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Perceived Health And Preventative Care In The Transgender Population, Gregory Page Carpenter

Walden Dissertations and Doctoral Studies

Historically, the transgender community has been treated and studied myopically, using the lens of psychological illness. As treatment and research efforts have expanded in the past decade, the transgender population is becoming better understood. The purpose of the study was to examine the relationship between perceived health and preventative care in the transgender community. The health belief model was the theoretical framework for this cross-sectional study, which included data from the 2014–2018 Behavioral Risk Factor Surveillance System Survey. Chi-square tests and binomial logistic regressions were performed to investigate associations between perceived health and preventative care in the transgender community. The …

The Supplemental Nutrition Assistance Program Work Policy And Its Influence On College Students’ Academic Success, Annetta Ann Clark

Walden Dissertations and Doctoral Studies

The Supplemental Nutrition Assistance Program (SNAP) is a public food supplement assistance program offered by the U.S. federal government. Undergraduate students who apply for the program must work at least 20 hours per week while concurrently enrolled in six academic units or more. However, students who work more find less time to commit to their college studies, resulting in a negative impact on their academic performance. This phenomenography study’s purpose is to understand from an academic advisor’s perspective how SNAP’s work policy affects academics among first-generation undergraduate students. Maslow’s hierarchy of needs and Goldratt’s theory of constraints were the conceptual …

Exploration Of Effective Leadership Traits To Retain Millennials In Federal Service, Tony Augustin Damian

Walden Dissertations and Doctoral Studies

The federal government faces critical human capital management challenges because of workforce retirements. Millennial retention is key to addressing some of these challenges. However, job satisfaction surveys have indicated retention concerns for existing millennial federal employees. The federal sector is struggling to compete with the private sector in employee retention among the millennial generation. An intrinsic motivation approach was used in this study, focusing on leadership and its role in retention. Strauss and Howe’s generational theory, the trait-based approach to leadership, and three leadership styles—transformational, ethical, and authentic—comprised the conceptual framework. The purpose was to explore the preferred leadership traits …

Decreasing Pressure Injuries With Early Mitigation Strategies For The Elderly In The Intensive Care Unit, Janet L. Wilson

Walden Dissertations and Doctoral Studies

Healthcare acquired pressure injuries (HAPIs) are a serious and debilitating condition in the elderly, and it is therefore critical to reduce the incidence of HAPIs. Mitigation strategies are often implemented for patients who score in the highest risk categories on the Braden Scale for Predicting Pressure Sore Risk©. Yet, the evidence suggests vulnerable older adults who score in the midrange of the Braden Scale, and specifically, the mobility subscale, develop HAPI more frequently. The review question centered on the evaluation of the current evidence for early mitigation strategies in response to Braden Scale midrange mobility subscale scores. The gap addressed …

Teachers' Perceptions Of Their Ability To Provide Equitable Instructional Practices In High-Poverty Schools, Angela Mary Davis

Walden Dissertations and Doctoral Studies

Equitable instructional practices have a positive impact on the academic achievement of students living in high poverty. The purpose of this basic qualitative study was to explore teachers’ perceptions of their abilities to implement equitable instructional practices in high-poverty schools. Gorski’s equity literacy framework was the approach used to guide the study and address the research question. In this qualitative study, teachers in high-poverty schools were asked to perceive and describe their abilities to implement equitable instructional practices. Data were collected through semistructured interviews with 10 K-8 teachers of high-poverty schools located in the Southeastern region of the United States. …

Supervision Needs For Social Workers Providing Home-Based Treatment For Children And Families, Magda Demerritt

Walden Dissertations and Doctoral Studies

Social workers providing home-based therapy services for children and families face challenges that make it difficult to provide efficient and effective treatment. The purpose of this qualitative study was to explore the supervision needs of social workers who provide treatment using the home-based service delivery model. The leader-member exchange theory was used to guide the study. Data were collected from a focus group meeting with 10 master’s-level social workers in Miami-Dade County, Florida. Findings from coding and thematic analysis revealed that participants’ needs involved being educated on the value of the home-based model, receiving support and guidance related to their …

Vicarious Trauma As Experienced By Male Therapists, Michael Felt

Walden Dissertations and Doctoral Studies

Vicarious trauma (VT) is a recently focused on phenomenon that describes the negative effects of treating trauma victims. VT causes pervasive and permanent changes to the self-image and worldview of the therapist. Research is sparse regarding the ways male therapists experience VT. The purpose of this study was to explore the male therapist’s experience with VT and is crucial for developing a greater understanding of VT in order to enhance awareness, resilience, and prevention. The study was based on the constructivist self-development theory because VT was developed through the lens of this theory and is primarily defined as the intrapsychic …

Faculty Experiences Of Social Media Implementation In Online Classrooms, Ashley Lynn George

Walden Dissertations and Doctoral Studies

Social media has become an integral part of the education process, with educators incorporating social media platforms both actively and passively within the learning environment. Yet, the implementation and usefulness of social media in the online learning environment as an educational assistance tool have not been adequately investigated. The purpose of this qualitative study was to understand how the incorporation of social media into the online learning environment is experienced by university faculty and if their experiences of use or required changes in pedagogy for implementation are affecting their ability or desire to implement the new technology. Individual virtual interviews …

Cognitive Behavioral Therapy Within Risk-Needs-Responsivity In Treatment Of Sex Offending Psychopaths, Delita Gourdine Welch

Walden Dissertations and Doctoral Studies

Debate exists that supports the integration of cognitive-behavioral therapy (CBT) within risk-needs-responsivity (RNR) in treatment when managing the behaviors in diagnosed sex-offending psychopaths. Although sex offending psychopaths are challenging, they are not immune to managing their behavior and maintaining a positive lifestyle and they can benefit if they can be retained in treatment. Guided by the cognitive behavioral theory, the purpose of this study was to examine how therapists manage the behaviors of diagnosed sex-offending psychopaths when integrating CBT within RNR. Therapists in practice who integrate CBT within RNR with sex offending psychopaths, answered questions about several aspects of CBT …

The Effects Of Exposure To Appropriated Slurs On Stereotype Threat, Charles Mason Guthrie

Walden Dissertations and Doctoral Studies

Appropriated slurs are refurbished forms of derogatory terms that originate from an outgroup but are adapted by the target group as ingroup terms with specific contextual and application norms. However, the use of appropriated slurs is often debated within the appropriating social group. Within the Black American community, one side of the argument views appropriated slurs as empowering while the other side holds that the underlying slur in its appropriated form causes harm to the integrity of the Black American culture and psyche. Recent survey research supports the perspective that appropriated slurs may have some social benefits; however, social science …

The Social Work Perspective Regarding The Underutilization Of Mental Health Services Among African American Families, Carissma Tempest Hughes

Walden Dissertations and Doctoral Studies

The underutilization of mental health services amongst African American families has been a long-standing concern in the African American community within large metropolitan cities in Texas. The metropolitan cities are Austin, Dallas/Fort Worth, Houston, San Antonio and McAllen. There remain experiences that impede families’ ability to engage in mental health services. These experiences involve the conflict between prayer and therapy, stigma, lack of awareness of local mental health services, and cultural competency. The purpose of this qualitative research study was to explore experiences of African American families and how those experiences affect mental health engagement, as well as how practicing …

Reducing Recidivism Of Psychiatric Inpatient Clients In Behavioral Health Facilities, Cottrell Jacobs

Walden Dissertations and Doctoral Studies

AbstractResearch shows readmitting clients to inpatient psychiatric facilities within 30 days to one year of discharge can be costly for an organization and may represent less than optimal quality care for clients. The purpose of this study was to obtain an in-depth understanding of practices and barriers to reducing inpatient readmissions by completing a qualitative case study of readmission reduction strategies used by a large inpatient psychiatric facility in the southern United States. The Baldrige excellence framework was used to guide the assessment of the organization. Data collection consisted of five semi-structured interviews with organizational leaders, evaluation of internal archival …

The Effect Of Victim’S Responses To Coercive Sexual Harassment On Bystander Intentions And Moral Perceptions, Inna M. Learn

Walden Dissertations and Doctoral Studies

Female graduate students are targets of coercive sexual harassment (SH) three times more than female undergraduates; 67.8% of their harassers were university faculty. While SH victims expected peer support, peers often socially rejected female victims of coercive SH. Gray and Wegner’s theory of dyadic morality and Bowes-Sperry and O’Leary-Kelly’s bystander response model guided this quantitative study to examine the effect of victim response on helping intentions by peers. After reading the same vignette that described coercive SH, 207 student participants read one of four randomly assigned victim’s responses: victim did nothing, directly confronted the professor during the incident, sought peer …

Perspectives Of Online Cda Recipients Regarding Development Of Expertise Without Apprenticeship, Victoria Lynn Long-Coleman

Walden Dissertations and Doctoral Studies

Little was known about how online Child Development Associate (CDA) credential recipients developed practical expertise in early childhood education (ECE) without the benefit of an apprenticeship. Learning the practice of teaching from a qualified more knowledgeable other (MKO) through an apprenticeship is a feature of teacher preparation in public school contexts but is missing in preparation for child care teachers. The purpose of this basic qualitative study was to explore how online CDA recipients developed practical expertise in ECE without a supervised apprenticeship. Vygotsky’s social construction of knowledge was the conceptual framework of the study. The research question addressed how …

Hospital Emergency Room Visits For Heavy Menstrual Bleeding, Henry John Mead

Walden Dissertations and Doctoral Studies

Heavy menstrual bleeding (HMB) is a well-recognized health issue among women of reproductive age. The characteristics and demographics of women in the community with HMB who present at the emergency department (ED) are not well described. This research aimed to describe the cohort of women who seek treatment at the ED. The Healthcare Cost and Utilization Project 2016 National Emergency Department Sample was examined. The theory of reasoned action predicts that women who present at the ED are exhibiting health seeking behavior. From 32 million records, the inception cohort identified N = 111,555 cases. Using national estimation weights, this translates …

Reducing Fall Rates At A Long-Term-Care Facility, Francis Ortego

Walden Dissertations and Doctoral Studies

In the United States, older adults often experience fall events that may result in physical, mental, and financial hardship. Since the project site was experiencing a significant number of patient falls, a fall-prevention quality improvement (QI) program was implemented. Guided by the diffusion of innovation theory and the plan-do-study-act (PDSA) model, the purpose of this doctoral project was to evaluate the effectiveness of that program to determine if the monthly fall rate in the facility would decrease during the next 6 months. The project site provided deidentified data in the form of monthly fall-rate totals as collected from the long-term-care …

Effects Of Latino Inequity In The Illinois State Government: An Analysis Through The Polarities Of Democracy, Rebecca Sanchez

Walden Dissertations and Doctoral Studies

AbstractHispanics in Illinois make up 17.5 % of the population yet are disproportionately represented in state government, composing only 6.5 % of the workforce. Unequal representation deprives ethnic and underserved groups of participating in program and policy decisions that provide communities opportunities. Hispanic leaders have expressed their concerns and dissatisfaction to state legislators and actively requested equity in the state’s workforce. However, there were no studies that examined the perceptions of Hispanic community leaders in Illinois regarding solutions to address this disparity. To address this gap, a qualitative study using Benet’s polarities of democracy as the theoretical framework was conducted. …

Identifying Training Competencies To Enhance Community-Based Program After-School Volunteer Performance, Charlene Sanders

Walden Dissertations and Doctoral Studies

AbstractIdentifying Training Competencies to Enhance Community-Based Program After-School Volunteer Performance by Charlene Sanders

MS, Walden University 2017 BA, Hampton, 2016

Dissertation Submitted in Partial Fulfillmentof the Requirements for the Degree of Doctor of Philosophy Human & Social Services––General

Walden University May 2021   Abstract Between 2013 and 2014, 25.2% of 10th grade algebra students who worked with 870,000 adult volunteers in after-school programs in the United States met their goals of improved math proficiency scores. A gap exists involving volunteer training strategies for after-school programs that are effective in improving math proficiency of 10th grade math students. The purpose of this …

Social Exclusion And Community Severance In Impoverished Neighborhoods, Melissa Kerry Stickel

Walden Dissertations and Doctoral Studies

Transportation infrastructure, such as highways and interstates, creates a barrier that can physically limit access to those living in adjacent neighborhoods, a phenomenon known as community severance. In addition to creating a physical disconnect, these infrastructures can leave residents feeling socially isolated and excluded from the rest of the community. This qualitative single-case study focused on social exclusion and community severance and problems arising from the U.S. transportation network, addressing the development of the interstate system and its possible impacts on communities. The exclusionary effects of transportation-related severance were well supported in the literature. However, most of research had been …

Kindergarten Teachers’ Implementation Methods For School Readiness Skills In A Rural School, Beverly Vashon Woods

Walden Dissertations and Doctoral Studies

Kindergarten students in a Title 1 elementary school are lacking school readiness skills. When students enter kindergarten unprepared to learn, they may experience difficulties with approaches toward learning skills related to physical, language, social, emotional, and cognitive development, which are reliable predictors of subsequent academic and life success. The purpose of this qualitative bounded case study with a constructivist framework was to examine how kindergarten teachers implemented the five domains of school readiness at a Title 1 school to improve incoming kindergarten students’ learning. Convenience sampling was used within a bounded system of four kindergarten teachers in a Title 1 …

Sustainable Luxury Fashion Consumption Through A Circular Economy Business Model, Mairy Aminatou Alim

Walden Dissertations and Doctoral Studies

The luxury fashion industry, forecasted to reach a value of 84.04 billion U.S. dollars by 2025, has stalled in adopting a circular economy (CE) business model to raise sustainable luxury consumption in mature markets. The purpose of this qualitative, multiple case study was to describe CE business experts’ views on how luxury fashion leaders can make a profitable shift from a linear to a circular business model in mature markets. This study was framed by two conceptual models: Donato et al.’s concept of sustainable luxury consumption and Chiaroni and Urbinati’s concept of adopting a circular business model. Data were collected …

Relationship Between Faculty Age, Stress, And Intent To Leave Academic Medical Institutions, Susan Christian Atterton

Walden Dissertations and Doctoral Studies

Faculty intent to leave academic medicine affects clinical productivity, patient and teaching service quality, and institutions' profitability. Understanding factors associated with faculty intent to leave is critical for healthcare and human resources leadership within academic medical institutions in efforts to reduce faculty intent to leave. Grounded in Graves’ spiral dynamics theory, the purpose of this correlational study was to examine the relationship between faculty age, faculty stress, and faculty intent to leave academic medical institutions. The data were collected and analyzed for 125 faculty physicians with an M.D., Ph.D., D.O., or M.B.B.S. degree in an academic medical institution in the …

Conflict In Human Relationships And Seeking Out Pets As A Safe Haven, Jennifer Rachael Bakal

Walden Dissertations and Doctoral Studies

Research has revealed the positive physical and the psychological aspects of pet ownership, suggesting that an individual’s attachment style can impact the kind of relationship they have with their pet. Two theories guided this qualitative study; the first was Bowlby’s attachment theory, which suggests that if a child feels that the attachment figure is attentive and accessible, the child will feel loved and secure. Another theory was Ainsworth’s attachment theory in which attachment figures are described as possessing four features: proximity maintenance, separation distress, secure base, and safe haven. This study consisted of 212 participants at least 18 years old …

Potential For Burnout, Coping Styles, And Help Seeking Attitudes Of Human Service Providers In A State Psychiatric Hospital, Alison Aulsbrook

Walden Dissertations and Doctoral Studies

AbstractAlthough there is an abundance of literature on the relationship between burnout and coping styles among providers, this study explored the gap in research about the relationship of these factors to help seeking attitudes. The purpose of this study was to examine the relationship between burnout, coping styles and attitudes toward seeking professional psychological help among a sample of 76 human service providers, guided by cognitive appraisal theory. Burnout in participants who work at a state psychiatric hospital in Texas was measured using the Maslach Burnout Inventory. Coping styles were measured using the Coping Inventory for Stressful Situations which measures …

Beliefs About Evidence-Based Practice Among New Graduate Nurses, Julie Bane

Walden Dissertations and Doctoral Studies

It is an expectation that new graduate nurses (NGNs) use evidence-based practices (EBP) in patient care; however, studies indicated that NGNs lack confidence in, belief in, and a full understanding of EBP processes and implementation. The doctoral project practice-focused question addressed whether immersion in EBP education and completion of an EBP project through a quality-improvement pilot program would enhance NGNs’ beliefs about the benefits and processes of EBP as well as increase confidence in their ability to implement EBP in the clinical setting. Knowles’ adult learning theory and Rogers’ diffusion of innovation theory guided the project’s motivation and examination of …

Perspectives Of Human Resource Personnel And Employees Hired As Military Veterans On Veterans’ Hiring Processes, Tiffany Barrett

Walden Dissertations and Doctoral Studies

Finding employment after transitioning out of the military is a formidable challenge faced by many veterans. The purpose of this qualitative exploratory multiple-case study was to explore the perspectives of human resource personnel (HRP) and military veteran employees about the hiring processes of private organizations that have a veterans’ employment rate of 25% or more. The processes investigated in this case study included hiring strategies, practices, actions, steps, and applications. The target population comprised 16 participants, who were employees hired as military veterans and HRP of private organizations that had hired veterans at a rate of 25% or more. The …

Perspectives Of Physicians Mandated To Complete Cultural Competence Education, Wayne Mccarthy Boatwright

Walden Dissertations and Doctoral Studies

Perspectives of Physicians Mandated to Complete Cultural Competence Educationby Wayne M. Boatwright

Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy in Health Services

Walden University May 2021 Abstract Studies show that ethnic and racial disparities continue to exist in health care delivery. The economics of today’s multicultural world along with changing demographics and persistence of inequality in healthcare have challenged healthcare professionals to consider cultural competency (CC) training to assist in eliminating health disparities. The purpose of this study was to identify the perspectives of physicians who were mandated to complete CC education. …

Consequences Of Corporate Social Responsibility Initiatives For Stakeholders, May Chian

Walden Dissertations and Doctoral Studies

Corporate social responsibility (CSR) is a self-regulation model for businesses to be socially accountable to society and stakeholders. The research problem is that some managers have a limited understanding of the consequences of strategic CSR initiatives for stakeholders to maximize company’s profits in the United States. The purpose of this qualitative study was to examine the implications of U.S. corporations’ CSR initiatives for stakeholders while maximizing profitability. The conceptual framework that grounded this study was the stakeholder theory of CSR and agency theory, which provided an appropriate lens for data collection and analysis. An online questionnaire of 10 open-ended questions …

The Moderating Impact Of Yoga On The Relationship Between Employee Job Satisfaction And Trust In Management, Khalid George Darargeh

Walden Dissertations and Doctoral Studies

Employees with low job satisfaction are less likely than employees with average or high job satisfaction to achieve organizational productivity objectives. Owners of U. S. companies lose an estimated $605 billion each year in productivity due to low employee job satisfaction. Grounded in the leader-member exchange theory, the purpose of this quantitative correlational study was to examine the moderating impact of yoga on the relationship between employee trust in leadership and employee job satisfaction. Using LinkedIn and Facebook, participants were 80 full-time professionals living in the Baltimore County or Baltimore City vicinities who varied in their participation in yoga as …

Emotional Intelligence, Resilience, And Stress Among Women In Treatment For Substance Disorders, Zummuna Zonzanna Davis

Walden Dissertations and Doctoral Studies

Emotional intelligence (EI) is the ability of an individual to perceive, use, comprehend, and regulate emotions. While relationships between EI and risk of drug abuse have been explored, possible mechanisms through which higher EI may serve as a protective factor remain undefined; there was a need to understand how EI was related to stress among women with substance use disorders. The purpose of this study was to examine resilience as a mediator between EI and stress, a risk factor, among women in treatment for chemical dependency. The theoretical framework for this study was based on Salovey and Mayer’s EI model. …