Digital Commons Network^™

Social Workers' Experiences With Pregnant And Parenting Teens In Alabama, Luanne Londria Washington-Woods

Walden Dissertations and Doctoral Studies

Among western industrialized countries, the United States has the highest teen birth rate; Alabama ranks 9th in the nation. Teen pregnancy and parenting often lead to financial, social, and health problems. The purpose of this action research project was to capture the experiences of social workers who work with pregnant or parenting teens in Alabama, including perceptions of Alabama’s opt-out policy for sexual education and strategies used to address teen’s beliefs, attitudes, and values about sexual behavior. Social learning theory was the theoretical framework. Data were collected through a focus group of 12 social workers with practice experience working with …

Systematic Review Of Family Nurse Practitioner Utilization Within School Environments, Luz Elena Zapien

Walden Dissertations and Doctoral Studies

The American Academy of Pediatrics and the Institute of Medicine recommend school health screening programs to detect problems that might interfere with a student’s education and general well-being, and many U.S. states require compliance with enrollment requirements such as updated immunizations and physical exams prior to attendance. In low-income areas, however, there is often a shortage of physicians available to meet the healthcare needs of the population. Family nurse practitioners (FNPs) can be utilized in school health settings to deliver health care services that support school attendance and the well-being of school students, yet little is known about their impact. …

The Lived Experiences Of Caregivers Of Children With Reactive Attachment Disorder, Abby Baumgart

Walden Dissertations and Doctoral Studies

Parents of children with Reactive Attachment Disorder (RAD) encounter challenges in parenting and parent-child relationship development that are not typical to most parental situations. The purpose of the qualitative study was to explore the lived experiences of caregivers of children with RAD, to identify current met and unmet needs, to explore the experiences the caregivers of children with RAD have and the resources available to them. The study included a hermeneutic phenomenological foundation and incorporated the conceptual frameworks of family systems theory and attachment theory. A nonprobability, self-selection sampling strategy was utilized with recruitment through Facebook support groups. Methods included …

Health Care Providers’ Use Of Nudging With Families Of Older Patients Making Discharge Decisions, Tabatha Bowers

Walden Dissertations and Doctoral Studies

The health care system has focused on reducing costs associated with longer lengths of

stay while facilitating safe and appropriate discharges. The purpose of this educational

project was to increase awareness among health care providers regarding nudging and

how it influences discharge planning decisions by patients and families. Enhancing health

care providers’ understanding of the impact of discharge communication may address the

issue of alternate level of care (ALC). Transition theory was used to frame the project.

Practice-focused questions addressed how the use of evidence-based case studies about

nudging could improve discharge planning for patients in a large community hospital …

Experiences And Challenges Of Social Workers Working With Transitioning And Postmilitary Service Members Who Have Mental Health Issues, Joyce M. Hewitt

Walden Dissertations and Doctoral Studies

Active duty service members, veterans, and their family members are faced with a myriad of problems including mental health issues, substance abuse issues, traumatic brain injury, suicide, family integration issues, and family distress. Understanding the organizational, environmental, and person-centered factors that affect the delivery of mental health care treatment to active duty service members, veterans, and their families is urgent to this unique population for social work practitioners (licensed master, advanced, & clinical). This project explored the experiences and challenges that social work practitioners (licensed master, advanced, & clinical) have in providing effective services for mental health care treatment to …

A Multiple Case Study Of School Administrators On Use Of Disciplinary Measures, Michele L. Jones-Pace

Walden Dissertations and Doctoral Studies

Disproportionately high rates of out-of-school suspension and expulsion of African American children represent an ongoing issue in the U.S. public school system. Bronfenbrenner’s ecological theory was used as the theoretical framework for this multiple case study. The research question focused on the perceptions, perspectives, and experiences of a purposeful sample of 7 high school principals and what they believed were the reasons for persistently high rates of out-of-school suspension for African American students. The principals represented Title I and non-Title I schools located in urban, rural, and suburban regions of a southern state. Data from individual interviews and archival data …

Exploring Gender Dysphoria Among Active-Duty Transgender Service Members In A Right-To-Serve-Openly Military, Ralph Ogburn

Walden Dissertations and Doctoral Studies

The U.S. Department of Defense’s June 2016 directive-type memorandum 16-005 permitting transgender service members to serve openly in the U.S. military disqualifies transgender personnel with a history of gender dysphoria from serving in the military unless a licensed medical doctor certifies that they have been free from significant distress for 18 months. Research has illuminated the prevalence of gender dysphoria among military veteran transgender members due to their military experiences, but not in active-duty military. Informed by role theory and minority stress theory, the purpose of this interpretive phenomenological analysis study was to explore role conflict and stress in the …

Fall-Related Patient Education: An Essential Feature Of A Fall Prevention Program, Immaculata Okonkwo

Walden Dissertations and Doctoral Studies

This project documented the evaluation of a voluntary patient falls prevention education

program (VPFPEP) of a rehabilitative facility in a Mid-Atlantic US state and ascertained

its sustainability. The project was designed using the customized Moore et al. evaluation

model and Lippitt’s planned theory of change to encourage patient engagement in

physical activity (PA) through fall prevention education to allay patients’ fear of falling.

The sample included patients who opted into the facility’s VPFPEP. Evaluation was

performed using run charts to visually and quantitatively monitor trends and patterns of

fall incidents over time. Run charts also facilitated comparison of injuries sustained …

Stigma And The Life Experiences Of Recovering Counselors, Carroll Annette Beverly

Walden Dissertations and Doctoral Studies

Stigmatization, labelling, and stereotyping have been recognized through historical literature as categories that classify recovering counselors with the status of a second-class citizen. One of the subtle impacts of stigmatization on recovering counselors has been the reluctance of these counselors to share their substance abuse histories or admit they formerly used alcohol and other drugs. The purpose of this qualitative, multiple case study was to explore the impact of stigma on the life experiences of recovering counselors in the addiction and counseling fields. The social identity theory was the theoretical foundation of this study. Four participants (3 recovering counselors and …

Victims Of Intimate Partner Violence And Workplace Instability, Robert Boyd Cannon Jr

Walden Dissertations and Doctoral Studies

The effects of intimate partner violence (IPV) on victims’ employment status is well-documented. The purpose of this study was to examine the implications of domestic violence on the status and stability of employment for victims who work in the public sector. The study’s 2 research questions asked how victims’ perspectives on IPV could provide insights to (a) help public sector employers improve victims’ employment stability and (b) create policies and practices that support victim disclosure. A phenomenological approach was used to understand the experience of victims of IPV and unstable employment. The theoretical framework derived from feminist theory and focused …

Information Technology Disaster Recovery Planning By Florida Nonprofit Organizations, Derek Keith Erfourth

Walden Dissertations and Doctoral Studies

Inadequate information technology (IT) disaster recovery planning (DRP) by nonprofit organizations could lead to organizational failure post-large-scale natural disasters. Without proper funding and planning, organizations may not be able to withstand the effects of a natural disaster resulting in the closure and the community losing a critical need service. Grounded in resilience theory, the purpose of this qualitative multiple case study was to explore strategies utilized by Florida-based nonprofit organization technology managers to adopt and implement an IT DRP to aid in post-natural disaster recovery efforts. The data collection included interviews with 5 IT managers and reviews of 4 business …

Mental Health Needs In Schools As Predictors Of Burnout In School Counselors, Sondra Junek

Walden Dissertations and Doctoral Studies

Researchers have found an increasing number of students with mental health issues, and

school counselors are often the first resource available to students. School counselors are

faced with many job duties including supporting students’ academic, career, and

emotional needs. Maintaining these duties of school counseling can increase stress and

lead to burnout. The purpose of this quantitative study was to examine mental health

needs, mental health knowledge, and mental health skills as predictors of each of the

three subscales of burnout (emotional exhaustion, depersonalization, and personal

accomplishment) among early, middle, and late career school counselors. Lazarus and

Folkman’s transactional theory …

Does Counselor Type Affect A Manualized Treatment?, Cynthia C. Kay

Walden Dissertations and Doctoral Studies

This quantitative study was to determine whether there are differences in client treatment outcomes based upon the type of counselor who conducted an empirically supported treatment called Seeking Safety for persons diagnosed with posttraumatic stress disorder and substance use disorder. Many studies show that counselors’ personal attributes impact treatment; however, this study added to the literature by focusing on a standardized treatment for the co-occurrence disorder of substance use and posttraumatic stress disorder. Archival data from an outpatient treatment facility was used. Clients were provided integrated services, which included psychological and substance use treatment. The participants/clients were men and women …

Perceptions Of The Reentry Process Among African American Male Ex-Offenders With Multiple Incarcerations, Chanae Latrice Lumpkin

Walden Dissertations and Doctoral Studies

Within 3 years of their release from the criminal justice system, almost 7 out of 10 released African American males go back to. There is limited social science research into how these ex-offenders perceive their lived experiences after release. The research questions that guided this inquiry related to understanding the post-prison experiences of African American males with a history of multiple incarcerations. The conceptual framework was guided by Tajfel’s social identity theory and Becker’s social reaction theory. Interviews were conducted with a purposeful sample of 6 African American males with a history of multiple incarcerations who had been released from …

Mental Health Professional Perceptions Of Barriers To Fidelity For Empirically- Supported Treatments, Chris Streidl

Walden Dissertations and Doctoral Studies

It is estimated that one in five adults in the United State of America experience mental illness in a given year. When mental health organizations implement empirically-supported treatments but fail to maintain them, it can result in individuals not being provided the services that they need. The purpose of this study was to identify perceived barriers to maintaining fidelity for empirically-supported mental health treatments. The study utilized a quantitative cross-sectional correlational research design (N = 154) and the Perception of Barriers Scale (PBS) was developed to measure perceived barriers to maintaining fidelity for empirically-supported treatments. Bandura’s social cognitive theory as …

The Impact Of Executive Hiring Decisions Within Homeless Services Providers, Thela Rachelle Thatch

Walden Dissertations and Doctoral Studies

Inequities in staffing may affect the ability of organizations to deliver social services to the homeless. As homeless services are challenged with roadblocks exacerbated by systemic racism, a focus on hiring diverse employees may impact the delivery of services to minority clients. Little is known about the effects of diverse hiring in social service programs that serve the homeless. The purpose of this study is to bridge the gap in knowledge by examining the diverse hiring practices of senior employees that hold decision-making roles that affect the delivery of homeless services. Research questions were focused on discovering participants lived experience …

Changes In Operating Performance In Rural Hospitals From 2012 To 2019, Oluwaseyi Tami Young-Harry

Walden Dissertations and Doctoral Studies

Rural hospitals treat patients while dealing with the challenges of an inadequate workforce, limited financial resources, and an isolated geographic location, leading to difficulties in achieving financial viability. The purpose of this quantitative study was to analyze the operating performance of rural, general, medical and surgical hospitals in the United States and to determine if performance had changed from 2012 to 2019. Guided by x-efficiency theory, this study addressed whether hospital ownership explained variation in performance and if performance had changed from 2012 to 2019. A random sample of 394 rural hospitals was used, with data drawn from the American …

Self-Efficacy Of Older Homeless African American Men, Renee Carnithia Harvin

Walden Dissertations and Doctoral Studies

Older adults in the United States without permanent housing are witnessed living in shelters, cars, and on street corners in many urban centers and older adults now make up a third of the homeless population. There are stressors that may precede, or may result in homelessness, which may also affect older (i.e., age 50 or above) homeless adults' abilities to maintain their self-efficacy, a key to their self- management. This study further explored the lived experiences of self-efficacy among older homeless African American men. A descriptive phenomenological design and individual semi-structured interviews of 10 African American homeless men, aged 50 …

Child Protection Workers' Experiences In Implementing Natural Mentoring With Older Foster Youth, Claudia Maxie

Walden Dissertations and Doctoral Studies

Emancipated foster youth are at risk for increased rates of unemployment, low educational attainment, reliance on public assistance, substance abuse, behavioral issues, homelessness, unplanned pregnancies, and illegal activities. Lack of connection to a caring adult when exiting foster care and emancipated foster youth's inadequate independent living skills are critical factors that could place young people at risk. Prior studies have shown that mentoring is a means of providing foster youth with protection against psychological stress and promoting well-being; however, mentoring is not a widely used intervention in the child welfare system. There is limited research on the process of implementing …

Strategies African American Stepfathers Use To Build Positive Relationships With Their Stepdaughters, Shauntele Peynado-Rogers

Walden Dissertations and Doctoral Studies

Researchers have shown that strained relationships between stepfathers and their stepchildren contribute to family dysfunction and stress. As the number of blended families in the United States continues to rise, it is important to determine how stepparents develop positive relationships with their stepchildren. The purpose of this study was to determine what strategies African American stepfathers use to develop positive, supporting relationships with their school aged stepdaughters. Family systems theory guided this research. The generic qualitative approach was used to conduct the study. Purposeful sampling resulted in data being collected from 7 participants using semi structured interviews. Colaizzi's 7-step method …

The Perceptions And Experiences Of Clinical Caseworkers In Promoting Pregnancy Prevention In Foster Youth, Ruby Ann Stroman

Walden Dissertations and Doctoral Studies

Teen pregnancy prevention has been a focus for clinical and medical professionals for many years now, and it is an extensively documented social issue, especially in the foster care system. In an effort to promote pregnancy prevention, clinical caseworkers who work with foster youth educate at-risk youth in regards to the difficulties that can be experienced as a result of teen pregnancy. The purpose of this generic qualitative study was to explore the perceptions and experiences of clinical caseworkers as they promoted pregnancy prevention in foster care youth. The 6 purposefully selected respondents were all clinical caseworkers. The study used …

Locus Of Control And Mindfulness As Moderators Of The Job Demand-Control Model: Effects On Burnout, Basia Andrejko-Gworek

Walden Dissertations and Doctoral Studies

AbstractBurnout is considered a health hazard of contemporary workplaces and additional research is needed to identify protective factors against this phenomenon. The job demand-control model specifies job control as the key buffer against strains, but empirical support for its buffer hypothesis is limited. The present study accounted for both structural and person factors and tested a revised hindrance job demand-control model in prediction of burnout. By incorporating the challenge-hindrance stress framework with tenets of the transactional stress framework and the differential reactivity of personality theory, it was proposed that inclusion of hindrance stressors (i.e., interpersonal conflict, role conflict and organizational …

School Social Workers And Perceived Barriers When Providing Services To Lgbtq Children, Jason Ray Bullard

Walden Dissertations and Doctoral Studies

The proliferation of bias and prejudicial attitudes towards the lesbian, gay, bisexual, transgender, and queer or questioning (LGBTQ) community have been studied and empirically recognized throughout modern history. School social workers, as the school-to-home mental health liaison, have a duty to protect and support vulnerable populations of students. Research supports the overarching need for specific support provision for young LGBTQ children as they often report not feeling safe or supported within educational settings, leading to an overall decreased sense of wellbeing. This study, based on critical race theory as well as normative theory and democracy, used qualitative semistructured interviews with …

Foster Care Service Barriers And Social Work Practice In The Virgin Islands, Anna Maria Clarke

Walden Dissertations and Doctoral Studies

This qualitative research study explored service barriers social workers encountered while working with their foster clients aging out of placement in the Virgin Islands. This study provided an understanding of the problem and seminal literature that warrants further study in the future. The foundation for this study was grounded in ecological systems theory. Data collection consisted of narrative interviews with social workers from a single government agency. Six social workers from the islands of St. Croix and St. Thomas in the Virgin Islands discussed the challenges they encountered while working with their foster clients aging out of placement. Key findings …

Principals’ Perceptions Of Fostering A School Culture For Elementary Trauma-Exposed Students, Laura Ann Kelly

Walden Dissertations and Doctoral Studies

Experiencing trauma can affect children’s ability to achieve academically. School principals are responsible for creating a positive school culture to support all children academically, yet there is limited knowledge of how principals create such a culture for children exposed to trauma. The purpose of this basic qualitative study was to understand the practices of elementary school administrators in fostering a safe and trustworthy school culture that supports academic achievement for students who have experienced trauma. Maslow’s conceptual framework of human motivation informed this study, and research questions centered on how elementary principals perceive practices necessary to create and maintain a …

Health Care Maltreatment And Perioperative Suicidality Among Transgender Persons: A Phenomenological Investigation, Alma Theresa Knight

Walden Dissertations and Doctoral Studies

AbstractThe goal of this phenomenological study was to investigate the phenomenon of transgender suicide and how health provider transgender health knowledge deficits may have contributed to this public health disparity. The constructs of the Social-Ecological Suicide Prevention Model, the Perioperative Medicine Model, and the Perioperative Patient-Focused Model is the Tri-Model framework used to guide this research project in proposing the research question, the sub-questions, and contributed to the analysis of the results. This Triad-Model is also proposed as a framework to eradicate the health provider transgender health knowledge gap; to improve transgender health care delivery; enable physicians and nurses to …

A Phenomenological Study On Adoption Disclosure Experienced By Adult Adoptees, Carmen H. Leggett

Walden Dissertations and Doctoral Studies

AbstractThis research addressed the psychological experiences that adoption disclosure has on adoptees and their systems. In this phenomenological study eight interviews were conducted that consisted of four females and four males guided by general systems theory. Interviews were conducted via video conference, telephone, and email/telephone. Data saturation was achieved after the fourth interview as no new information had surfaced and similar responses were being echoed repeatedly from the participants. However, the interviews continued because the stories being shared by the participants were invaluable and to ensure the sampling criteria of eight participants was met. The interviews were transcribed, and several …

Understanding The Young Adult African American Male's Perceptions Of Civic Engagement, Carl Lee Jackson

Walden Dissertations and Doctoral Studies

AbstractCivic engagement and political involvement of the greater portion of the population of democratic societies are important to the maintenance of the quality of life of all members. Although 100% participation in these activities is rare, higher levels of involvement across all affected demographic groups will support a more equitable political environment in urban communities. In the midwestern metropolitan community that is the focus of this study, young adult African American males were found to participate in all forms of civic engagement at lower rates than any other demographic group. Using a critical race theory foundation, the purpose of the …

Identifying Strategies That Address Race-Based Traumatic Stress Of African Americans In Rural Mississippi, Syrenia Johnson

Walden Dissertations and Doctoral Studies

There has been a dramatic increase of race-based encounters that have had an extensive health impact on African Americans. Social workers and other mental health professionals play a crucial role in working with African American adults who experience race-based traumatic stress. The purpose of this qualitative study was to identify strategies to address race-based traumatic stress from a mental health perspective. Racial encounter coping appraisal and socialization theory (RECAST) guided this study where eight social workers from the local community mental health center in rural Mississippi completed an open-ended questionnaire to identify and determine culturally competent treatment strategies for African …

Strategies To Reduce Voluntary Employee Turnover, Ieshia Renee Bradley

Walden Dissertations and Doctoral Studies

The cost of voluntary employee turnover is extremely high for organizations in the United States. In 2017, organizations lost over 114 million dollars in profits due to voluntary employee turnover. Business leaders who do not implement the retention strategies to prepare and maintain talent are at risk of losing employee productivity, translating into the organization's profitability. Grounded in Herzberg’s two-factor theory of motivation, the purpose of this qualitative multiple case study was to explore strategies 6 managers from Tallahassee, Florida used to reduce voluntary employee turnover. Data were collected using semistructured interviews and company archival documents. Data were analyzed using …