Digital Commons Network^™

Nonprofessional Healthcare Staff Perceptions Regarding Inmate Self-Injury In Georgia, Alisa Adele Harmer

Walden Dissertations and Doctoral Studies

Self-injury in correctional facilities is an increasing problem. Healthcare staff are tasked with responding to and treating self-injurious inmates. Research concerning the perceptions of prison self-injury depended on the experiences of professional healthcare staff and showed that specialized training reduced anxiety and altered perceptions. The perceptions of nonprofessional healthcare staff regarding inmate self-injury have not been studied. The purpose of this research was to understand the perceptions of inmate self-injury maintained by untrained healthcare staff through evaluation of their expressed experiences with self-injuring inmates. The research was based on the humanistic nursing theory. A phenomenological approach guided interviews of 8 …

Policy Implications And Perceptions Of African American Men Who Used Ritalin As Children, Divine Ayivor

Walden Dissertations and Doctoral Studies

Even though there are high diagnosis rates of ADHD among young African American

men, policy makers and parents have largely viewed the use of Ritalin as a psychotrop

ic

drug that raises public health concerns. African American parents may be reluctant to

treat their children pharmacologically. Very few studies have fully explored the

perceptions of African American men

about the consequences of their

Ritalin

use

as

chi

ldren. The purpose of this qualitative study was to explore the experiences of African

American men who used Ritalin as children

so that

policy makers

and

parents of children

with ADHD

might

better …

The Effects Of Increased Emotional Intelligence On Information Technology Professionals, Reba Alexander Businsky

Walden Dissertations and Doctoral Studies

Information technology professionals effectively manage complex, tactical processes and procedures for internal and external customers. At the time of this study there was a gap in the literature regarding the effects of emotional intelligence on information technology professionals. An organization's internal and external customers may become dissatisfied with the information technology professionals because of their communication style lacking an increased level of emotional intelligence. The purpose of this quantitative study was to research the effects of increased emotional intelligence by surveying 315 information technology professionals. Data were collected using 3 electronic surveys including a general questionnaire to collect demographic data, …

The Relationship Between Body Dissatisfaction And Cosmetic Enhancement Surgery, Amanda Crandall Sharp

Walden Dissertations and Doctoral Studies

Previous research has indicated an increasing trend toward elective cosmetic surgery to achieve a perceived ideal body image and meet psychological and social needs. However, there remains a gap in the literature regarding the number of procedures performed on a single patient, and the potential that patients may suffer from body dysmorphic disorder (BDD). Therefore, the purpose of this quantitative study was to examine the relationship between the number of cosmetic surgeries undergone, level of body dissatisfaction, level of dysmorphic concern, and preoccupation with appearance. Participants included 75 females and 55 males, ranging in age from 18 to 64 years. …

Individual Growth Through Forgiveness: A Multiple Case Study On The Process Of Forgiveness, Bianca Kazoun

Walden Dissertations and Doctoral Studies

Psychology researchers have been gathering information regarding the positive effects of forgiveness, demonstrating that they contribute to better overall physical and emotional wellbeing. Individuals who have suffered a transgression can remain in a place of destructive anger and resentment for years. Long-term, these negative states can have deleterious effects emotionally, physically, and socially. Understanding how to help those who are suffering move past their victimization can have a positive impact. It is therefore important to conduct research to better understand forgiveness through the lived experience of individuals who have experienced some form of victimization. Using evolutionary psychology as the theoretical …

Collaborative Treatment Plan Development, Sally Kangas

Walden Dissertations and Doctoral Studies

The practice problem for this quality improvement project was the lack of engagement of chronic back pain patients at a Midwest clinic in evidence-based risk/benefit discussions regarding treatment options. The project was designed to explore whether practice guidelines increase patient engagement as measured by the Patient Activation Measure (PAM). Practice guidelines for interactive patient/nurse practitioner discussions regarding treatment options were developed, implemented, and evaluated. The concepts of chronic pain, chronic pain treatment options, and patient engagement were researched, and the evidence was evaluated using the Grades of Recommendation Assessment, Development, and Evaluation system. The clinical practice guideline was developed following …

Association Between Age Of Women When Diagnosed With Endometriosis And Infertility, Whitney Kennedy

Walden Dissertations and Doctoral Studies

Abstract

Because endometriosis is considered to be the primary cause of infertility in women and

the diagnosis is known to be delayed by many years, it is important to understand the

association between endometriosis and infertility. The purpose of this cross-sectional,

secondary data analysis study was to determine whether there was an association between

the age of women when diagnosed with endometriosis and infertility. Using the general

model of total patient delay (i.e., the Andersen model) as a theoretical foundation, data

for this study was collected by assessing patient medical records of women with

endometriosis at multiple OB-GYN clinics in …

Service Speaks 2018, Service Speaks Committee, Depaul University

Service Speaks

Service Speaks is an annual conference that demonstrates the multitude of ways DePaul students work with community partners to advance social justice causes in Chicago communities. Each academic year, over 200 courses and programs send students into the community to lift up the assets of our community partners through community-based service learning (CbSL) and project-based classes, community internships and community-based research. These connections result in mutually beneficial outcomes for the community organization and provide transformational experiences for our students.

Preference For Internet Therapy Versus Traditional Therapy To Treat Postpartum Depression, Megan E. Ford

Walden Dissertations and Doctoral Studies

A growing body of research has emerged about effective treatments for postpartum depression, specifically how the internet could become a pivotal and vital option for women with postpartum symptoms. With that in mind, the purpose of this quantitative study was to investigate whether women suffering from postpartum depression preferred traditional therapy treatment or internet therapy treatment. The nonexperimental survey design was used to assess differences between groups related to stigma, satisfaction with treatment, and perceived quality of treatment received. Data collected from a sample of 78 adult females, who had previously received postpartum depression therapy treatment, indicated there was no …

Instrumental Music And Reading Achievement Of First Graders, Loralie Heagy

Walden Dissertations and Doctoral Studies

Prior research studies point to a correlational relationship between music instruction and academic achievement studies, but varying results and confounding factors prevent causality. The purpose of this quasi-experimental study is to test Vygotsky's sociocultural cognitive theory that playing a musical instrument is significantly associated with academic achievement in reading for 1st graders who attend 1 of 2 schools in Alaska. Using Analysis of Covariance, this study investigates the relationship between instrumental music and academic achievement on measures of academic progress (MAP) reading scores of 1st graders (n = 76) who received at least 90 minutes per week of string instruction …

Preschool Teachers' Decision-Making Process In Reporting Child Abuse, Mytra Thi Nguyen-Vu

Walden Dissertations and Doctoral Studies

Despite being mandated reporters by law, preschool teachers often fail to report suspicion of child abuse or neglect. Although research has been conducted regarding reasons why teachers do not report, no study has yet examined preschool teachers' thinking as decisions are being made. Therefore, the purpose of the study was to examine the in-the-moment decision-making process of preschool teachers to report or not report cases of suspected child abuse or neglect. Three research questions guided this exploration of teachers' responses to cases of possible child abuse or neglect, the reasons teachers give for their responses, and their confidence in the …

Relationship Between English Proficiency And Academic Achievement Of Nigerian Secondary School Students, Goldlyn Ugonna Ozowuba

Walden Dissertations and Doctoral Studies

Nigerian stakeholders are concerned with the continuous low scores of final-year senior secondary school students (FYSSS) in the West African Senior School Certificate Examination (WASSCE). Studies have shown that limited proficiency in English among FYSSS is the cause of low scores on the WASSCE. The purpose of this quantitative correlational study was to investigate the relationship between English proficiency and academic achievement among FYSSS as measured by the WASSCE. The theoretical framework for the study was Cummins's theory of second language acquisition to address the distinction between conversational language and academic language. Archival data from 225 FYSSS were collected from …

Reshaping Management Effectiveness And Its Effect On Organizational Resilience In Multinational Enterprises, Franzelle Pertilla

Walden Dissertations and Doctoral Studies

Given the state of accelerating change in technology, globalization, and society, long-term planning has become challenging, thus improving organizational resilience to environmental change has become more important. The management problem addressed the need for strategies to improve organization resilience in the face of environmental change. The purpose of this phenomenological study was to explore the lived experiences of managers to use a firm's human, financial, and technological resources to improve organizational resilience. The lived experiences of organizational leaders in addressing organizational resilience was the central research question. The conceptual framework was built on the World Economic Forum's National Resilience Beta …

Family Reunification Among Women In Recovery From Substance Abuse And Complex Trauma, Cesha Tiffany Reese

Walden Dissertations and Doctoral Studies

For women in recovery from complex trauma and substance abuse, the lack of posttreatment family reunification services such as family engagement, service delivery, and aftercare planning increase the likelihood of parental relapse and children reentering foster care. A primary caregiver's continued relapse can lead to longer out of home placement for minor children and a loss of parental rights, with a negative impact on both children and parents. The purpose of this qualitative phenomenological study was to examine the lived experiences of women in recovery, their sobriety practices, and how they reunified their families. The theoretical framework was Herman's trauma …

Initiating Kangaroo Care In The Neonatal Intensive Care Unit, Karen Stadd

Walden Dissertations and Doctoral Studies

Kangaroo care (KC) is a cost-efficient method to increase infant-parent bonding and neonatal health outcomes worldwide. Despite evidence supporting KC in critically ill infants, nursing perceptions regarding patient safety and interrupted work flow continued to impede practice in the local high-tech neonatal intensive care unit (NICU). Their current policy failed to address the 2-person transfer method recommended for safe practice. In addition, both staff and parents lacked training and education regarding the benefits and feasibility of KC. This doctoral project aimed to decrease practice barriers and promote earlier and more frequent KC by developing and integrating an evidence-based clinical pathway …

Family Relational Experiences During Major Transitions With A Chronic Illness, Juanita Sibayan

Walden Dissertations and Doctoral Studies

Although health care transitions have received some attention in the literature, few researchers have emphasized family relational experiences and communication during major changes while living with a chronic illness. The purpose of this phenomenological study was to understand the lived experience of parents and their adult children while transitioning from pediatric to adult care of a chronic illness. The bio-psychosocial theory, family systems theory, and attachment theory established the context for this study. A criterion-based sampling technique and snowball sampling were used to recruit 7 parents and 6 of their adult children aged 18 to 30 years who were diagnosed …

The Impact Of Diabetes And Obesity In The African American Population, Andrea Lynette Swails

Walden Dissertations and Doctoral Studies

Within the 21st century, Type II diabetes has emerged as a public health crisis. African Americans and Hispanic Americans have the highest rates of Type II diabetes and obesity compared to European Americans. The purpose of this DNP project was to teach medical assistants (MA) to provide self-management of diabetes and obesity for the African American population in the local clinical setting. An educational tool kit for health providers was developed to guide the educational project. The chronic care model was used to guide the development of the educational toolkit. A pretest posttest design was incorporated into the educational program. …

The Relationship Between Differentiated Instruction And 11th-Grade Students' Academic Performance, Jeffery Washington

Walden Dissertations and Doctoral Studies

In 2007, the state of Georgia answered the call of the No Child Left Behind Act of 2001 with training that introduced differentiation instruction in the classroom. However, to date, few studies have investigated whether differentiated instruction in Georgia high school classrooms are associated with student success. The purpose of this quantitative study was to fill this gap in the literature by determining whether a significant relationship existed between levels of differentiated instruction and 11th-grade student scores on the standardized End-of-Course Tests (EOCTs) in a Georgia high school. The modern concept of differentiated instruction to improve pedagogy and erudition constituted …

Predictors Of Incarceration For African American Males Aging Out Of Foster Care, Marlean.Wrotten Wrotten

Walden Dissertations and Doctoral Studies

Past research has shown that many youths in the United States age out of foster care group homes unprepared for independent living. Lack of connections to adults, low educational attainment, and homelessness are negative outcomes that have been linked to incarceration for youth who age out of foster care. The purpose of this quantitative correlational study was to determine how well the independent variables of connection to adults, educational attainment, and homelessness predict the dependent variable of likelihood of incarceration for African American males (n = 504) within 3 years after aging out of foster care group homes. The Bridges …

County Health Leadership And Readiness For Noncommunicable Disease Services, Paul Wekesa Agunga

Walden Dissertations and Doctoral Studies

Premature mortality resulting from the growing global burden of noncommunicable diseases (NCDs) is a contemporary development challenge. Low-income and lower-middle-income countries are disproportionately affected, with the poorest in society considered the most vulnerable. A paucity of literature exists on how leadership practices at the implementation level relate to ensuring readiness for NCD services. The purpose of this study was to investigate whether any relationship exists between leadership practices at the county level and readiness for NCD services in Kenya. Path-goal and adaptive leadership theories were used to guide this quantitative correlational study, using secondary data from a 2013 Service Availability …

Parental Characteristics And Parent-Child Relationship Quality In Families With Disabled Children, Tammy Young

Walden Dissertations and Doctoral Studies

Parenting can be very challenging, especially when raising a disabled child. Children with disabilities require more supports and are more likely to be abused. The parent-child relationship is an important factor in ensuring child welfare. Little research has focused on identifying the impact of parenting characteristics on raising a child with a disability. The purpose of this study was to examine whether parenting style, parenting competence, and parenting stress were predictors of parent-child relationship quality in parents of children with disabilities ages 3 to 12 years. This study was quantitative and used multiple linear regression to identify predictor variables of …

Domestic Violence And Demographic Variables As Predictors Of Resiliency Among Young Adults, Sylvanus O. Abraham

Walden Dissertations and Doctoral Studies

An increased understanding of resilience may determine how human psychological development can result in positive outcomes despite adversarial situations. However, current studies have not provided a relevant predictive model that can adequately predict resilience, particularly among young adults exposed to domestic violence. Based on Bronfenbrenner's ecological systems theory, the purpose of this quantitative noncomparative study was to examine whether domestic violence, age, gender, ethnicity, individual emotional and physical abilities, types of domestic violence exposure, and frequency of domestic violence exposure could adequately predict resilience among young adults. Quantitative data were collected from 118 young adults in the Midsouth region of …

The Relationship Between Isolation, Distress, And Medical Care Among Transgender Coloradoans, Charles Tinnell

Walden Dissertations and Doctoral Studies

In Colorado in 2014, suicidal ideation or suicide attempts occurred up to 10 times more frequently among transgender persons than the general population. This reality occurred within a milieu of stigma that included transgender persons' negative perceptions of healthcare, a higher incidence of psychological distress, and an uncertain role for social isolation in their well-being. The purpose of this quantitative study was to explore the interactions between social isolation, supportive medical care, and psychological distress within the framework of Meyer's minority stress theory. Data were acquired from the 2014 Colorado Transgender Health Survey conducted by the One Colorado Education Fund …

Cultural And Environmental Determinants Of Dental Discoloration Among School-Aged Children In Nigeria, Ogbudu Gabriel Ada

Walden Dissertations and Doctoral Studies

Dental discoloration from fluorosis is a global public health problem. In Nigeria, 11.4% of the population is impacted by this disorder. Dental discoloration is caused by successive exposures to high fluoride concentrations during tooth development in utero and it is linked to the development of a variety of psychological and physiological problems, from dental aesthetics to a reduction in intelligence and skeletal changes. The purpose of this quantitative, cross-sectional study was to examine the cultural and environmental determinants of dental fluorosis in children in a rural community in Nigeria. A multilevel theoretical model was used to develop possible fluoride exposure …

Intensive Outpatient Treatment Program For Patients With Depressive Disorder: A Parental Perspective, Emmanuel Akpan

Walden Dissertations and Doctoral Studies

Psychosocial support from family is important in outpatient treatment programs for individuals with depressive disorder. The purpose of this phenomenological study was to explore the lived experiences and perceptions of parents of patients with depressive disorder regarding intensive outpatient treatment. The research question was what are the experiences and perceptions of parents of patients with depression regarding their role as caretakers in intensive outpatient treatment? The conceptual framework was a biopsychosocial framework and family systems theory. Content analysis was used to analyze data provided from interviews with parent participants (n = 8). Many participants reported high levels of involvement with …

Perceptions Of Preconception Health And Prenatal Care By Young Adult Women And Men At Risk For Unintended Pregnancies, Broderick Crawford

Walden Dissertations and Doctoral Studies

Among young adults at risk for unintended pregnancies, preconception health and prenatal care programs aimed at positive birth outcomes remain unaddressed. The purpose of this phenomenological study was to explore the lived experiences of young adults in terms of their willingness to use preconception health and prenatal care as a means for increasing both positive birth outcomes and overall health. All study participants met the following criteria: (a) young adult man or woman, (b) age 18 to 25, (c) at risk for unintended pregnancies, (d) sexually active, (e) single or in cohabiting partnerships, and (f) living in the greater Los …

Social Isolation Risk Among Older Adults Who Live Alone, Nadine Lukes-Dyer

Walden Dissertations and Doctoral Studies

As individuals age, their likelihood of experiencing mental and physical problems increases, as does their risk of developing social isolation. Behavioral, physiological, and/or psychological changes are common manifestations of social isolation. Increased morbidity and mortality are the outcome. Ecological systems theory and social baseline theory provided the framework to explore 10 older individuals' perceptions of risk for social isolation and their perceived barriers to social integration. Data for this interpretive phenomenological study were collected from participant diaries, interviews, the 6-item de Jong Gierveld Loneliness Scale (DJGLS-6), the Lubben Social Network Scale 6 (LSNS-6), a demographic survey, and a social support …

Relationship Between Policy Expectations And Education Outcomes In A Midwestern School District, Latonya Latamore

Walden Dissertations and Doctoral Studies

A financially secure public school district can provide children with an educational foundation that will eventually transition them into self-sufficient employed adults. These adults will become tax-paying citizens who will contribute to their local economies. The problem with one midwestern public school district is that a history of financial insecurity has affected the district's ability to provide students with all of the programs to which they are entitled. Using Baumgartner and Jones' conceptualization of punctuated equilibrium as the theoretical foundation, the purpose of this quantitative study was to determine the relationship between aspects of the Local Financial Stability and Choice …

Trauma-Informed Education Toolkit For Screening Pediatric Victims Of Sexual Abuse And Maltreatment, Analena Michelle Lunde

Walden Dissertations and Doctoral Studies

The complex challenges facing the sexual assault nurse examiners program in a midwest state are underreporting, late reporting, and poor coordination of care for pediatric victims of child maltreatment with sexual abuse. The main objective of this quality improvement project was the identification of necessary practice-related approaches to care to decrease barriers associated with reporting suspicions of abuse or neglect. An evidence-based, multidisciplinary assessment clinical toolkit that followed clinical components of trauma-sensitive, child-centered screenings triggering a coordinated response to conduct a forensic medical exam within 96 hours of the alleged incident was evaluated. During 3 rounds of surveys following the …

Trauma And Juvenile Justice In Carson City, Nevada, Ali M

Walden Dissertations and Doctoral Studies

The Nevada State Juvenile Justice and School systems do not currently screen or treat juveniles for post-traumatic stress disorder (PTSD). Left untreated, PTSD may contribute to behaviors that can lead to engagement with the juvenile justice system and contribute to high rates of recidivism and possible future engagement with the adult justice system. Using Erickson's theory of psychological development as the foundation, the purpose of this case study was to explore whether, from the perspectives of key stakeholders whether interventions and prevention services for juvenile justice clients in Carson City met the needs of youthful offenders also diagnosed with PTSD. …