Digital Commons Network^™

Perceptions And Experiences Of Sickle Cell Disease Patients And Parents/Caretakers On Alternative Treatment Options For Pain Management, Elizabeth Hagan Asamoah

Walden Dissertations and Doctoral Studies

Sickle cell disease (SCD) is marked by excruciating chronic pain, commonly known as pain crisis. SCD healthcare practitioners (HCPs) have been employing palliative care as a mainstream treatment option to manage SCD pain crises using mainly opioid analgesics for years. Due to the current opioid crisis, however, it has become imperative to explore alternative regimens to manage the pain and associated comorbidities of SCD. Thus, the goals of this study included exploring alternative treatment options for SCD pain crisis management with the intent of decreasing SCD patients’ dependency on opioid-based or related analgesics while reducing the frequency of pain crises …

Teacher Perceptions About Instructional Delivery For Chinese International Students, Valerie Lorraine Marchione

Walden Dissertations and Doctoral Studies

The problem that prompted this study was that teachers at a local private school werestruggling to identify and implement appropriate instructional strategies to promote international student academic and social engagement. The purpose of this study was to examine teacher perceptions and experiences about instructing international students. The conceptual framework of this study was based on Vygotsky’s theory of social constructivism. The research questions explored teachers’ perceptions about their knowledge, experiences, and perceptions of students’ school acculturation and teachers’ instructional processes. A case study design was used to capture the insights of 12 high school teachers of international students through semistructured …

Preparing Staff Nurses For Timely Management Of Hypertension In Acute Ischemic Stroke, Nneoma Oguguo

Walden Dissertations and Doctoral Studies

When a blood clot obstructs the flow of blood and oxygen to the brain, it can cause an ischemic stroke. Hypertension is the most important risk factor for ischemic stroke because it causes damage to the arteries, making them easy to burst or clog and subsequently increases the risk of stroke. Advanced treatments have been developed to dissolve clots and restore blood flow to the brain. Tissue plasminogen activator (tPA) has been clinically beneficial in acute ischemic stroke if it is given early and under the right conditions. Nurses can improve patient care through application of evidenced-based management. The purpose …

Examining Teachers’ School Wide Positive Behavioral Interventions And Support Practices To Improve The Behaviors Of Students With Disabilities, Lolita Michele Owens

Walden Dissertations and Doctoral Studies

AbstractThe problem at a high school in the southeastern United States is that students with disabilities struggle to demonstrate appropriate behaviors despite the implementation of School-Wide Positive Behavioral Intervention and Supports (SWPBIS). Current research findings have suggested that although SWPBIS includes strategies for students with disabilities, the behaviors of students with learning disabilities have not improved during SWPBIS implementation. There was a need to explore teachers’ implementation of SWPBIS for students with learning disabilities. In this basic qualitative study, how teachers at the research site high school were implementing SWPBIS for students with learning disabilities toward improving maladaptive behaviors was …

Learning Experiences And Goal Setting Strategies From Successful Adult Basic Education Learners, Amanda Christine Sobremesana

Walden Dissertations and Doctoral Studies

Adults who are unsuccessful in completing their educational program will not receive the needed certification or diploma to be competitive in a global economy and job market. The completion percentage of adult basic education learners remains low at an adult basic education site in a Western state. The purpose of this study was to better understand the various experiences of the successful adult learner and the different ways they used goal setting strategies to complete their programs. This basic qualitative study was guided by Knowles’ theory of andragogy. The guiding research questions asked adult learners what learning experiences and goal …

Niger Delta Stakeholders’ Expectations Of Iocs’ Peacebuilding Programs: A Multiple Case Study, Sylvester Ikechukwu Ugwuanyi

Walden Dissertations and Doctoral Studies

Scholars within the business and peace literature domain identified a knowledge gap in the understanding of community stakeholders’ views and expectations about the specific strategies that support corporate peacebuilding in conflict-ridden host communities. The purpose of this qualitative, multiple case study is to gain a deeper understanding of host community stakeholders’ expectations of international oil companies’ (IOCs’) peacebuilding programs within the Niger Delta. To address the research problem and purpose of the study, qualitative data were collected from multiple sources of evidence including semistructured interviews with eight community stakeholders, archival data, and reflective journaling notes. This study was framed by …

The Doctrinal Basis Of Islamic Utterances Associated With Domestic Assaults, William Andrew Arthur Gawthrop

Walden Dissertations and Doctoral Studies

AbstractBetween March 1977, and February 2020, there have been 78 instances of ideologically motivated murders and attempted murders in the United States. These instances were characterized as individual-based attacks against other individuals and treated as local crime. However, in each instance, there were indications of Islamic religious overtones characterized by Islamic religious utterances made by the attackers. The overall problem addressed in this study was the lack of research on the utterances associated with religiously based autonomous self-actualization resulting in homicides and assaults: jihad applied as street crime. The key research questions are: What are the utterances associated with Islamic-based …

Teachers’ Perceptions Of Junior Secondary Education And Student Academic Performance In Central Ethiopia, Mulugeta Haile

Walden Dissertations and Doctoral Studies

Despite Ethiopia’s rapid economic growth and its attempts at different educational models, there is a significant problem with junior secondary school education and student academic performance. The purpose of this study was to explore teachers’ perceptions of junior secondary school education in central Ethiopia and what innovative academic approaches are necessary to increase student academic performance. The study used self-determination theory as its foundation. The main research question was focused on junior secondary school education, current policies, and students’ academic performance. A nonprobability purposive sampling method was used to select 10 teachers from two schools. The study used semi structured …

A Phenomenological Exploration Of How Nursing Experience Shapes The Transitional Performance Of Primary Care Nurse Practitioners, Helen Okeke

Walden Dissertations and Doctoral Studies

AbstractPoor access to healthcare and a shortage of primary care providers in underserved communities paved the way for reliance on advanced practice registered nurses (APRNs). This increased reliance on APRNs as primary care providers necessitates expanded public policy on APRN practice; however, information on APRN transitional experiences remains inadequate to inform policymakers effectively. Illinois’ Nurse Practice Act requires APRNs to incorporate the scope of practice of registered nurses into their practice but does not describe what that experience should be. Using Kanter’s theory of organizational structural empowerment and Benner’s novice to expert nursing model as theoretical lenses to ground the …

Teaching Students With Profound Intellectual And Multiple Disabilities, Tami Lynn Hardesty-Jaynes

Walden Dissertations and Doctoral Studies

AbstractIn the United States, students with disabilities are protected by federal and state law, with rigorous learning standards mandated for all students. Research on the education of students with severe disabilities has focused on students on the upper end of the severe disability spectrum, but few studies in the United States have addressed the education of students with profound intellectual and multiple disabilities (PIMD). This qualitive, exploratory multiple case study focused on how teachers are providing appropriate and meaningful education to students with PIMD. Theoretical foundations were based on the work of Dewey and Vygotsky, who argued that appropriate education …

Impact Of Conservation Agreements On Livelihoods And Forest Protection In Rural Liberia, Peter Gayflor Mulbah

Walden Dissertations and Doctoral Studies

People living near forests in Liberia are facing pressure to protect the forests for conservation while they are struggling for alternative incomes for livelihoods. The purpose of this quantitative correlational study was to assess whether conservation agreements improve rural livelihoods and promote forest conservation by examining the relationship between direct payment of conservation benefits to forest communities and forest protection, and the relationship between direct payment of conservation benefits to forest communities and livelihood improvement in rural Liberia. A total of 150 participants aged 18 and above were surveyed from three regions in Liberia using a precoded questionnaire. The frequency …

Mobile Network Infrastructure Security In Developing Countries – A Kenya Case Study, James M. Omanwa

Walden Dissertations and Doctoral Studies

The usage of mobile network infrastructure to access internet resources for organizations is getting higher year by year in sub-Saharan Africa. However, there was an increase in malicious attacks on mobile networks and devices accessing mobile network infrastructure, targeting organizations’ private information. Grounded in Bandura’s social cognitive theory, the purpose of this multiple case study was to explore strategies security managers used to secure mobile network infrastructures from cyberattacks. Participants comprised four security managers in Kenya in two major cities who successfully implemented strategies to mitigate cyberattacks on the mobile network infrastructures. Data were gathered from video conference, face-to-face, semi-structured …

Predictors Of Depression Screening Among Cancer Patients In U.S. Ambulatory Settings, Joseph Oluyinka Fawole

Walden Dissertations and Doctoral Studies

Depression is a common mental health comorbidity in cancer diagnoses, affecting 8-24% of cancer patients. Despite the high prevalence of depression among cancer patients, it is often unrecognized and untreated, thereby representing an enormous psychological distress source among the cancer patient population. The purpose of this study was to explore and establish the factors that predict depression screening among cancer patients in the ambulatory care setting in the United States. The health belief model guided the study. Secondary data from the National Ambulatory Medical Care Survey were analyzed to evaluate the predictors of depression screening in patients diagnosed with cancer. …

Social Influences On Citizens' Attitudes Toward The Police In A Public Assistance Role, Raymond Griego

Walden Dissertations and Doctoral Studies

Much research is based on the experience of participants in crime-related situations where they have contact with police. It is significant, however, that researchers have documented that 70 to 80% of calls requesting police service are not related to criminal activity. Despite this little is known about how police interaction with citizens in noncriminal and nonemergency situations impacts public perception of law enforcement. The aim of this phenomenological study was to explore the thoughts and perceptions of individuals who experienced a noncriminal police-citizen interaction as a result of receiving nonemergency assistance from the police. The conceptual framework for this study …

Analyzing Regional Impact Of Caregiving On Obesity Prevalence Among U.S. Adults, Myra Callis Johnston

Walden Dissertations and Doctoral Studies

Obesity remains one of the leading causes of morbidity and mortality in the United States. Historically, sparse research efforts have focused on informal caregiving as a possible risk factor for developing chronic illnesses across the United States. Identifying additional subgroups at higher risk of becoming obese could provide insights into where public health practitioners, the health care community, and policy makers can direct limited resources through a more targeted approach. The theoretical foundation for the current project was the social cognitive theory. In this secondary correlational analysis using the 2018 Behavioral Risk Factor Surveillance System data set, the relationship between …

Differences In Students' First-Year Composition Grades Based On First-Year Composition Instructors' Employment Status, Karen Mariana Lynn

Walden Dissertations and Doctoral Studies

The problem addressed in this study was the trend of decrease in first-time-in-college (FTIC) degree-seeking student cohort fall-to-fall (FTF) retention rates at a community college located in a southern state. Reversing the trend of decrease in FTIC FTF retention rates requires determining factors that may have influenced the trend. Researchers have found instructor employment status and gateway course success may influence student achievement and therefore can affect student retention. At the research site, most FTIC students take first-year-composition (FYC), the gateway English course for most community colleges, from adjuncts. The purpose and research question of the study were to determine …

Relationship Between Social Media Screen Time, Sedentariness, And Bmi Among Young Adults, Helen Golod

Walden Dissertations and Doctoral Studies

Obesity has quickly become an epidemic that affects adults and youth not only in the United States, but also increasingly elsewhere in the global community. Research suggests that most children and adolescents spend a significant amount of time indulging in screen-based leisure, especially on social media. Such behavior may also be linked to sedentary lifestyle, which can impact an individual’s body mass index (BMI). There is a lack of understanding concerning how sedentary behavior moderates the relationship between screen time spent on different types of social media and BMI among young adults in the United States. To address this research …

Invited Dialogue: Mapping The Intersections Of Religion, Literacy, And Public Schooling For Displaced, Immigrant, And Refugee Children: A Conversation With Loukia K. Sarroub, Jennifer D. Turner, Loukia K. Sarroub

Department of Teaching, Learning, and Teacher Education: Faculty Publications

Drawing on her award-winning research, Dr. Loukia K. Sarroub explains how teachers can help displaced, immigrant, and refugee youth navigate literacy, religion, and success in public schools.

This column features Dr. Loukia K. Sarroub and her award-winning research on how Arab Muslim refugee and immigrant youth navigate religion, gender, and literacy in school. Dr. Sarroub is a professor of literacy studies, education, and linguistics, and she serves as the graduate programs chair in the Department of Teaching, Learning, and Teacher Education at the University of Nebraska-Lincoln. She was the recipient of the LRA Edward B. Fry Book Award for All …

Picturing Dual Language And Gentrification: An Analysis Of Visual Media And Their Connection To Language Policy, Edmund T. Hamann, Theresa Catalano

Department of Teaching, Learning, and Teacher Education: Faculty Publications

Dual language (DL) programs propose to be vehicles of social justice and transformation by valuing an additional language other than the dominant one in a society and thereby contesting language hierarchies and the subordination of those who speak/use a non-dominant language (Flores, Flores, Educational Policy 30:13–38, 2016; Menken and García, Menken, K., & García, O. (2021). Constructing translanguaging school policies and practices. In: CUNY-New York State Initiative on Emergent Bilinguals (Eds.) Translanguaging and transformative teaching for emergent bilingual students. Project. Routledge, New York.). However, Palmer (Henderson, K. I., & Palmer, D. K. (2020). Dual Language Bilingual Education: Teacher Cases and …

What Educators In Mexico And In The United States Need To Know And Acknowledge To Attend To The Educational Needs Of Transnational Students, Edmund T. Hamann, Víctor Zúñiga

Department of Teaching, Learning, and Teacher Education: Faculty Publications

This chapter from the edited volume "The Students We Share" explains to both US and Mexican audiences that a persistent number and proportion of K-12 students continue to circulate between both countries and thus that it is a challenge for both countries' education systems—including teacher preparation, curriculum, assessment, etc.—to see how students' knowledge and experience from the other system is both salient to their new schooling in a new country and valuable for how it will contribute to their future means for negotiating adulthood.

The Impact Of Assertiveness And Religiosity On The Expression Of Dissent Among U.S. Immigrant Nigerian Workers, Peter Osiabia Azorji

Walden Dissertations and Doctoral Studies

AbstractScholars have studied dissent in general, but few have focused on the impact of cultural contexts and characteristics on dissent. Literature on the influence of cultural factors on expression of disagreement in organizations, by immigrant Nigerian workers in the US has not received adequate attention. There is therefore a compelling need to bridge this gap. This quantitative nonexperimental correlation study examined the impact of assertiveness and religiosity (variables that may be influenced by culture), on expression of minority dissent among Nigerian immigrant workers in the United States. The inquiry was based on two theoretical models: Bourhis et al.’s interactive acculturation …

Teachers' Use Of Third Grade Reading Benchmark Assessment Data, Dana Bartlett

Walden Dissertations and Doctoral Studies

Third grade reading teachers at the local setting are not consistently using formative benchmark data to improve student reading performance, creating a gap in practice. This gap in practice may be due to teachers' lack of capacity to use the data to make changes to their instructional practices. The purpose of this qualitative study was to explore how third grade reading teachers are using data from reading benchmark assessments to improve student reading performance. This project study was guided by two research questions (RQs). RQ 1 addressed how third grade teachers are using reading benchmark assessment data to improve student …

Examining Clinicians' Perspectives Screening For Depression In Patients With Type 2 Diabetes Mellitus, Vickie Lavette Bland

Walden Dissertations and Doctoral Studies

The United States has a significant diabetes problem. This chronic disease affects the body physically and mentally. One of the emotional effects of diabetes is depression. Depression is often present in individuals with diabetes, chiefly in those with type 2 diabetes mellitus (T2DM). While depression is common in T2DM and can interfere with treatment adherence, clinician screening for depression in T2DM patients is low. The purpose of this study was to examine clinicians' attitudes, behaviors, and perceptions concerning screening patients with T2DM for depression. Through a qualitative case study approach centered on reasoned action theory, 3 physicians and 5 nurse …

Middle School Classroom Teachers' Use Of Technological Tools To Teach Scientific Inquiry, Victoria Gamble

Walden Dissertations and Doctoral Studies

This study focused on middle school science teachers' experiences in using technological tools to teach scientific inquiry skills in the middle school science classroom. Technological tools have been increasingly used in middle schools, but knowledge is lacking as to which tools are efficient in teaching scientific inquiry skills. The purpose of this study was to gather information about the technological tools that could be adopted to make the teaching of scientific inquiry skills in middle school science classrooms more meaningful and gainful to students. The conceptual framework applied in the study was the technological, pedagogical, content knowledge (TPACK) model, as …

Latina Female Superintendents Securing Positions In Small Rural School Districts, Irma Castillo, Velma D. Menchaca, Veronica Lopez-Estrada

Organization and School Leadership Faculty Publications

Underrepresentation of women in the position of school superintendent has been identified as an equity issue in the field of education. National demographics show that approximately 73% of school superintendents are male as compared to only 27% female. Of these female superintendents, Latina and nonwhite female superintendents make up a small percentage of this group (Kominiak, 2016) and scarce in the literature. This research study revealed that Latina superintendents were attracted to small rural districts with a familial environment with high levels of parental and community involvement. They shared the perspective that small rural communities seemed to be more receptive …

Psychometric Properties Of The Contextual Body Image Questionnaire For Athletes: A Replication And Extension Study In Female Collegiate Athletes, Tiffany Stewart, Lisa S. Kilpela, Nicole Wesley, K. Baule, Carolyn Becker

Psychology Faculty Research

Background

Although the link between body dissatisfaction and eating disorder (ED) pathology is well-established in general female samples, less is known about contextual body image (CBI) among female athletes. CBI refers to female athletes’ body image concerns in two contexts: sport and daily life. The Contextual Body Image Questionnaire for Athletes (CBIQA) measures four dimensions of body image (Appearance, Thin-Fat Self-Evaluation, Thin-Fat Others’ Evaluation, and Muscularity) in both contexts. In a sample of female collegiate athletes, this study sought to A) investigate the psychometric properties of the CBIQA, B) examine the cross-sectional relation of CBI with ED pathology and negative …

Development And Psychometric Examinations Of A Simplified Chinese Mandarin Translation And Adaptation Of The Adjustment Scales For Children And Adolescents, Gary L. Canivez, Yi Ding, Paul A. Mcdermott

Archives of Assessment Psychology

An absence of empirically validated scales limits the assessment of youth psychopathology in Chinese schools. The present study reports on the development and initial assessment of psychometric properties of a simplified Chinese Mandarin translation and adaptation of the Adjustment Scales for Children and Adolescents, a teacher-report behavior rating scale with a representative U.S. standardization sample. Comparisons of a large sample (n = 554) of Chinese elementary school students (Grade 1-6) with an age and grade matched sample (n = 709) from the ASCA standardization data found similar base rates of positive behaviors, rare problem behaviors, and common problem behaviors, suggesting …

Patient-To-Nurse Sexual Harassment, Erin Frances Micale

Yale School of Nursing Digital Theses

Patient to nurse sexual harassment is an issue that can have significant effects on nurses physical and mental health, occupational function, and patient outcomes. It is an under-researched and often unaddressed issue, leaving many nurses unsure of what sexual harassment by a patient is and how to respond to it. This paper reviews the literature related to patient to nurse sexual harassment and the development and effectiveness of a webinar on recognizing, preventing, intervening, and coping with patient to nurse sexual harassment. The webinar is a two-hour educational program that covers topics related to what sexual harassment is, risk assessment …

Decreasing 30-Day Readmission Rates In Patients With Heart Failure, Nancy Rizzuto

Yale School of Nursing Digital Theses

Abstract: Heart Failure is one of the leading causes of hospital readmissions. Heart Failure affects approximately 6.2 million adults in the United States and costs the nation an estimated $30.7 billion each year (Farmarkis, 2017). Prevalence is projected to increase 25% by 2030 (Savarese, 2017). Approximately 50% of patients who are discharged are readmitted within 6 months and 24% within 30 days (Desai & Stevenson, 2012). About half the population with heart failure dies within 5 years of diagnosis (CDC, 2016). Despite advances in the treatment of heart failure, patient optimization remains a challenge for health care providers. The initiation …

Reducing Early Hospital Readmission Rates After Bariatric Surgery, Payal Sharma

Yale School of Nursing Digital Theses

The prevalence of 30-day readmission after bariatric surgery is 0.6% to 11.3%, with a single hospital readmission nearly tripling the average 180-day cost of the surgery. Given that nearly 50% of early readmissions are preventable, close postoperative follow-up may allow for early identification of high-risk patients and preventative interventions.

This 7-month quality improvement project augmented clinical follow up post-bariatric surgery by incorporating a 7-10 day post-discharge call by an RD following a routine 1-3 day post-discharge call by an APP. Impact on readmission rate was examined. 166 participants included men and women ≥18 years of age, status post primary bariatric …