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Familial Challenges Of Women Emergency Managers For No-Notice Activations, Linda Josephine Gonzalez
Familial Challenges Of Women Emergency Managers For No-Notice Activations, Linda Josephine Gonzalez
Walden Dissertations and Doctoral Studies
Women employed as emergency response personnel have faced familial challenges during the COVID-19 pandemic. The goals of this research were to identify the perceived underlying causes of work-life conflict for women serving in emergency response roles and how such work-life conflict can be addressed. In-depth interviews were used to collect data in this qualitative research study. The snowball method was used to recruit the nine study participants; inclusion criteria focused on a distinct group of emergency response professionals. Transcription analysis was applied to the data collected from the interviews. Thematic analysis uncovered five themes from the data: (a) more women …
New Graduate Nurses’ Transfusion Training Views: Reflection On Experiences With Adverse Reactions, Hind Jaber-Daou
New Graduate Nurses’ Transfusion Training Views: Reflection On Experiences With Adverse Reactions, Hind Jaber-Daou
Walden Dissertations and Doctoral Studies
Abstract:New graduate nursing students transitioning to becoming professionals undergo education and training to gain knowledge and competence about transfusions. Nonetheless, new graduate nurses experience stress during a blood transfusion adverse reaction, which can be associated with lack of knowledge and inadequate training. The purpose of this qualitative study was to gather data from new graduate nurses who described their lived experiences with patients exhibiting symptoms of adverse reactions, how they reflected on their emotional effects, and the influences of the training on their knowledge and confidence. The research was grounded in social cognitive theory that centers on the concept of …
Nontransferability Of The Skills And Qualifications Among The Caribbean Diaspora In Toronto, Canada, Carla Lucia Ibanzo
Nontransferability Of The Skills And Qualifications Among The Caribbean Diaspora In Toronto, Canada, Carla Lucia Ibanzo
Walden Dissertations and Doctoral Studies
About 35% of the Canadian labor market is made up of highly skilled immigrants, yet they have the highest unemployment rates. This study filled a gap in knowledge related to reasons Caribbean credentials are not more widely recognized and accepted in Canada and why their skills and qualifications are nontransferable. The purpose of this qualitive research was to identify the barriers to the successful integration of Caribbean immigrants into the Canadian job market and to obtain strategies to remove them. The theoretical framework that underpinned this study was Rawls Social Justice theory. Data were collected through semi structured interviews with …
The Impact Of Inpatient Boarding In North Carolina Emergency Departments, Miracle Howard
The Impact Of Inpatient Boarding In North Carolina Emergency Departments, Miracle Howard
Walden Dissertations and Doctoral Studies
Currently, emergency department overcrowding has negatively impacted hospitals' financial, operational, and organizational performance globally. A contributing factor to emergency department overcrowding includes the delay of the throughput process for patients who have a time-sensitive diagnosis and are admitted to the emergency department. This causes adverse hospital outcomes such as longer length of stays and increase hospitalization cost. This study utilized secondary data to address a relationship between admitted patients who have time-sensitive diagnoses such as chest pain and chronic obstructive pulmonary disease within North Carolina emergency departments and length of stay, utilization of services, and overall hospital cost. The conceptual …
College And University Accessibility For Students With Visual Disabilities, Robbie S. Huff
College And University Accessibility For Students With Visual Disabilities, Robbie S. Huff
Walden Dissertations and Doctoral Studies
The problem addressed by this project study was the lack of understanding by faculty and administrators of accommodations affecting the academic environment in higher education required for success by Georgia students with visual disabilities. The purpose of this qualitative descriptive study was to explore how Georgia students with visual disabilities describe their experiences in higher education. Guided by the framework of the social model of disability by Oliver, which holds that people with a disability are restricted by the barriers in their community and not by the disability; the research question was used to explore of how Georgia students with …
Chief Officers’ Perspectives Of Traffic Incident Management Standards Following A Line-Of-Duty Fatality, Charles David Hughes
Chief Officers’ Perspectives Of Traffic Incident Management Standards Following A Line-Of-Duty Fatality, Charles David Hughes
Walden Dissertations and Doctoral Studies
AbstractAccording to the United States Fire Administration, an average of five firefighters are killed annually at scenes of roadway incidents. The purpose of this study was to explore chief fire officers’ perceptions of incident management policies and standards for the prevention of firefighter line-of-duty deaths resulting from secondary collisions. Their perceptions may contribute to the efficacy and appropriateness of incident management policies and standards and may also lead to recommendations to improve compliance. The research question was to understand what chief fire officers’ perceptions of incident management policies and standards for preventing firefighter line-of-duty-deaths from secondary collisions. The theoretical framework …
Staff Education On Fall Prevention For Inpatient, Geriatric, Psychiatric Patients, Shannon C. Hampton
Staff Education On Fall Prevention For Inpatient, Geriatric, Psychiatric Patients, Shannon C. Hampton
Walden Dissertations and Doctoral Studies
Falls among hospitalized, geriatric patients are a leading cause of injury. Geriatric patients with psychiatric illnesses are at an even greater risk of falls. The project site was experiencing an increase in the number of patient falls and identified a need for staff education on fall risk assessment and implementation of interventions specific to the hospitalized, geriatric, psychiatric patient. Thus, the practice-focused question for this project was whether an educational program on evidence-based assessment and fall prevention strategies would improve nurses’ knowledge and skills to assess risk for falls and implement appropriate interventions for inpatient, geriatric, psychiatric patients. Knowles’s adult …
Novice Secondary Teachers’ Perceived Efficacy And Projected Responses To Bullying Behaviors, Jennifer L. Greineder
Novice Secondary Teachers’ Perceived Efficacy And Projected Responses To Bullying Behaviors, Jennifer L. Greineder
Walden Dissertations and Doctoral Studies
This study was a quantitative exploration of the relationship between novice secondary teachers’ perceived levels of self-efficacy and their projected responses to specific bullying behaviors. The theoretical foundation was Bandura’s self-efficacy theory. The relationship between novice teachers’ perceived levels of self-efficacy, their reported ability to recognize different types of bullying behaviors, their responses to these bullying behaviors, and importance of a mentoring program were explored in this quantitative study. The sample was a convenience sample consisting of 159 teachers in different school settings in Pennsylvania. Vignettes about different types of bullying behaviors were presented to the participants. Likert scale questions …
Exploring Cultural Experiences Of African American Recipients Of Healthcare, Christopher Steven Hairfield
Exploring Cultural Experiences Of African American Recipients Of Healthcare, Christopher Steven Hairfield
Walden Dissertations and Doctoral Studies
Culturally competent care is widely accepted as a strategy to address healthcare disparities based on the perceptions of the individual provider, yet this approach lacks the voice of the African American (AA) communities intended to benefit from the strategy. Individuals in AA communities have been shown to suffer higher incidence of disease, disproportionately poorer health outcomes, and inequitable healthcare treatment. Framed by Leininger’s culture care theory, the purpose of this interpretive phenomenological study was to explore the lived cultural experiences of AA recipients of care when interacting with the healthcare system in an effort to contribute evidence to improve the …
Expectations And Outcomes Of Choosing Reiki For Rheumatoid Arthritis, Theresa Jimenez
Expectations And Outcomes Of Choosing Reiki For Rheumatoid Arthritis, Theresa Jimenez
Walden Dissertations and Doctoral Studies
Little was known about the use of Reiki as an alternative medical treatment for Rheumatoid Arthritis (RA) symptoms and/or side effects. The current study addressed how sufferers of RA made their decision to use Reiki, their experiences using Reiki to treat their symptoms, and changes in their symptoms or side effects from RA. Two sets of in-depth interviews were conducted with 13 participants. The first interview addressed how decisions to use Reiki were made and the second interview addressed participants’ experiences with Reiki to treat their symptoms and side effects. Psychological attribution theory and the covariation attribution model were used …
Social Determinants Of Maternal And Neonatal Birth Outcomes Among Syrian Refugees In Lebanon, Mona Charbel Kiwan
Social Determinants Of Maternal And Neonatal Birth Outcomes Among Syrian Refugees In Lebanon, Mona Charbel Kiwan
Walden Dissertations and Doctoral Studies
Neonatal and maternal health indicators have been impacted due to Syrian refugees’ displacement in Lebanon and an increase in child marriage rates from 13% in pre-conflict Syria to 41%. Using the causal continuum framework, the retrospective cross-sectional study’s purpose was to examine whether there is a statistically significant association between adverse maternal and birth health outcomes among Syrian refugees in Lebanon and social determinants of health. The sample size drawn from UNHCR database included 48,083 maternal and 4,288 neonatal refugees admitted to the secondary health care in 2018. Pearson chi-square and binomial logistic regression results showed that employed, newcomers mothers …
Evaluation Of A Telehealth Program For Heart Failure Patients, Virginia Elizabeth Lucas
Evaluation Of A Telehealth Program For Heart Failure Patients, Virginia Elizabeth Lucas
Walden Dissertations and Doctoral Studies
AbstractHeart failure (HF) is a progressive and life -threatening disease that places a large burden on the health care systems worldwide with increased rates of re-hospitalization, readmissions, and outpatient visits. With the use of telehealth monitoring and support from nursing case managers, HF patients are able to manage this disease at home. The focus of this project was to evaluate a home health agency (HHA) telehealth program, exploring if there was an improvement in 30-day readmission rates, and patient satisfaction scores for the HHA telehealth program one year after revising the program incorporating nursing virtual case managers. This project used …
Effects Of Cultural And Lived Experiences On Health Access Of Chamorro People On Saipan, Esther Lizama Muna
Effects Of Cultural And Lived Experiences On Health Access Of Chamorro People On Saipan, Esther Lizama Muna
Walden Dissertations and Doctoral Studies
More than half of the population of the Commonwealth of the Northern Mariana Islands had not visited their primary care provider for a year in 2016. The Chamorro people are less willing to seek or access care than other ethnic groups. This qualitative study aimed to understand the Chamorro people's access and utilization of Saipan's health care services to improve their access and, ultimately, their health. The theoretical frameworks included Penchansky and Thomas's theory of access to explore the Chamorro people of Saipan's lived experiences with availability, accessibility, accommodation, affordability, and acceptability of health care services, as well as Spector's …
Online Instructors' Use Of Emotional Intelligence In Higher Education Distance Learning, Aprile Marie Giordano Atwater
Online Instructors' Use Of Emotional Intelligence In Higher Education Distance Learning, Aprile Marie Giordano Atwater
Walden Dissertations and Doctoral Studies
Emotional intelligence (EI) has been related to facets of higher education success in brick and mortar environments. Little is known, however, about how EI manifests in higher education distance learning (HEDL) environments. The purpose of this basic qualitative study was to explore HEDL undergraduate and graduate instructor perceptions of their use of EI so that best practices could be identified for online teaching. Guided by transformative emotional intelligence theory and the emotional learning system model, the 3 research questions were designed to clarify online instructors' EI knowledge, EI skills and strategies used by online instructors, and instructors' perceptions about the …
Relationship Between Intrinsic Job Satisfaction, Extrinsic Job Satisfaction, And Employee Turnover Intentions, Taran Pawan Bhagwandeen
Relationship Between Intrinsic Job Satisfaction, Extrinsic Job Satisfaction, And Employee Turnover Intentions, Taran Pawan Bhagwandeen
Walden Dissertations and Doctoral Studies
Employee turnover can cost business owners up to 200% of an employee’s annual salary to recruit, hire, and train a replacement in the insurance industry. Understanding employee intent to leave is vital for insurance leaders to help reduce turnover. The purpose of this quantitative correlational study was to examine the relationship between intrinsic job satisfaction, extrinsic job satisfaction, and employee turnover intentions of casualty insurance professionals in the southeast region of the United States. The study was grounded in Herzberg’s 2-factor theory. Data were collected from 83 participants using an online survey with questions from the Minnesota Satisfaction Questionnaire and …
Relationship Between Immigration And Violent Crime In Nontraditional Immigrant Destinations, Shane Frazer
Relationship Between Immigration And Violent Crime In Nontraditional Immigrant Destinations, Shane Frazer
Walden Dissertations and Doctoral Studies
AbstractSeveral recent debates have occurred about the effects that immigration has on crime in the United States, and although most studies indicate that increased immigration does not increase crime, some research indicates that immigration affects crime in some ways. With some noted recent attacks by immigrants on U.S. citizens, politicians and citizens are calling for lawmakers to implement more laws that will reduce immigration. The purpose of this quantitative study was to bridge this gap in literature by comparing the number violent crimes to the number of immigrants from 1970 through 2010 in Georgia. The goal of this study was …
Interactions Among Learning Style Preferences, Generational Cohorts, And Gender, Cassaundra De-Vonne Gilchrist
Interactions Among Learning Style Preferences, Generational Cohorts, And Gender, Cassaundra De-Vonne Gilchrist
Walden Dissertations and Doctoral Studies
AbstractThe body of literature on learning -style preferences reflects differences among generational cohorts in the constructs of values, attitudes, and personality. While scholars have theorized learning, styles vary based on membership in generational cohort, very little research has been conducted on generational preferred learning preference. The problem was the need to understand the preferred learning style of multiple generations due to individuals 55 years and older having a longer life expectancy and working beyond retirement age. The purpose of this quantitative nonexperimental comparative survey study was to determine the learning style score based on generational cohort, gender, and the interaction …
Managers’ Strategies For Leading Innovative Followers, Keturah Hallmosley
Managers’ Strategies For Leading Innovative Followers, Keturah Hallmosley
Walden Dissertations and Doctoral Studies
In hierarchical structured organizations, leaders often assume that innovation will happen randomly but lack an understanding of what leadership qualities contribute to employees’ innovativeness. Innovation is a requirement in the current business marketplace to stay relevant. The purpose of this exploratory qualitative case study is to explore how the convergence of leader behaviors, employees’ behaviors, organization structure, and organization culture influence employee innovativeness in a hierarchical organization. The overarching research question is from an employee and leader perspective how do leaders’ behaviors, organizational structure, and organizational culture influence employee innovation? Leveraging the conceptional framework of the innovative blueprint created by …
Hotel Managers’ Motivational Strategies For Enhancing Employees’ Performance, Nickea Katherine Harris
Hotel Managers’ Motivational Strategies For Enhancing Employees’ Performance, Nickea Katherine Harris
Walden Dissertations and Doctoral Studies
More than 87% of United States hotel employees are not engaged. Hotel general managers who struggle to engage employees are at risk of damaging organizational effectiveness. Grounded in Maslow’s hierarchy of needs, the purpose of this qualitative multiple case study was to explore the strategies general managers of full-service hotels used for enhancing employees’ performance. The participants consisted of general managers from 3 full-service hotels in Hawaii who have successfully developed and deployed strategies to enhance employees’ performance. Data were collected from semistructured interviews, company websites, advertisements, and observations. Yin’s 5-stage analysis was used to analyze the data, and 3 …
Strategies For Integrating The Internet Of Things In Educational Institutions, Anthony Kofi Harvey
Strategies For Integrating The Internet Of Things In Educational Institutions, Anthony Kofi Harvey
Walden Dissertations and Doctoral Studies
The introduction of the Internet of Things (IoT) into educational institutions has necessitated the integration of IoT devices in the information technology (IT) infrastructural environment of educational institutions. Many IT leaders at educational institutions, however, lack strategies for integrating and deploying IoT devices in their institutions, which has resulted in numerous security breaches. The purpose of this study was to explore security strategies adopted by IT administrators to prevent data breaches resulting from the integration of IoT devices in their educational institutions. The diffusion of innovations theory served as the conceptual framework for this qualitative multiple case study. Eleven IT …
The Relationship Between Cultural Competency And Hospital Quality Measure Outcomes, Linda Nguyen Quach
The Relationship Between Cultural Competency And Hospital Quality Measure Outcomes, Linda Nguyen Quach
Walden Dissertations and Doctoral Studies
Healthcare organizations have little evidence concerning how cultural competency impacts hospital quality outcomes of care transition and patients’ overall experience with care. Identifying if cultural competency translates into quality measures is important for healthcare administrators and could contribute to optimizing patient care. The purpose of this quantitative study was to explore the relationship between hospital cultural competency and hospital quality measures and compare California and other states’ acute care hospital cultural competency scores. Donabedian’s lasting framework for health care quality and Campinha-Bacote’s model of cultural competence in health care were used to frame this research. Hospital Consumer Assessment of Healthcare …
The Impact Of Socioeconomic Status And Ethnicity On Chronic Obstructive Pulmonary Disease Patients, Donald Garret Abshier
The Impact Of Socioeconomic Status And Ethnicity On Chronic Obstructive Pulmonary Disease Patients, Donald Garret Abshier
Walden Dissertations and Doctoral Studies
Chronic obstructive pulmonary disease (COPD) is a progressive and debilitating respiratory condition that leads to significant medial and financial burdens. For many patients with COPD, multiple socioeconomic factors contribute to health disparities, including income, education, employment status, and race/ethnicity. The purpose of this study was to examine the impact of SES and race/ethnicity on COPD patients. For this cross-sectional study, using secondary data analysis, the Social-Ecological Model (SEM), which discusses five levels of influence, was utilized. Data from over 3,222 participants aged 18 and over, living in Nevada were obtained from the 2018 Behavioral Risk Factor Surveillance System (BRFSS) study. …
Exploring Police Legitimacy Through Procedurally Just Policing Practices In Agencies Using Screen-In And Screen-Out Procedures, David William Justice
Exploring Police Legitimacy Through Procedurally Just Policing Practices In Agencies Using Screen-In And Screen-Out Procedures, David William Justice
Walden Dissertations and Doctoral Studies
Recently there have been widely publicized reports of distrust and a lack of perceived legitimacy in communities across the United States for the police agencies that serve them. Scholars have explored perceptions of police legitimacy and the role of procedural justice in police-community interactions; however, there is a dearth of information concerning the policies of law enforcement agencies using psychological assessments to screen-in or screen-out applicants and the manner in which those agencies serve the community. The purpose of this mixed-methods study was to explore the manner in which one police agency using psychological assessments to screen applicants in and …
Multimorbidity, Healthcare Processes, And Mortality Among Tb/Hiv Patients Treated With Antiretroviral Therapy In Uganda, Abel Nkolo
Walden Dissertations and Doctoral Studies
Globally, Uganda is one of the 30 tuberculosis (TB) and human immunodeficiency virus (HIV) high burden countries with high antiretroviral therapy (ART) coverage, yet mortality is still high among TB/HIV patients on ART. The reasons for the high mortality have not been fully explored. The purpose of this study was to determine the association between multimorbidity, age, sex, marital status, phase of TB treatment, timing of initiation for ART, and type of TB and mortality among TB/HIV patients on ART in Uganda. The health outcomes conceptual framework with 3 domains that directly or indirectly affect the outcome domain was used …
Teachers’ Beliefs And Experiences: Teaching Students With Attention Deficit Hyperactivity Disorder In K-5 Inclusive Classrooms, Ruth Omunda
Walden Dissertations and Doctoral Studies
Students with attention deficit hyperactivity disorder (ADHD) often exhibit problem behaviors in the classroom. Some of these students present challenges for teachers in general classrooms that impact not only the students’ own learning, but also the learning of other students. Thus, the purpose of this qualitative, transcendental phenomenological research study was to expand knowledge about the experiences of special education teachers who teach students identified with ADHD. The conceptual framework was based on Dewey’s constructivist worldview and van Manen’s phenomenology of practice. The research questions explored beliefs and experiences of special educators with students identified with ADHD in inclusive classrooms. …
The Relationship Between Capital Structure Practices And Financial Distress In West Africa, Kofi Opoku-Asante
The Relationship Between Capital Structure Practices And Financial Distress In West Africa, Kofi Opoku-Asante
Walden Dissertations and Doctoral Studies
Many scholars have concluded that the relationship between capital structure in a business and its financial health is not clearly defined. When making decisions, managers may lack understanding of the relationship between the capital structure practice and financial distress. The purpose of this study was to test the relationship between capital structure practice and financial distress in West African companies. The capital irrelevance theory, pecking order theory, and the trade-off theory guided the research question to ascertain the relationship between capital structure practice and financial distress. The study design was a quantitative correlational design. The population was all public nonfinancial …
Examining Teachers' Preparation For Effective Coteaching, Janice Orr
Examining Teachers' Preparation For Effective Coteaching, Janice Orr
Walden Dissertations and Doctoral Studies
AbstractA critical part of teacher education programs is preparing educators for their careers, including assuring that coteaching is performed in an effective manner, particularly in inclusive classrooms. The purpose of this exploratory case study was to gain an understanding of the preparation teachers received for coteaching. The conceptual framework was social learning and communities of practice developed by Lave and Wenger. Four local school districts in the southwest region of a centrally located state participated in the study. Data collection included interviews with 4 school principals, 4 teachers, and 4 special education directors. The data were analyzed utilizing Hatch’s topological …
Psychosocial Support During Pregnancy: A Narrative Inquiry Of Low-Income Unmarried Women In Iowa, Summer D. Parrott
Psychosocial Support During Pregnancy: A Narrative Inquiry Of Low-Income Unmarried Women In Iowa, Summer D. Parrott
Walden Dissertations and Doctoral Studies
Pregnant women who experience high levels of stress and who lack support are at higher risk for negative birth outcomes for themselves and their offspring including preterm labor, low birthweights, and a myriad of other short- and long-term health and behavioral consequences across the lifespan of the child. Unmarried or socioeconomically disadvantaged women lack the most common resources used to protect against the negative effects of stress during pregnancy. A research gap existed regarding the specific types of psychosocial support perceived by low-income unmarried women to be most beneficial at buffering their perceived prenatal stress. The ecological model and the …
Extension Youth Development Professionals’ Experiences Implementing Inclusive Youth Development Programming, Crystal Renee Perry
Extension Youth Development Professionals’ Experiences Implementing Inclusive Youth Development Programming, Crystal Renee Perry
Walden Dissertations and Doctoral Studies
Youth with disabilities benefit from being included in extracurricular activities. However, often youth with a disability do not participate in extracurricular activities. The purpose of this basic, qualitative study was to explore the experiences of Extension Youth Development Professionals (YDPs) as they serve youth with disabilities in their 4-H programs. The research question for this study focused on the perceptions and experiences of the YDPs implementing inclusive, positive youth development programs. Conceptually, the transfer of learning theories provided the framework for this study. Data for this study were collected through the instrument of interviews, consisting of questions focusing on training, …
Alzheimer’S Dementia Care: Impact On Family Caregivers, Rose Anne Pierre
Alzheimer’S Dementia Care: Impact On Family Caregivers, Rose Anne Pierre
Walden Dissertations and Doctoral Studies
Patients with dementia of the Alzheimer’s type increasingly become dependent on caregivers. Researchers have demonstrated that these caregivers experience serious burdens during their caregiving experiences. They face emotional, physical, and financial burdens. The objective of this paper was to discuss the burden and strains of Alzheimer’s disease on the older caregivers in the United States. The stress process model and the quality of life were used in this study. The study used a descriptive and analytical approach to analyze 2015 secondary data retrieved in 2018 from the National Alliance for Caregiving. The adult Alzheimer’s dementia caregivers were selected. A multiple …