Digital Commons Network^™

The Impact Of Family Dynamics And Treatment Times For Adhd Children, Margaret Wilson

Walden Dissertations and Doctoral Studies

Attention deficit hyperactivity disorder (ADHD) is a serious mental health condition that affects many of children. Studies show that 42-77% of children with ADHD may not be receiving treatment. Factors such as parent ethnicity, race, preference for treatment, socioeconomics, and child gender have been studied but do not account for the high numbers of untreated children. Differences between parents has been shown to effect ADHD treatment, the potential effects of family dynamics, children living in single or dual parent families, on ADHD treatment has not been studied. This secondary analysis finds there is a relationship between family dynamics, with the …

Hiv/Aids And Substance Use Among Older Adults, Jamerlia E. Wyatt

Walden Dissertations and Doctoral Studies

HIV/AIDS and substance abuse among older adults is a significant national and worldwide problem. As older HIV-positive adults continue to age, they will have problems with managing their HIV/AIDS, comorbidity disorders, and quality of life, which can lead to substance abuse. The purpose of this descriptive, phenomenological study was to explore the socio-risk behaviors, specific treatment preferences, and daily lived experiences of adults aged 50 years and older living with HIV/AIDS and substance use in a large northeastern urban city. The conceptual framework used to ground this qualitative study was Engel's biopsychosocial model. The purposeful sampling method was used to …

Narratives On The Academic Resilience Of Former Homeless Students, Alia Aboulhosn

Walden Dissertations and Doctoral Studies

The number of homeless students in U.S public schools continues to rise. Although many homeless students drop out due to challenges they face, lacking is research on how some homeless students overcome challenges and graduate high school, referred to as academically resilient. The purpose of this qualitative narrative study was to gain a deeper understanding of the experiences that promoted former students who were homeless during their senior year of high school to graduate despite adversity, using Resiliency Theory as the theoretical framework. Semi-structured interviews with five participants provided insight into the broader sociopolitical and personal contexts in their stories, …

Self-Efficacy Of College Students With A Learning Disability During Freshman Year, Nicole Renee Adams

Walden Dissertations and Doctoral Studies

AbstractThe current study sought to understand the phenomena of educational programming and academic self-efficacy. The conceptual framework for this study was based on social cognitive theories of academic self-efficacy and motivation. This qualitative study used interpretive phenomenological analysis to gain a broader understanding of experiences of academic self-efficacy and motivation in college students diagnosed with a specific learning disability. Ten participants were recruited with snowball sampling and semi-structured interviews were conducted to guide this research study. Results of this research support additional analysis as necessary to close the gaps presented in the college transition and campus life of students with …

Small Business Owners’ Strategies For Accessing Capital And Improving Financial Performance, Yao Pierre Agboh

Walden Dissertations and Doctoral Studies

Lack of access to capital for many small businesses in the Midwest often leads to business failure and higher unemployment. Small business owners who lack access to capital are at higher risk of failure. Grounded in the trade credit theory, the purpose of this qualitative multiple case study was to explore financing strategies for small businesses owners to maximize profitability and competitive advantage. The participants comprised 10 small business owners in the Midwest who effectively used financing strategies to maximize profitability and competitive advantage. Data were collected from semistructured interviews and company social media platforms. Thematic analysis was used to …

Social Determinants Of Health And Type 2 Diabetes Among Enrollees Of California Children’S Services Program In Fresno County, California, Daniela Marie Aghadjanian

Walden Dissertations and Doctoral Studies

Despite extensive study in adults, Type 2 diabetes (T2D) has been the subject of little research concerning young adults or children. Doctors believed T2D to develop only in a person’s later years until health care providers found younger individuals developing this disease. The purpose of this cross-sectional quantitative analysis was to determine correlations between T2D and social determinants of health in Fresno County, California, based on children and adolescents. The 2017-19 data came from the Fresno County Department of Public Health. The theoretical foundation for the study was the socio-ecological framework focusing on individuals’ traits having a bidirectional impact on …

Transformational Leadership Behavior And Job Satisfaction Among Virginia Small Businesses, Abdulrahman Al-Ahmadi

Walden Dissertations and Doctoral Studies

Research has shown that the leadership of a business can significantly impact employee performance, with dissatisfied employees performing at a lower level, potentially causing disruption and costs to the business. Several studies have documented the importance of small businesses to the economy in the United States, with small businesses constituting over half of all jobs. This correlational quantitative research study aimed to explore the relationship between the transformational leadership style of the managers of Virginia small businesses and job satisfaction and job performance. The theoretical frameworks used were self-determination theory and transformational leadership. This research examined how transformational leadership wkas …

A Lebanese Health Care Organization’S Strategies To Secure Sustainable Funding, Dania Mahmoud Al Assadi

Walden Dissertations and Doctoral Studies

Fundraising and donations are the main sources of revenue for behavioral health care nonprofit organizations (NPOs) worldwide. Economic, political, social, or health crises impact fundraising and donation sources for behavioral health care NPOs. This qualitative case study addressed strategies that senior leaders of a Lebanese behavioral health care NPO could use in times of crisis. The study also addressed the behavioral health leaders’ experience managing a funding crisis. The Baldrige conceptual framework was used to assess the organization’s effectiveness in seven key areas. Interviews with the senior leaders and analysis of the organization’s archival data were used to inform the …

Exploring Probation Clients’ Perception Of The Officer-Client Relationship, Robert Lee Ausby

Walden Dissertations and Doctoral Studies

Community supervision, commonly referred to as probation, is an alternative to jail and prison sentences which allow offenders to serve court-imposed sanctions in the community. The present study stemmed from Klockars’s theory of probation supervision which contains two concepts, (a) the organizational structure of probation, which has been studied repeatedly, and (b) the exchange strategy between the officer and client. The second concept has not been adequately explored. Previous literature has explored the perception that probation officers have of their clients. However, no study has explored the perception that clients have of their probation officers. The purpose of this study …

Structured Training Programs For Direct Support Professionals On Behavior Intervention Support Plans, Melody Lane Barnes-Meisenhelder

Walden Dissertations and Doctoral Studies

Direct support professionals work with developmentally disabled individuals and are responsible for implementing behavior intervention support plans (BISPs). Little is known about the efficacy of supplemental BISP training in these professionals. The purpose of this quantitative experimental study was to investigate the efficacy of BISP training to improve knowledge and applied understanding of BISPs in direct support professionals. Social validation, treatment fidelity, and change theories served as the foundations of the study. Seventy-three newly hired direct support professionals were randomized into an experimental group with a 2-day workshop training or a standard training group. BISP knowledge was assessed before and …

Church Leaders' Perceptions Of Their Roles In Mentoring Young Black Males' Development, Johnny Anthony Beckwith

Walden Dissertations and Doctoral Studies

AbstractBlack Baptist church leaders are potential male role models for their communities, however there is no straightforward guide on how to optimally support the adolescent, Black male population with life skills development. The research question that guided this generic qualitative study addressed the perceptions of male, Black, Baptist church leaders regarding their role as a support for the development of life skills for the adolescent, Black male. Thirteen, Black, male, Baptist Church leaders from the southeast United States participated in semi-structured interviews with open-ended questions. Their responses were analyzed thematically, resulting in the identification of four emergent themes: (a) conceptualizing …

Effects Of Attribution And Appraisal Of Control On Emergency Department Nurse Stress When Treating Patients With Severe Mental Illness, Cynthia Lynn Bentzen-Mercer

Walden Dissertations and Doctoral Studies

AbstractAs the prevalence of severe mental illness continues to rise and access to mental health care is scarce, an increasing number of U.S. adults seek treatment in emergency departments. Nurses who triage the severity of a medical emergency may appraise the situation both through the lens of mental illness stigma and the degree of confidence they have to control the outcome. However, the research community knows little about the extent to which attribution and appraisal of control affect nurses’ appraisal of stress. The purpose of this quantitative nonexperimental, canonical correlational study was to examine the extent to which various combinations …

Information Technology Resources For Precision Medicine, Nicholas L. Bertram

Walden Dissertations and Doctoral Studies

Healthcare delivery organizations have an opportunity to use insights from the emerging field of precision medicine to improve the quality of patient care; however, information technology resources to fully enable precision medicine are lacking. The specific problem was that people have limited information to use when making decisions regarding information technology resources for precision medicine in healthcare delivery organizations given the emerging state of precision medicine. The purpose of this Delphi study was to determine how a panel of precision medicine information technology experts view information technology resource importance and feasibility for precision medicine in healthcare delivery organizations. The research …

Employee Retention In Alabama Media Companies, Karen Braxton

Walden Dissertations and Doctoral Studies

Employee turnover comes at a high cost to businesses’ profits, operational expenses, and organizational performance and growth. The high turnover of salespeople has implications for organizational leaders in lost revenue, decreased productivity, and customer satisfaction. Grounded in leader-member exchange theory, the purpose of this qualitative multiple case study was to explore retention strategies sales managers use to reduce the voluntary turnover of sales representatives. The participants were six sales managers who implemented successful retention strategies. Data were collected using semi-structured interviews, company documents, and public documentation. The data were analyzed using Yin's 5-step data analysis method, and four themes emerged: …

Hurricane Survivors' Attitudes Regarding The Therapeutic Benefits Of Animals, Tina Callwood

Walden Dissertations and Doctoral Studies

There is research on the benefits of animal-assisted interventions. However, no study was found on hurricane survivors' lived experience and their attitudes toward animals after a traumatic experience. The purpose of this hermeneutic phenomenological study was to explore the lived experience of hurricane survivors' attitudes toward their companion animals or other animals they interacted with after a natural disaster. The transactional theory of stress and coping was used to explain how participants appraised their stress and reduced it. Constructivism was used to uncover hurricane survivors' experiences and their attitudes toward animals after the disaster. The research question examined the lived …

Faith Leaders’ Perceived Role In Mental Health Promotion In Impoverished Communities, Kelly L. Cornish

Walden Dissertations and Doctoral Studies

The use of faith-based organizations (FBO) for health promotion in vulnerable communities has the potential to improve mental health outcomes by providing resources to community members. The purpose of this generic qualitative study was to explore how faith leaders perceived their role in mental health promotion as a resource to improve access to mental health care in impoverished communities. The health belief model and theory of planned behavior were used as the conceptual framework. Purposeful and snowball sampling was used to recruit eight faith leaders who led a FBO and resided in Cumberland County, NJ. Data were collected using semistructured …

Educating Nurse Practitioners To Avoid Urine Cultures To Prevent Overuse Of Antibiotics, Diane Evelen Deangelo

Walden Dissertations and Doctoral Studies

Unnecessary antibiotics are often ordered for positive urine cultures in long-term care (LTC) residents despite a lack of symptoms, indicating asymptomatic bacteriuria (ASB). Treating ASB with antibiotics can result in antibiotic-resistant organisms, allergic reactions to antibiotics, and secondary infections such as clostridium difficile. The purpose of this DNP project was to provide an evidence-based education intervention regarding management of ASB and UTIs with the hope of increasing the knowledge among nurse practitioners (NPs) that could be translated into practice and result in a decreased antibiotic use in LTC patients. The DNP project was grounded in Knowles’ adult learning theory and …

College Students' Decision Making And Experiences In Changing Their Stem Major And Their Career Choice, Rachel Ann De Los Reyes

Walden Dissertations and Doctoral Studies

Science, technology, engineering, and mathematics (STEM) education continues to be a priority to the United States. A large body of research exists around the topic of STEM education and retention in STEM majors in higher education, yet there continues to be a low retention rate in STEM fields and a shortage of STEM workers in the United States. The U.S. Bureau of Labor Statistics projected that even with the current focus on the nation’s STEM retention, the demand for STEM professionals will outpace the number of qualified people. There is a limited body of knowledge regarding the college students’ experiences …

Reaction Time And Verbal Working Memory Differences In Ncaa Concussed Female Athletes, Kelly Delph

Walden Dissertations and Doctoral Studies

Empirical evidence suggests that female collegiate athletes participating in soccer are likely to suffer from TBI and subsequent concussion syndrome. Studies further indicate that TBI adversely affects the quality of life of athletes both on an academic level and social life. This study examined data with the intent to fill existing gaps in the current literature and focused on the experiences of NCAA female collegiate soccer athletes who have suffered TBI and neurocognitive deficit symptoms in verbal memory and reactional time. This quantitative research method relied on the theory of mind (ToM) as the theoretical basis to investigate research questions …

Volunteer Mentor Perspectives On The Impact Of Mentoring Children Of Incarcerated Parents, Brenda Joyce Dilworth

Walden Dissertations and Doctoral Studies

AbstractVolunteer mentors contribute time by serving as role models to numerous children who face challenges that cause them to be at risk for delinquent behavior. Children of incarcerated parents are a growing population in need of special attention and strategies to minimize their risk of engaging in a life of crime. The purpose of this research was to explore the perspectives of volunteer mentors as they work with adolescents who have experienced the challenges and trauma of having an incarcerated parent. This research is grounded in Bandura’s social learning theory, which considers how people learn from one another. As mentors …

Oppositional Behavior Parallels In Toddlers And Teens And Parent’S Response, Michele Dimmett

Walden Dissertations and Doctoral Studies

Parents seem to manage oppositional conduct of toddlers but struggle emotionally and physically with oppositional conduct of teenagers, despite similarities in the behaviors. Self-efficacy theory, psychological theory of development, and theory of mind guided the conceptualization of how parents perceive and respond to these two sensitive periods of development. This contrasted group quantitative study pursued measurable similarities in the experience of first-time parents of children aged 18-36 months and 14-15 years of age. Establishing parents’ confidence level in their parenting skills and how they perceive and respond to their child's oppositional behavior was also a factor. One hundred and seventy-five …

Inhaled Insulin, Afrezza, Educational Module For Health Care Providers, Sara Lynn Doolin-Thompson

Walden Dissertations and Doctoral Studies

Abstract Inhaled Insulin, Afrezza, Educational Module for Health Care Providers

bySara Doolin-Thompson

MSN, Walden University, 2014 BSN, University of Phoenix, 2004 ASN, Kentucky Wesleyan College, 1994

Project Submitted in Partial Fulfillmentof the Requirements for the Degree of Doctor of Nursing Practice

Walden University August 2021 Abstract Diabetes is on a global rise and there is a definite gap in providing care for the diabetic population. Two of the largest contributors to this gap in care are the lack of collaboration between health care professionals and the lack of education for health care providers on the evolution of diabetes treatment plans. …

Teacher And Parent Perception Of Cyberbullying In A Middle School Setting, Jacqueline Gallo

Walden Dissertations and Doctoral Studies

AbstractThe purpose of this mixed method study was to evaluate differences in cyberbullying perception and self-efficacy between teachers and parents. The study aimed to determine how teachers and parents reacted to cyberbullying. The importance of examining teacher and parent perception and self-efficacy in addressing cyberbullying determined the significance of intervention. The theoretical framework for the study was Bandura’s social learning theory. The purpose of this mixed method study was to examine the perceptions and self-efficacy of cyberbullying between teachers and parents as measured by the Peer Relations Assessment Questionnaire Revised and the Self-Efficacy Questionnaire. A sample that incorporated perception and …

Effects Of Mass Shootings On Life Satisfaction Of First Responders, Hanna M. Garza

Walden Dissertations and Doctoral Studies

Mass shootings are devastating events that occur in many communities in the United States. Mass shootings bring significant psychological distress and contribute to the development of trauma. The communities affected by mass shootings rely on an effective and efficient response from first responders who assist survivors by providing psychological and physical assistance. Because first responders are the first to deal with the aftermath of mass shootings, they assume immediate secondary trauma. The purpose of this quantitative correlational study was to examine whether a statistically significant relationship existed between the independent variables of post-traumatic stress disorder (PTSD), anxiety, and the three …

Manager Perceptions On The Efficacy Of Telecommuting For Technology Professionals, Gabriel Ndubisi George

Walden Dissertations and Doctoral Studies

There has been an increase in the number of teleworkers across all industries. The purpose of this qualitative exploratory case study was to explore and understand the management perspective in adopting telecommuting as a timesaving tool for IT professionals in Gwinnett County, Georgia. The theoretical foundation of this study was based on the Technology Acceptance Model, which addressed technology acceptance behaviors among individuals in different information system constructs. The key research question inquired about the management perspective in adopting telecommuting as a time-saving tool for technology professionals in Gwinnett County, Georgia. An exploratory case study design involving interviews with 16 …

Nursing Home Nurse Turnover And The Association To Workload, Absenteeism, And Number Of Beds, Justin Ryan Gracieux

Walden Dissertations and Doctoral Studies

The aging population in the United States has resulted in an increased need for quality nursing home care, which includes a stable nursing staff and reduced workforce instability. The purpose of this quantitative correlational study was to examine the relationship between direct care nursing staff turnover rates for RNs, licensed vocational nurses (LVNs), and certified nursing assistants (CNAs) concerning workload, absenteeism, and number of beds in Texas nursing homes. The relational coordination theory provided the theoretical framework for understanding the underlying issues and communication needs that may relate to staff turnover. Secondary data from 11,336 direct resident care nursing staff …

Counselor-In-Training Self-Efficacy When Working With Transgender And Gender Non-Conforming Clients, Thomas John Hegblom

Walden Dissertations and Doctoral Studies

Researchers highlighted a significant void in existing literature surrounding the preparation of counselors working with the transgender and gender non-conforming (TGNC) population. The problem addressed is the limited understanding of self-efficacy counselors-in-training (CIT) possess while working with TGNC clients. The purpose of this quantitative study rooted in self-efficacy theory was to examine the relationship between three independent variables: (a) the cumulative time the participant spent as a CIT, (b) the amount of training the CIT received specific to transcompetent counseling practices, and (c) a CIT’s competency in delivering transcompetent counseling, and the dependent variable: a CIT’s self-efficacy in providing transcompetent …

Law Enforcement Arrests In Florida's Public Schools, Patricia A. Henry

Walden Dissertations and Doctoral Studies

AbstractUnarmed, nonviolent public school students and sworn law enforcement officers carrying firearms and nightsticks making school-based arrests in a southeastern school district may contribute to the United States maintaining its distinction as the world leader in its use of incarceration. On any given day, nearly 60,000 youth under age 18 are incarcerated in juvenile jails and prisons in the United States. Arrest records for students are barriers to their college, employment, housing, military and immigration status. School Resource Officers are the entry point to the criminal justice system and the direct targeting of vulnerable groups by way of arrests. There …

Development Of A Pilot Training Program For Middle School Students To Reduce End-User Cyber Vulnerabilities, Connie D. Howard

Walden Dissertations and Doctoral Studies

This qualitative study contributes to the limited body of knowledge on cybersecurity in middle schools beyond awareness programs. The purpose was to develop a pilot training module for middle school students comprising an analysis of public documents to examine what topics should be included in a pilot training program to reduce problematic cyber practices. Attitude functional theory was used as the conceptual framework to provide insights into the process of persuading a positive behavioral change in a targeted group that is sustainable. A systematic analysis of national, state, and local public documents was conducted to compare practices, including a K–12 …

The Enrollment And Persistence Of Education Majors In A Community College, Nneka Neambi Hunter

Walden Dissertations and Doctoral Studies

AbstractThe problem that is facing one community college in Central Florida is the decrease in enrollment of teacher education majors and the low persistence of students who choose to pursue education as a major. The purpose of this qualitative study was to explore why education majors at this community college chose to enroll and their reasons for persisting and completing their respective programs. The conceptual framework of the study was grounded in Atkinson’s expectancy-value theory and Tinto’s retention theory. The research questions focused on the reasons for the enrollment and persistence of education majors in a community college in Florida. …