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Black Individuals' Lived Experiences With Racial Microaggressions And Implications In Counseling, Letitia V. Browne-James

Walden Dissertations and Doctoral Studies

The problem of racial microaggressions in the United States has important implications for counseling due to the mental and physical health concerns individuals who experience them may develop. Although the current literature addresses racial microaggressions among Black individuals and implications for counseling, no qualitative studies that included the voices of Black individuals using relational cultural theory were found. Therefore, the purpose of this study was to explore the lived experiences of Black individuals who have encountered racial microaggressions and learn their perspectives on what counselors can do to help them in counseling. Adding this perspective will help fill this gap …

Faculty Perspectives On Redesigning Classrooms With Active Learning Technology Tools, Zhanat Alma Burch

Walden Dissertations and Doctoral Studies

Effective integration of active learning technology tools in classrooms is a key component of 21st century higher education classrooms. Challenged with outdated technology access and traditional classrooms, a local university in North Carolina initiated a strategic plan to update classrooms and laboratories with the 21st century technology. The problem of the study was that limited information existed regarding faculty perceptions regarding benefits of and barriers to integrating active learning technology tools. The goal of this study was to uncover the faculty members' views and perceptions about redesigning classrooms with the active learning technology tools. The technology acceptance model (TAM) framework …

Strategies Small Business Owners Use To Decrease Voluntary Employee Turnover, Rose Mary Carter

Walden Dissertations and Doctoral Studies

Decreasing employee turnover among small businesses is a problem because employee turnover is costly and adversely affects business owners' ability to gain and maintain a competitive advantage. The purpose of this multiple case study was to explore strategies that small business owners use to decrease voluntary employee turnover to remain competitive. The target population was composed of small business owners located in the southeastern region of the United States who used strategies to decrease voluntary employee turnover. The conceptual framework for the study was Herzberg's 2-factor theory. Data were collected from semistructured interviews with 4 small business owners and review …

Korean Immigrant Women's Perceptions Of Cervical Cancer Screening In Hawaii, Eurina Yujin Cha

Walden Dissertations and Doctoral Studies

Minority immigrant women are more likely to be diagnosed with and suffer from cervical cancer compared to other minority women in the United States. The purpose of this qualitative ethnographic study was to explore cultural health perceptions, behaviors, and barriers to cervical cancer prevention among Korean immigrant women (KIW) in Hawaii. The health belief model and the social-ecological model were used to guide the study. Data were collected using individual structured interviews with 20 KIW ages 21 to 65 who are first-generation KIW immigrant to Hawaii. Data were coded and analyzed to identify themes. Findings revealed that participants (a) prefer …

Exploring Restorative Factors For Trafficked And Sexually Exploited Women, Carol C. Chilaka

Walden Dissertations and Doctoral Studies

Abstract

Many women who survived sex trafficking continue to suffer from severe and persistent psychological distress even after the traditional treatment and rehabilitation program. The lingering psychological symptoms that these survivors suffer make reintegration into their families and communities difficult. This phenomenological study identified the restorative factors that helped some women who were earlier engaged in sex trafficking to recover, readjust, and reintegrate into their families and communities. Six female survivors of human trafficking and six program directors/counselors at different rehabilitation centers were individually interviewed in in-depth with semi-structured questionnaires and audio recorded. I kept diary of my readings and …

Motivation And Limits To Physical Activity In Adults Over 80 In An Assisted Living, Christine Mary Childers

Walden Dissertations and Doctoral Studies

Thirty percent of older adults fall every year with devastating physical and economic consequences. Physical activity is the primary recommendation for fall prevention, but less than 30% of older adults meet the physical activity guidelines of the various professional organizations. Recent work demonstrated that psychological factors were more specific in identifying fall risk but work on psychological issues related to physical activity in the older adult is limited. This study explored motivation and limits to being physically active in 76 adults with a mean age of 88 living in the assisted living setting, using concurrent mixed method research. The theoretical …

Differences In Coping Strategies Of African American Children With Chronic Pain, Eddie Lee Coleman

Walden Dissertations and Doctoral Studies

Chronic pain is a significant problem in the U.S. pediatric population, conservatively estimated to affect 15% to 20% of children. Few studies have focused on coping strategies African American children use to manage chronic pain. The purpose of this study was to examine coping strategies used by African American children and adolescents ages 11 to 18 years suffering from chronic pain and to examine gender and age differences in this population. The gate control theory provided the framework for the study. The Pain Coping Questionnaire was used to measure coping strategies in a convenience sample of 44 children and adolescents …

Sickle Cell Disease Pain Burden And Quality Of Life Among Black Children In Mississippi, Laquita Nichelle Cooper

Walden Dissertations and Doctoral Studies

Acute and chronic pain is a common hallmark of sickle cell disease (SCD) in children and adolescents, which can have a profound effect on their quality of life (QOL). However, this relationship is not well quantified. The purpose of this quantitative study was to examine the relationship between SCD pain burden and QOL among Black children ages 8-17 in Mississippi with SCD. The secondary aim was to compare children and caregiver reports of SCD pain burden and QOL with SCD. The social ecological model was used to identify personal factors that influence SCD pain burden and QOL of children with …

Stress Management Treatments Among Police Departments, Cedrick D. Crockett

Walden Dissertations and Doctoral Studies

The police profession is viewed as one of the most stressful occupations in the world. Police officers are responsible for handling calls for service, serving and protecting the community, enforcing laws, and preventing and solving crimes. These responsibilities along with many others can become overwhelming and lead to police stress and trauma. Police stress has been linked to adverse effects on the performances and health of police officers. The purpose of this mixed methods study was to describe the internal and external factors of police stress through their lived experiences as police officers, and the stress management techniques used by …

Strategies To Reduce Employee Turnover In The Hotel Industry, Brendan Cronin

Walden Dissertations and Doctoral Studies

Hotel leaders face reduced profitability because of high employee turnover. Using Herzberg's 2-factor theory as the conceptual framework, the purpose of this multiple case study was to explore strategies that some hotel human resources managers used to reduce employee turnover. Data were collected from 5 hotel human resources managers in Massachusetts through face-to-face, semistructured interviews and a review of company documents. Data analysis using Yin's 5-step process of compiling, disassembling, reassembling, interpreting, and developing data-based conclusions resulted in 3 emergent themes: a retention strategy, a compensation strategy, and a training and development strategy. The findings indicated that the employee recruitment …

Instructional Behavior And Its Impact On Student Engagement, Debra Joan Crumpton

Walden Dissertations and Doctoral Studies

The purpose of this quantitative study was to expand understanding of leadership behaviors and their influence on follower engagement. Researchers have shown that engagement is a predictor of retention and organizational performance. Leadership theory and the conceptual framework of worker engagement were the study's theoretical anchors. Despite a proliferation of leadership studies, engagement antecedents are largely unknown. The aim of this study was to narrow the gap in the literature by examining the extent to which there may be a relationship between college instructors' behaviors and student engagement. Although not traditionally regarded as frontline leaders, extant leadership literature affirmed college …

Strategies To Combat Tenant Fraud In The Rental Housing Market, Dr. Gwendolyn B. Dawson

Walden Dissertations and Doctoral Studies

Many business executives lack strategies to detect and eliminate tenant fraud in subsidized rental housing. The purpose of this multicase study was to explore strategies some business executives used to detect and eliminate tenant fraud in subsidized rental housing. The conceptual framework used to guide this study was the theory of planned behavior. Data were gathered using semistructured interviews with 6 purposively selected business executives of public housing authorities, supplemented with a review of policies and procedures that business executives used. Yin's 5-step analysis, which entails examining, categorizing, tabulating, creating a data display, and testing the data, guided the process …

Predictive Relationship Between Anger And Violence In Canadian Secondary Students, Lawrence Alfred Deck

Walden Dissertations and Doctoral Studies

Violence among Canadian secondary students remains a concern for administrators, teachers, community members, and students. The purpose of this retrospective quantitative nonexperimental study was to examine the predictive relationship between anger and violence among secondary students in Canada using the Anger Regulation and Expression Scale (ARES). The general aggression model provided the framework for the study. Survey data were collected from 138 students using the ARES. Demographic data and archival data from students' school files were also collected. Results of receiver operator characteristic analysis and binary logistic regression indicated that the ARES total score provided fair to good predictive ability …

Impact Of The Centering Pregnancy Model On Sustaining Normal Gestation Weight Gain, Hyacinth Dennis-Crooks

Walden Dissertations and Doctoral Studies

Obesity during pregnancy has increased in prevalence over the last decade and is associated with adverse outcomes for mothers and babies, especially Black mothers. In the local setting of this project, the group-centered centering pregnancy model (CPM) was implemented to improve outcomes of pregnancy. The model had not been evaluated for its effectiveness in reducing weight in Black pregnant women; therefore, there was a need for an evaluation of the effectiveness of the CPM in decreasing excessive gestational weight gain (EGWG). The health belief model was used to guide the project, which compared mothers' weights early in the 2nd trimester, …

Holistic Health And Hawaii's Renewable Energy Future, Richard M. Esterle

Walden Dissertations and Doctoral Studies

Collective efficacy, time urgency, and health literacy have been a focus of research since the 1970s. Researchers have demonstrated that these factors influence health and decision making. However, researchers have yet to establish how these factors may be connected to the achievement of policy aims that impact holistic or environmental health. This study utilized the health belief model, social cognitive theory, time urgency theory, health education and promotion theory, Bronfenbrenner's ecological systems theory, and the Meikirch model. The purpose of this quantitative study was to determine if the factors of collective efficacy, perceived time urgency, perceived health literacy, ethnicity, age, …

A Grounded Theory Of Emergent Leadership In Nonhierarchical Virtual Teams, Randall Fleming

Walden Dissertations and Doctoral Studies

A Grounded Theory of Emergent Leadership in Nonhierarchical Virtual Teams

by

Randall David Fleming

MS, Colorado Technical University, 2008

BA, The Ohio State University, 1984

Dissertation Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Philosophy

Management

Walden University

November 2018

Effectiveness Of Pressure Ulcer Protocols With The Braden Scale For Elderly Patients In The Intensive Care Unit: A Systematic Review, Natalie A. Floyd

Walden Dissertations and Doctoral Studies

Each year, approximately 3 million people in the United States develop a pressure ulcer. Although a preventable complication, pressure ulcers are among the top 5 adverse outcomes in the acute care setting with the prevalence as high as 42% in the intensive care unit (ICU). The purpose of this systematic review was to evaluate the inclusion of the Braden Scale as part of a multicomponent pressure ulcer intervention protocol, or care bundle, to identify geriatric patients hospitalized in the ICU who were at risk for pressure ulcers. The Cochrane protocol guided this review; findings were reported according to the Preferred …

Health Promoting Behaviors Of Young Adults With Chronic Lyme Disease, Patricia D. Bolivar

Walden Dissertations and Doctoral Studies

Lyme disease is the most prevalent arthropod-borne (tick) disease in North America. The disease is more prevalent in some Eastern and Central states than in Western states. The general problem is that, in southern California especially in Los Angeles County, both patients and practitioners fail to recognize the disease, resulting in misdiagnosis and delayed treatment. Consequently, the patient may develop the long-term, chronic Lyme disease (CLD). The purpose of this phenomenological study was to explore the impact of CLD on the health-promoting behaviors of ethnically diverse young adults from similar educational and socioeconomic backgrounds based on their lived experiences. The …

Adult Language Instructors' Experiences Regarding Vocabulary Instruction And Synformy, Homeira Bahadorani

Walden Dissertations and Doctoral Studies

Language instructors play a decisive role in adult language learners' learning and retention of vocabulary through planning, selection, and teaching of vocabulary and strategies. However, some professional language schools lack extensive teacher-training programs that prepare instructors with the skills required to select and teach vocabulary, which results in a gap in practice. The purpose of this study was to explore teacher-related factors in beyond Interagency Language Roundtable (ILR) Level 2 vocabulary instruction to adults in a classroom setting in intensive language-training programs. The conceptual framework consisted of the theory of noticing hypothesis, synformy, and the comprehensible input hypothesis. Research questions …

Vote-Selling: Infrastructure And Public Services, Nat Adojutelegan

Walden Dissertations and Doctoral Studies

Vote-selling in Nigeria pervades and permeates the electoral space, where it has become the primary instrument of electoral fraud. Previous research has indicated a strong correlation between vote-buying and underinvestment and poor delivery of public services. There remains, however, a significant gap in the current literature regarding the nature of the relationship between vote-selling and the delivery of public services. The purpose of this study was to uncover voters' behaviors by investigating their common and lived experiences with respect to the provision of infrastructure, delivery of public services, and voting during elections. Using Bandura's theory of reciprocal determinism, the research …

Association Between Work-Related Safety And Work-Related Injuries Among Home Health Care Providers, Sania Mohammed Saleh Abdulkhaleq

Walden Dissertations and Doctoral Studies

Home care nurses (HCNs) have reported a high rate of exposure to work-related injuries (WRIs). Nurses are challenged by the multidimensional problems associated with home care safety. These contextual risk factors increase the physical and social health problems of health care workers and of community suffering as a whole. This quantitative, cross-sectional study was designed to examine the relationship between the organization-related factors (ORFs) and the environment-related factors (ERFs) and their influences on safety behaviors (SBs) and the WRIs of HCNs. The PRECEDE framework was used to guide the study. Self-reported data were obtained from 74 home health care (HHC) …

Implications Of An All Bsn Workforce Policy, Mary Clifford

Walden Dissertations and Doctoral Studies

Discussion continues about requiring a Bachelor of Science in Nursing (BSN) as the minimum requirement for entry into registered nursing practice. A Magnet-® recognized hospital located in the Northeast United States is requiring all registered nurses without a BSN (n=284 or 28%) to obtain their BSN by 2022 as a condition for employment. The purpose of this project was to quantify the potential number and rationale of nurses who are not planning to return to school. The 2 practice focused questions are (a) What is the rationale for nurses who do not plan to pursue their BSN degree and (b) …

Homeowner's Equity, Rental Cash Flow, And Recourse As Predictors Of Default Mortgage Status, William Callian Iii

Walden Dissertations and Doctoral Studies

In the aftermath of the Great Recession of 2007-2009, banking executives feared the impact of increased capital reserve requirements for losses from mortgage defaults. One reason was that home price declines during the Great Recession precipitated mortgage defaults, which increased the percentage of foreclosures as well as accelerated negative equity, and default. The purpose of this correlational study, grounded in Fishbein's expectancy of value and Vroom's expectancy theories, was to examine the relationship between the independent variables of homeowner's equity, rental cash flow value, and recourse, and the dependent variable, default mortgage status. Archival data comprised a sample of 408 …

Social Worker Engagement Of Substance Abusing Rural Young Adults: An Action Research Study, Samantha L. Cole

Walden Dissertations and Doctoral Studies

There has been a dramatic increase in opioid-related overdoses and deaths that have had extensive health impacts in Delaware County, New York. Social workers play a crucial role in working with individuals who have substance use and co-occurring disorders. The study was guided by ecological systems theory and the generalist intervention model focused on the engagement process between social workers and local young people. The current action research study explored the social work practice problem of challenges encountered by clinical social workers who engage in services with young adults ages 18-25 who have or are at risk for substance use …

Economic Freedom Through Entrepreneurship, Beverley A. Craft

Walden Dissertations and Doctoral Studies

Entrepreneurship represents a means of increasing personal freedom and designing an attendant lifestyle. The purpose of this multiple case study was to explore strategies sole proprietors used to sustain their small business operations beyond five years and attain profitability levels necessary for freedom and autonomy. Data collection involved semi-structured interviews of 10 entrepreneurs who answered open-ended interview questions, granted access to archival documents, and direct observation of their business operations. The conceptual framework was emancipation theory addressing personal freedom through business autonomy. With the modified van Kaam method, the identification of emerging themes involved identifying groupings, clusters, and unrelated antecedents …

Increasing Knowledge About Food Allergy Management In The Preschool Setting, Katherine Mizell Crow

Walden Dissertations and Doctoral Studies

The prevalence of food allergies is a growing concern in the United States. Approximately 8% of the pediatric population has some form of food allergy. Many of these children are either in the preschool and primary school setting, which is where the majority of allergic reactions occur. If the symptoms of a food allergy reaction are not treated within minutes of exposure, the results can be damaging or fatal. Evidence continues to demonstrate that preschool and school personnel do not feel trained or prepared should a severe reaction arise. The purpose of this evidence-based project was to determine if the …

A Structured Weight Loss Program To Combat Obesity In Women, Tara English

Walden Dissertations and Doctoral Studies

Rates of obesity and the associated comorbidities continue to increase for women in the United States. Despite information available, efforts at weight loss are often unsuccessful because women lack integral knowledge of how to approach the various components essential for weight loss. This doctoral project was created to address the practice question of whether obesity can be reduced through a step-wise weight loss program that identifies essential elements to reduce weight in menopausal age women. Guided by the information-motivation-behavioral skills model, this project led 17 volunteer participants from a Northwest, Florida primary care clinic through 6 weeks of protocols supplemented …

Miriam's Oasis, David Nimmer

Touro Law Review

No abstract provided.

The Minor Donor-Sibling Dilemma: Are Bone Marrow Donation Decisions Up To The Parent Or The Child?, Christina Carone

Touro Law Review

No abstract provided.

Evaluating A Reading Response To Intervention Model: A Case Study Of Elementary Educators, Jeremy Brumfield

Doctoral Dissertations and Projects

This case study sought to explore the perceptions of classroom teachers and an instructional support team regarding the effectiveness of an established reading Response to Intervention model. It compared the perceptions of both groups regarding the model’s effectiveness, focusing on its strengths and weaknesses. The similarities and differences between the two participant groups’ perceptions that emerged from the individual interviews and focus groups were identified and discussed. This research also compared the perceptions of the participants to the success rates of students in the school in terms of the Response to Intervention measures of reading and standardized student achievement on …