Digital Commons Network^™

Social Support, Psychological Distress, And Behavioral Outcomes Among Palliative Care Caregivers, Monique Lashone Aguirre

Walden Dissertations and Doctoral Studies

Social support and acute care facility providers need information about how to help improve the practices and knowledge of caregivers related to the stages of palliative care. The purpose of this study was to examine whether there was a significant association between social support and psychological distress and behavioral outcomes among palliative care caregivers, and to determine to what extent social support buffered psychological distress and behavioral outcomes. The quality-of-life model guided the study. The study used a quantitative cross-sectional research design with secondary data analyses. The sample included 320 adult family caregivers who were part of a telephone survey …

College Teachers' Implementation Of Instructional Strategies To Support Students' English Language Skills, Ayman Mohammad Alhalawany

Walden Dissertations and Doctoral Studies

The instructional strategies implemented by the English as a Foreign Language (EFL) teachers in an international technical college in Saudi Arabia did not prepare students at an intermediate level of proficiency on the Common European Framework of Reference. As a result, more than 77% of the first-year students were not progressing to the specialized diploma studies in the second and third years of their learning journey. Thus, the purpose of this exploratory case study was to better understand the instructional strategies adopted by instructors and the barriers to students developing their English skills. Vygotsky's zone of proximal development (ZPD) served …

Juvenile Correctional Officers' Experience Using De-Escalation Strategies, Tania Yvette Appling

Walden Dissertations and Doctoral Studies

Juvenile direct-care officers working in juvenile correctional facilities historically responded to critical and potentially aggressive incidents using nontherapeutic strategies. The purpose of this study was to examine and to understand the lived experiences of direct-care officers' use of de-escalation skills for managing violent and disruptive behaviors in juvenile correctional facilities. The findings from this study may add to the existing literature by describing juvenile correctional officers' experiences as well as to better understand their perceptions and attitude using de-escalation strategies in correctional environments. The social learning and self-efficacy theories provided the conceptual framework to examine and understand their experiences. The …

Strategies To Sustain Small And Medium-Size Manufacturing Enterprises In Jamaica, Hugh Anthony Blake

Walden Dissertations and Doctoral Studies

Jamaica's small and medium-sized enterprises (SMEs) have a high failure rate. In 2016, the Global Entrepreneurship Monitor (GEM) recorded Jamaica's SME start-up rate at 4.06% and the discontinuance rate at 9%. The purpose of this qualitative descriptive multiple case study was to explore the strategies some Jamaican SME owners used to achieve business sustainability in the manufacturing sector for longer than 5 years of operation. The conceptual framework used was the entrepreneurship theory, which provided insights into business sustainability. A purposive sample of 5 owners of SMEs who had achieved business sustainability in the manufacturing sector for longer than 5 …

Causes Of Recidivism Among Mentally Ill Prerelease Offenders From The Perspective Of Former Correctional Mental Health Professionals, Rina Desiree Deneice Bradley Brown

Walden Dissertations and Doctoral Studies

The move toward reducing the prison population was driven by an increase in the number of reentry programs that focused on the needs of the offender, such as the provision of stable housing, employment, education, and sustaining strong familial bonds. While the literature supported these areas as being effective in reducing recidivism, there was no consensus that they were effective for offenders with mental illness (OMI). The purpose of this qualitative study was to analyze the impact of prerelease services for the OMI population from the perspective of former correctional mental health professionals who provided these services. The research questions …

Relationship Between Employee Wages, Number Of Employee Referrals, And Employee Turnover Intention, Robert Brown

Walden Dissertations and Doctoral Studies

Employee turnover is a significant contributor to the overall loss of hundreds of billions of dollars in profitability for many business organizations in the United States and abroad combined. Grounded in Maslow's theory of human motivation, the purpose of this correlational study was to examine the relationship between employee wages, number of employee referrals, and employee turnover intentions. The population was composed of employees working in the Southeastern region of the United States. A convenience sample of 92 participants answered questions regarding their wages, number of employee referrals, and completed the Turnover Intention Scale. Results of the multiple regression analysis …

Strategies To Improve The Youth Programs Of Nonprofit Organizations, Joseph Conteh

Walden Dissertations and Doctoral Studies

Leaders of nonprofit organizations and researchers who focus on organizational performance affirm that improved youth programs are a crucial component of performance excellence and organizational sustainability. As seen through the lens of transformational leadership theory, the purpose of this single-case study was to explore the strategies used by 3 executive-level leaders/managers of a nonprofit organization in the southwestern region of the United States to equip families to overcome poverty, conquer homelessness, and achieve self-sufficiency. Data collected from semistructured interviews, organizational documents, and publicly available resources were manually coded and then analyzed. The 2 key themes that emerged were effective collaboration …

Physical And Psychological Health Outcomes Of Pregnancy-Related Intimate Partner Violence, Darrlyn Waynette Cornelius-Averhart

Walden Dissertations and Doctoral Studies

Intimate partner violence (IPV) is a public health issue that transcends cultures and nationalities. Women and men have been impacted by sexual violence through rape and other types of IPV. Each year, women experience IPV before and during pregnancies and are impacted by physical and psychological outcomes as a result. The purpose of the study was to examine the impact of IPV on the health outcomes of diabetes (Types 1, 2, and gestational), high blood pressure before pregnancy, and depression/anxiety among adult women before and during pregnancy. The social ecological model provided the framework for this quantitative cross-sectional study that …

Interpreting Middle And High School Teacher Concerns Toward Rti Implementation, Kim E. Davis

Walden Dissertations and Doctoral Studies

Research exists about secondary school Response to Intervention (RTI) models, but little is known about the concerns of middle and high school teachers who are working together to implement RTI practices as a shared responsibility. The extensive body of documentation on RTI at the elementary level has not helped educators develop systematic RTI implementation practices across all levels (Ehren, 2013). The purpose of this quantitative study was to determine whether there were differences in practice concerns, if any among middle school and high school teachers' RTI practice concerns when measured by the Impact Stage of the Stages of Concern Questionnaire …

Strategies For Improving Correspondent Banking Cross-Border Remittances, Titilola Olufunke Falaiye

Walden Dissertations and Doctoral Studies

Over $25 billion have been levied against banks annually in recent years for infractions and noncompliance with cross-border regulations. Huge costs affect banks' performance, and implementing working strategies that reduce significant costs is valuable. This single case study using systems theory was designed to explore strategies that bank leaders with correspondent banking relationships adapt to reduce costs from penalties and fines in cross-border remittances.Through the process of methodological triangulation, data collected from internal policy and procedural documents supplemented data collected from semistructured interviews. Yin's 5-step qualitative data analysis process of compiling, disassembling, reassembling, interpreting, and concluding was applied to collected …

Women's Perceptions Of Flourishing Through Quilting As A Leisure Activity, Cathy Lynn Ferrarese

Walden Dissertations and Doctoral Studies

Quilting is a self-chosen leisure activity for millions of women in the United States. Previous research on quilting suggested that quilting is influenced by the emotional state of the quilter. However, the emotional experiences generated during quilting have not been fully explored. The purpose of this qualitative narrative study was to explore quilters' perceptions of what quilting as a leisure activity does to enhance their well-being and increase flourishing. Positive psychology well-being theory was the theoretical foundation for the study. Semistructured interviews with 12 adult women who quilt as a leisure activity were the basis of the narrative inquiry. Data …

Queueing Variables And Leave-Without-Treatment Rates In The Emergency Room, Joy Jaylene Gibbs

Walden Dissertations and Doctoral Studies

Hospitals stand to lose millions of dollars in revenue due to patients who leave without treatment (LWT). Grounded in queueing theory, the purpose of this correlational study was to examine the relationship between daily arrivals, daily staffing, triage time, emergency severity index (ESI), rooming time, door-to-provider time (DTPT), and LWT rates. The target population comprised patients who visited a Connecticut emergency room between October 1, 2017, and May 31, 2018. Archival records (N = 154) were analyzed using multiple linear regression analysis. The results of the multiple linear regression were statistically significant, with F(9,144) = 2902.49, p < .001, and R2 = 0.99, indicating 99% of the variation in LWT was accounted for by the predictor variables. ESI levels were the only variables making a significant contribution to the regression model. The implications for positive social change include the potential for patients to experience increased satisfaction due to the high quality of care and overall improvement in public health outcomes. Hospital leaders might use the information from this study to mitigate LWT rates and modify or manage staffing levels, time that patients must wait for triage, room placement, and DTPT to decrease the rate of LWT in the emergency room.

Etiological Perspectives Of Abdl Behavior From Members Of An Online Abdl Community, Jennie Marie Hilleren

Walden Dissertations and Doctoral Studies

Atypical sexual behavior is often viewed from a perspective of pathology and non-clinical samples are not typically used in research. The current exploratory research is a qualitative study that examined the etiological perspectives of Adult Baby/ Diaper Lover (ABDL) behavior from members of an online ABDL community. Archival survey data from an online sample (N = 1,795) of ABDL participants were used. The theories informing this research included attachment theory and the sexual health model. Research questions included an examination of: (a) what we can be learn from the way an ABDL individual perceives the origin of ABDL behavior, (b) …

Women's Experiences Of Mindfulness In Romantic Relationships, Melissa Jay

Walden Dissertations and Doctoral Studies

Mindfulness has been found to enhance romantic relationships through the practice of remaining open, calm, and emotionally regulated during times of struggle. There was a gap in the literature, however, related to how the practice of mindfulness is subjectively experienced in women's romantic relationships. The purpose of this heuristic study was to understand how women's practice of mindfulness effects their romantic relationships. The conceptual framework for this study was mindfulness-to-meaning theory, which highlights that wellbeing is supported through 2 main mechanisms of mindfulness: savoring and reappraisal. The nature of this study was a qualitative approach using Moustakas's heuristic method. After …

Medication-Assisted Therapy Interventions And Prescription Opioid Misuse, Stella Kiah Jefferies

Walden Dissertations and Doctoral Studies

Opioid drug misuse and dependence are a social and public health problem in the United States. Prescription opioid abuse and misuse have been associated with substantial morbidity and mortality rates as well as social and economic costs. The purpose of this project was to provide a systematic review of literature on the effectiveness of medication-assisted therapy interventions in addressing the problem of prescription opioid misuse in health care settings. The systematic review was completed through a literature search conducted across five electronic databases. The review was guided by the health belief model and eligible studies were rated using Johns Hopkins …

Effect Of Professional Development On Achievement Of Fourth Grade Emotionally Distirbed Students, Willette Jones

Walden Dissertations and Doctoral Studies

Abstract

This study investigated the low literacy and math achievement of 4th grade students with emotional disturbances (ED) in an urban school district in Pennsylvania. Researchers have speculated that teachers possess limited knowledge of the behavioral health needs of students with ED needed to support their behavior and achievement. Therefore, this study was conducted to assess the effect of behavioral health professional development (BHPD) on the Pennsylvania School System of Assessment (PSSA) achievement of 4th grade students with ED. The theoretical framework of this study was Dewey's educational philosophy, which focused on educating the whole child. This study used a …

An Autoethnographic Examination Of Personal And Organizational Transformation In The U.S. Military, Marjon K. John

Walden Dissertations and Doctoral Studies

Large-scale transformational change, such as the integration and acceptance of gays in the U.S. military, necessitates a long-term effort by management to mitigate unanticipated consequences. Suboptimal implementation may not account for damaging consequences among individuals expected to live the change. The purpose of this autoethnographic study was to examine the individual experiences of a closeted gay personnel member living through a transformational change in identity, which paralleled an organizational change in the U.S. Department of Defense (DoD). The conceptual framework included elements of general systems theory, Kotter's theory of change management, Ostroff's change management for government, and Maslow's self-actualization theory. …

The Need For De-Escalation Techniques In Civil Disturbances, George Raymond Mccord Jr

Walden Dissertations and Doctoral Studies

The response to civil disturbances has historically been the aggressive use of force or escalation with tactics such as the use of police dogs, armed federal troops during war protests, and police field forces. These types of tactics can escalate tensions between protestors and police and only add to the violence and destruction of the incident. To reduce the violence between protestors and the police and the destruction often associated with civil disturbances, it is necessary to examine the need to include de-escalation techniques in the responses. This study utilized 3 theoretical frameworks, the chaos theory, the behavioral decision theory …

Impact Of Violent Rapes Among Women In Eastern Democratic Republic Of Congo, Benoit Munganga Mirindi

Walden Dissertations and Doctoral Studies

For the last 22 years, systematic rapes and punitive violence against women in the Democratic Republic of Congo (DRC) were utilized as weapons of war and a control strategy. This quantitative study built upon the ecological model of impact of sexual assault on women's mental health to investigate the relationship between the health impacts and chronic pain and depression among women survivors of sexual rape in eastern DRC. The sample included 156 female rape survivors, between 18-80 years old, and raped between 2010 and 2014 while residing in the conflict area. The research questions focused on the association between fistulas, …

Black Lives Matter Members' Perceptions Of Police Attitudes Towards African Americans, Sergio Manuel Montolio

Walden Dissertations and Doctoral Studies

The relationship between the police and African Americans has been fraught for some time. In the 2010s, amid the rise of the Black Lives Matter movement, the relationship between African Americans and the police was marked by serious tensions including racism, White privilege, and perceptions of police brutality. The purpose of this case study was to explore the current relationship between the police and the Black Lives Matter social movement and assess movement activists' perceptions of police actions. The theoretical framework for this qualitative case study was based on procedural justice and the reason of actions component of Derrick Bell's …

Racial And Cultural Etiology Of Body Satisfaction Among Obese, Young Adult Women, Deirdre Lynnett Moyer

Walden Dissertations and Doctoral Studies

Obesity, a public health issue in the United States, has been linked to numerous chronic diseases. A gap exists in the literature related to racial and cultural etiology of body satisfaction for obese women. The purpose of this qualitative phenomenological study was to describe the racial and cultural etiology of body satisfaction for obese Black women and White women residing in a rural area of the state of North Carolina. Social comparison theory provided the theoretical underpinning for this examination. The central research question was how do obese, young adult Black women and White women describe their perceptions about and …

Strategies That Small Business Leaders Use To Motivate Millennial Employees, James Alvaro Nilo

Walden Dissertations and Doctoral Studies

Millennial workers occupy the majority of employment positions worldwide, which is a concern to business leaders in the United States related to having knowledge and ability to train, motivate, and retain millennial employees. Using Gilbert's behavior engineering model as a conceptual framework, this multiple case study explored the strategies that business leaders used to motivate their millennial employees. The study population included 4 leaders of small restaurant businesses in eastern North Carolina. Data were collected from semistructured, face-to-face interviews using 7 open-ended questions and review of company documents, websites, and social media. Data were coded and analyzed following Morse's method …

Counselors' Perceptions On Adolescent Access And Use Of School-Based Mental Health Services, Samuel C Godwin Okeorji

Walden Dissertations and Doctoral Studies

The role of school-based mental health counselors (SBMHCs) is essential in addressing the mental health needs of U.S. adolescents. The purpose of this phenomenological study was to examine SBMHCs' perceptions about factors that affect the use of SBMH services by adolescents from a school district in Connecticut. SBMHCs were chosen for this study because they provide direct mental health services to adolescents. Mechanic's general theory of help-seeking provided the framework to interpret research findings using the 10 interrelated constructs. Fifteen SBMHCs participated in face-to-face semistructured interviews. Colaizzi's 6-steps-guide was used to organize, code, and identify common themes. The following themes …

Strategies For Natural Disaster Financial Recovery For Small Business, Gideon Ezekiel Peterson

Walden Dissertations and Doctoral Studies

Many owners of small business restaurants lack financial strategies for successful business recovery following a disaster. The purpose of this qualitative, multiple case study was to explore the financial strategies 3 owners of small business restaurants used for successful business recovery following a natural disaster such as Hurricane Katrina in New Orleans, Louisiana. The conceptual framework for this study included theories of reasoned action, planned behavior, and vested interest. Historical evidence of past practices supported semistructured interviews with 3 owners of small restaurant businesses. Yin's 5-step analysis guided transcribing and coding of the participants' responses. The major themes of this …

Strategies For The Successful Management Of Human Resource Planning In It Projects, Michael Pierorazio

Walden Dissertations and Doctoral Studies

Information technology (IT) projects are often inadequately resourced with human talent. Researchers found that 70% of all IT projects worldwide fail. The purpose of this qualitative multiple-case study was to explore the strategies used for the successful management of the human resource planning of IT projects. Using purposeful sampling, 5 IT project managers and 5 IT directors from organizations located in the northeastern region of United States were selected for this study. The resource-based theory provided the conceptual framework. Data were collected using semistructured interviews conducted face-to-face and by telephone. For this study, data triangulation included project documents to strengthen …

Leadership Strategies For Implementing Quality Improvement Initiatives In Primary Care Facilities, Jose A. Poncevega

Walden Dissertations and Doctoral Studies

Health care spending accounts for 17.7% of the gross domestic product in the United States, and it is expected to continue rising at an annual rate of 5.3%. Despite high costs, health care quality lags behind other high-income countries; yet, over 70% of change initiatives fail. The purpose of this multiple case study was to explore strategies primary care leaders use for implementing quality improvement initiatives to improve patient outcomes and reduce waste in primary care facilities. The target population consisted of 3 health care leaders of 3 primary care facilities in southern California who successfully implemented quality improvement initiatives. …

Women In Mississippi Undergoing Hysterectomies In Absence Of Comprehensive Informed Consent Law, Tammy Shaffer

Walden Dissertations and Doctoral Studies

Only three states have enacted informed consent laws aimed at providing more information concerning any alternative treatments for women who undergo hysterectomy. This study attempted to fill the research gap regarding consent laws and perceptions of women who underwent hysterectomy in a state with no informed consent laws. Supported by the health belief model (HBM), the research questions focused on the perceptions of women and their lived experiences. The purpose of this qualitative study was to examine the beliefs and attitudes of women in a state with no informed consent laws. Interviews were the main data collection technique. The participants …

Leadership Strategies To Retain Key Employees, Keith Reginald Stafford

Walden Dissertations and Doctoral Studies

Retention of key employees protects a firm's investment in its human resources. Employee retention is an issue in the insurance sector, particularly among sales employees. The purpose of this descriptive study was to explore leadership strategies used by insurance sales managers to retain key employees. Herzberg's dual factor theory and Adams's equity theory were used to explore insurance sales managers' insights into leadership strategies. Semistructured interviews were conducted with 15 insurance sales managers in southern California to elicit the strategies they used to maintain their key salespeople. Data were analyzed using the modified Van Kaam method. Seven themes emerged from …

Assessing Governmental Anticorruption Strategies: The Case Of The National Anticorruption Commission In Cameroon, Daniel Ketuama Tangumonkem

Walden Dissertations and Doctoral Studies

Combatting corruption in Cameroon has become a primary policy focus for the government and the civil society; yet, the success on that front has been modest. The literature on anticorruption efforts in the country is scant. Using Rothstein and Santiso's conceptualization of anticorruption strategies as the guide, the purpose of this case study of government's anticorruption policy and practice was to explore and contextualize the anticorruption strategies in Cameroon to fill the gap in the literature and potentially contribute to solving the problem. Data were collected through interviews with 20 government employees working with the government's main anticorruption agency -- …

Reducing Lateral Violence Among Nurses Through Staff Education, Alexandra Lindsay Tripp

Walden Dissertations and Doctoral Studies

Most nurses experience lateral violence (LV) during their careers. LV can be detrimental to nurses' livelihoods and careers, to facilities due to nurse replacement costs, to the nursing profession due to attrition, and to patient safety. The purpose of this staff education project was to educate registered nurses on the issue of LV and to equip nurses to respond to their aggressors. The project question addressed whether education would increase awareness of LV and empower nurses to stand up to their aggressors. The theory of the nurse as the wounded healer, social learning theory, and the theory of reciprocal determinism …