationship Between Social Support And Childhood Trauma On Resilience, Carol Krieger
Relationship Between Social Support And Childhood Trauma On Resilience, Carol Krieger
Walden Dissertations and Doctoral Studies
People who have not overcome childhood trauma and who have developed mental illnesses have difficulties dealing with life challenges. The purpose of this quantitative study used a correlational design to test any relationship between childhood trauma experience levels and resilience against life challenges in adulthood. The theoretical framework used for this study was Barnes’ social support theory. Data were collected from 104 participants over a 7-week period. Participants voluntarily answered the ACE questionnaire, 2-way support scale, and resilience scale. Key results indicate that people with mental illness who receive social support are positive impacted by that support. Receiving adequate levels …
Maternal Educational Experiences And Academic Expectations For Adolescent Daughters, Brandie Tanille Lee
Maternal Educational Experiences And Academic Expectations For Adolescent Daughters, Brandie Tanille Lee
Walden Dissertations and Doctoral Studies
The National Center for Education Statistics indicated that the number of African American females who have enrolled in undergraduate and postbaccalaureate programs since 2000 has increased significantly. Enrollment numbers do not provide a deeper understanding of what factors inform females’ academic aspirations or their desire to attend college. Through the use of a generic qualitative approach and the application of the role theory conceptual framework, this study was conducted to explore the beliefs and attitudes of African American mothers age 30 to 40 regarding their educational experiences, the formation and communication of the academic expectations for their adolescent daughters, and …
Families And Schools Together In Academic Partnerships And Student Literacy Achievement, Kathleen S. Reynolds
Families And Schools Together In Academic Partnerships And Student Literacy Achievement, Kathleen S. Reynolds
Walden Dissertations and Doctoral Studies
AbstractFamily engagement in schooling has academic benefits for students and has been cited in decreasing the achievement gap. Half of all study district first-grade students did not meet benchmark goals on continuous text reading assessments. Further, first-grade treatment school students performed below published benchmarks on measures of sight word identification fluency (WIF). The purpose of this study was to examine changes to WIF scores after participation in the Families and Schools Together in Academic Partnerships (FAST-AP) pilot and to examine the effect of parent participation on changes to continuous text reading scores. Emergent literacy and sociocultural learning theories provided the …
Impact Of Intersectionality Of School Discipline And Race On Boys Of Color, Melvin Lewis Shepard
Impact Of Intersectionality Of School Discipline And Race On Boys Of Color, Melvin Lewis Shepard
Walden Dissertations and Doctoral Studies
Disciplinary practices in California result in minority boys receiving a high rate of disproportionate discipline in the public-school system requiring those students to decide whether to return to school to achieve their high school diploma. The purpose of this case study was to explore what impacts the expelled student’s education decisions from the perspective of individuals who have experience with the California disciplinary system and counseling students who were expelled. The theoretical foundation used was critical race theory by Derick Bell and a conceptual framework of intersectionality and race context developed by the Combahee Initiative and Crenshaw. The study used …
The Use Of Social Media In Moderating Feelings Of Belongingness And Suicidal Ideation Among Women, Latasha Davidson
The Use Of Social Media In Moderating Feelings Of Belongingness And Suicidal Ideation Among Women, Latasha Davidson
Walden Dissertations and Doctoral Studies
Suicide among women in the United States increased significantly over the last decade, now accounting for six suicides per 100,000 population. Concurrently, there has been an increase in social media use, with women exhibiting elevated presence on social networking platforms. Grounded in the theoretical framework of the theory of suicide and the interpersonal theory of suicide, the purpose of this quantitative nonexperimental study was to evaluate the association between social media use, feelings of belongingness, and suicidal ideation to address the increased suicide rate among adult women in the United States. One research question focused on how social media use …
An Acceptable Cloud Computing Model For Public Sectors, Eswar Kumar Devarakonda
An Acceptable Cloud Computing Model For Public Sectors, Eswar Kumar Devarakonda
Walden Dissertations and Doctoral Studies
Cloud computing enables information technology (IT) leaders to shift from passive business support to active value creators. However, social economic-communication barriers inhibit individual users from strategic use of the cloud. Grounded in the theory of technology acceptance, the purpose of this multiple case study was to explore strategies IT leaders in public sector organizations implement to utilize cloud computing. The participants included nine IT leaders from public sector organizations in Texas, USA. Data were collected using semi-structured interviews, field notes, and publicly available artifacts documents. Data were analyzed using thematic analysis: five themes emerged (a) user-centric and data-driven cloud model; …
Staff Education To Improve Pain Management In Skilled Nursing Patients, Keitta Evans
Staff Education To Improve Pain Management In Skilled Nursing Patients, Keitta Evans
Walden Dissertations and Doctoral Studies
One of the key ethical principles in nursing is the promotion of health and wellness and ensuring that patients are free from unnecessary pain and suffering. It is estimated that at least 65% of patients in skilled nursing centers in the United States report the presence of pain, indicating that there are opportunities for improvement with effective pain management within this practice setting. A key factor that has been identified as an opportunity for improvement is education for clinical staff who practice within this setting. This Doctorate of Nursing Practice (DNP) project provided education to a group of clinical team …
Coping Strategies And Relationship Satisfaction Among Dual-Military Married Army Couples, Leila Powell-Disola
Coping Strategies And Relationship Satisfaction Among Dual-Military Married Army Couples, Leila Powell-Disola
Walden Dissertations and Doctoral Studies
Since 2001, millions of U.S. military personnel have deployed overseas. Military deployment can be a tremendous stressor on military families and negatively impact the marital relationship. Few previous studies and interventions have considered the effects deployment can have on dual-military married couples. The purpose of this quantitative study was to examine what coping strategies dual-military couples used during deployment and whether use of these strategies affected their relationship satisfaction (RS). The theoretical framework for this study consisted of the social exchange theory and the exchange-based dual-military marriage model. A sample of 103 dual-military Army spouses, male or female, was recruited …
Food Insecurity In Community College Students In The Central Valley Of California, Leah Carter
Food Insecurity In Community College Students In The Central Valley Of California, Leah Carter
Walden Dissertations and Doctoral Studies
AbstractMany college students struggle with having enough money to pay for the costs of college and basic necessities, such as adequate food, which leads to food insecurity. Food insecurity results in a more challenging time focusing on studying and less success in school. This study addressed the lack of a profile of a food-insecure California community college student at Hiker’s Community College (HCC; pseudonym) in the Central Valley of California. The purpose of this quantitative study was to determine the profile of a food-insecure student and to determine relationships between food insecurity and ethnicity, gender, being a first-generation college student, …
Comparative Analysis Of Systemic Lupus Erythematosus Support Group Type On Quality Of Life, Mary Louise Giles
Comparative Analysis Of Systemic Lupus Erythematosus Support Group Type On Quality Of Life, Mary Louise Giles
Walden Dissertations and Doctoral Studies
When individuals are diagnosed with systemic lupus erythematosus (SLE), they tend to go through emotional, psychological, and physical anguish that requires support. Studies have shown that a support group can provide SLE patients with an outlet in which they can share firsthand feelings and experiences and receive emotional support but it is not known if how the individual with SLE accesses online or face to face support makes a difference. The purpose of this study, guided by the Chronic Care Model, was to determine if there were differences in quality of life (QoL) for persons with SLE participating in an …
Goal And Strategy Formation For Persistence For Men Of Color At A Community College, Owen G. Devance
Goal And Strategy Formation For Persistence For Men Of Color At A Community College, Owen G. Devance
Walden Dissertations and Doctoral Studies
At a community college, the first-year student persistence rates for men of color, especially Black men (61.6%), were lower than for White students (70.3%). The purpose of this study was to determine if men of color at the community college had high goals and self-efficacy strategies already in place or whether they receive application guidance in setting high goals and developing self-efficacy strategies in the admissions/enrollment process during the first year. Bandura’s theory of self-efficacy was the framework used to guide this study. The research questions explored setting goals at the community college during the admissions process or during the …
Hiring Manager Perceptions Of The Emotional Intelligence Skills Of Urban Community College Graduates, Janice Moore English
Hiring Manager Perceptions Of The Emotional Intelligence Skills Of Urban Community College Graduates, Janice Moore English
Walden Dissertations and Doctoral Studies
AbstractEmotional intelligence (EI) skills are an important factor in the successful entry in the labor market of the fresh graduates of urban community colleges. Even though previous studies provided substantial evidence to the importance of these skills, these studies also recognized a lack of preparedness for the newly community college graduates and add to the voices of local business communities who manifest concern in this regard. The purpose of this basic qualitative research project was to explore local hiring manager perceptions of the EI skills of community college graduates they have hired for knowledge work roles. Goleman’s theory of EI …
Strategies Information Technology Managers Use To Motivate Remote Employees, Jennifer Leonard
Strategies Information Technology Managers Use To Motivate Remote Employees, Jennifer Leonard
Walden Dissertations and Doctoral Studies
Some managers are experiencing challenges keeping remote workers motivated. Managers are concerned with motivating remote employees to ensure production levels are met or exceeded. Grounded in Vroom’s expectancy theory, the purpose of this qualitative multiple case study was to explore strategies information technology (IT) managers from five organizations in the Southeastern United States used to motivate remote employees. Data were collected from semistructured interviews with 5 business leaders, company website information, and other documentation provided by the IT leader. Data analysis involved recognizing frequent phenomena and coding meaningful and common themes, phrases, or key words. Four themes were evident: transformation …