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2021

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Language Acculturation Effect On Diabetes Prevalence And Self-Care Skills In Puerto Ricans, Gerardo Lazaro Jan 2021

Language Acculturation Effect On Diabetes Prevalence And Self-Care Skills In Puerto Ricans, Gerardo Lazaro

Walden Dissertations and Doctoral Studies

Diabetes, a silent, chronic disease that involves demanding long-term self-care skills, affects adult Puerto Ricans disproportionately. Based on the health belief model, a theory that predicts health behavior, and the theory of language barriers, which predicts the effects of language on beliefs and behavior, this quantitative nonexperimental study analyzed the relationship of the preference of Puerto Ricans in Boston to use and speak Spanish (language acculturation) to diabetes prevalence and 4 diabetes self-care skills (healthy eating, being active, taking medication, and healthy coping). Data on 1,506 initial participants in the Boston Puerto Rican Health Study were used from 3 study …

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Educators’ Perspectives Regarding Challenges Implementing The Highscope Curriculum And Support Needed, Charmaine Christopher Jan 2021

Educators’ Perspectives Regarding Challenges Implementing The Highscope Curriculum And Support Needed, Charmaine Christopher

Walden Dissertations and Doctoral Studies

AbstractSince 2008, the Ministry of Education in Grenada, where this study took place, started curriculum reform with the implementation of the HighScope curriculum in preschools. The problem is that many teachers faced challenges implementing the HighScope curriculum. The purpose of this basic qualitative study was to explore the perspectives of early childhood educators about challenges when implementing the HighScope curriculum, which involves balancing child-initiated and teacher-directed activities, and the support they need for executing the curriculum effectively. The conceptual frameworks that guided the study were Vygotsky’s sociocultural theory and Piaget’s theory of cognitive development. Both theories reinforce the need for …

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Lived Experiences Of Lassa Fever Survivors In Southsouth Nigeria, Albert Oamen Oyeribhor Jan 2021

Lived Experiences Of Lassa Fever Survivors In Southsouth Nigeria, Albert Oamen Oyeribhor

Walden Dissertations and Doctoral Studies

AbstractLassa fever, a viral disease, was first isolated in the late 1960s and affects 300,000 to 500,000 people, causing 5,000 to 10,000 fatalities annually across West Africa. Although there are studies on the causes and prevalence of Lassa fever, there is a paucity of studies regarding the quality of life (QoL) and lived experiences of survivors. The purpose of this qualitative study, guided by Leininger’s culture care theory, was to describe the QoL and meanings of the lived experiences of Lassa fever survivors in the Southsouth region of Nigeria. Fifteen survivors of Lassa disease were interviewed. Data were analyzed using …

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Middle School Teacher Perceptions About Response To Intervention Instruction To Improve Literacy In English-Language Arts Classrooms, Brittney Leanne Phinazee Jan 2021

Middle School Teacher Perceptions About Response To Intervention Instruction To Improve Literacy In English-Language Arts Classrooms, Brittney Leanne Phinazee

Walden Dissertations and Doctoral Studies

The local problem under study was that a non-Title I school implemented a 25-minute response-to-intervention (RTI) remediation block to address the fact that students were scoring below proficiency on literacy assessments; however, teachers were unsure of how to best use this time to improve literacy instruction and were unsure which RTI strategies would work best in the time provided. The purpose of this study was to examine teacher perceptions when implementing RTI strategies within the remediation period to improve student literacy. The conceptual framework for this qualitative study was based on Piaget, Vygotsky, and Dewey’s constructivism theory. The research questions …

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Professional Values Of Corporate Nurses, Kasey Jeanne Sands Jan 2021

Professional Values Of Corporate Nurses, Kasey Jeanne Sands

Walden Dissertations and Doctoral Studies

Healthcare is comprised of providers, who offer patient services, and payors, who manage the financial reimbursement of providers. Not much is known about registered nurses (RNs) in the corporate payor industry due to a lack of research. Strong professional values (PVs) are expected of all RNs, but research has shown this to vary across the field, meaning that RNs may require support in this area. As little is known about RNs in the payor industry, how these nurses sustain their PVs within the industry has not been evaluated, recognized, or supported. Therefore, the aims of this quantitative, descriptive, and correlational …

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Understanding Teachers' Choice For Implementing The Flipped Classroom Model, Daphney Phillip Jan 2021

Understanding Teachers' Choice For Implementing The Flipped Classroom Model, Daphney Phillip

Walden Dissertations and Doctoral Studies

The flipped classroom model has been proven to impact students' learning positively, but many educators are reluctant to implement the flipped learning model in their classrooms. There are few studies addressing educators' choice to implement the flipped classroom model at the middle school level. This qualitative study aimed to explore teachers’ choices for implementing the flipped learning model, to provide evidence-based practices and recommendations for the creation of a support system, and to help create a support system to assist teachers to use the flipped learning model successfully. The study centered on two questions regarding how teachers described their choices …

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Use Of Critical Thinking Strategies By Nurse Educators, Josephine Tundun Akintonde Jan 2021

Use Of Critical Thinking Strategies By Nurse Educators, Josephine Tundun Akintonde

Walden Dissertations and Doctoral Studies

AbstractNew graduate nurses often lack the clinical decision-making skills that are essential for developing clinical competency. Critical thinking abilities are essential for nursing excellence and professional competency. However, little is known about nurse educators' techniques and teaching practices for developing students’ critical thinking. The purpose of this phenomenological study, guided by constructivist learning theory, was to understand the lived experiences of nurse educators who used critical thinking teaching strategies in a baccalaureate nursing program to develop critical thinking skills in nursing students. Thirteen nurse educators from baccalaureate nursing programs were interviewed using open-ended questions. Interviews were transcribed and manually coded. …

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Chronic Pain, Malingering, And The Word Memory Test, Dawn Marie Emmett Bishop Jan 2021

Chronic Pain, Malingering, And The Word Memory Test, Dawn Marie Emmett Bishop

Walden Dissertations and Doctoral Studies

AbstractThe importance of using scientifically grounded strategies to detect malingering has been established in the literature and past research. Many reliable tools have been established for the detection of malingered neurocognition; however, research on how pain may affect these tools is sparse. The purpose of this study was to investigate the effect of pain on cognitive symptom validity testing and to establish the validity of the Word Memory Test (WMT), a cognitive symptom validity test with good sensitivity and specificity, when the test taker is feigning pain (simulating) or remembering pain. The biopsychosocial model and the gate theory of pain …

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Treatment Efficacy Of Parent-Led Aba For Children With Autism And Their Parents, Lindsey Renee Sneed Jan 2021

Treatment Efficacy Of Parent-Led Aba For Children With Autism And Their Parents, Lindsey Renee Sneed

Walden Dissertations and Doctoral Studies

Autism spectrum disorder is a complex and heterogenous, neurodevelopmental disorder. Applied behavior analysis (ABA) is a common treatment modality for children with autism with marked improvements demonstrated in communication, social, and adaptive functioning. The most common implementation of ABA is a practitioner-led model, whereby a paraprofessional directly implements treatment with the oversight of a Board Certified Behavior Analyst®. Parent mediated treatments are another model proving to be efficacious for children with autism and their parents. While this model is applied in therapeutic treatments such as speech pathology, early intervention, and other behavioral approaches (e.g., ESDM, PRT), parent mediated treatment has …

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Effects Of Compassion Satisfaction, Burnout, And Compassion Fatigue On Attrition Intention Of African American Mental Health Professionals, Kimberly A. Andrews Jan 2021

Effects Of Compassion Satisfaction, Burnout, And Compassion Fatigue On Attrition Intention Of African American Mental Health Professionals, Kimberly A. Andrews

Walden Dissertations and Doctoral Studies

AbstractThe African American community tends to stigmatize mental health services and is underrepresented in both client and therapist populations. Retention of African American mental health professionals (MHPs) may mitigate distrust in these services, allowing more individuals to seek out counseling. The purpose of this nonexperimental survey study was to investigate if compassion fatigue, burnout, or compassion satisfaction can predict intended attrition rates in African American MHPs. Constructivist self-development theory was employed to predict both resiliency and the potential adverse effects of listening to client narratives of 99 African American MHPs with a variety of mental health credentials. Stepwise multiple regression …

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Social Determinants And Academic Success For Online Undergraduates Mediated By Mental Health, Jamie Michelle Claus Getz Jan 2021

Social Determinants And Academic Success For Online Undergraduates Mediated By Mental Health, Jamie Michelle Claus Getz

Walden Dissertations and Doctoral Studies

AbstractSocial determinants of health (SDH) are social and economic systems that directly contribute to health disparities and inequalities. This study examined SDH and their relation to education, also an SDH. The relationship between SDH and online undergraduate achievement, as measured by grade-point average (GPA), was studied. Cumulative inequality is the theoretical framework that guided the study; it underscores the complexity of interaction between personal, social, and environmental stressors in relation to a student’s academic performance. The quantitative survey design allowed for potential relationships between variables to be observed and studied based on the survey responses per self-report from 212 online …

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Service-Level Factors Affecting Completion Of Antenatal Care Attendance In Uganda, Lorna Barungi Muhirwe Jan 2021

Service-Level Factors Affecting Completion Of Antenatal Care Attendance In Uganda, Lorna Barungi Muhirwe

Walden Dissertations and Doctoral Studies

Lack of universal coverage of proven, low-cost, high-impact interventions—particularly for underserved and rural populations—remains a key reason for the high rates of maternal deaths in Uganda. Antenatal care (ANC) ensures early detection and treatment of pregnancy-related complications. Completion of recommended ANC visits remains suboptimal, particularly for rural women in Uganda. The purpose of this quantitative, cross-sectional study was to assess facility-level factors affecting completion of ANC attendance among women of reproductive age in a rural district in Uganda. The Dutton theory for initial and continued health services utilization was used to analyze the relationship between facility level factors and ANC …

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Preparing Nigerian Youth For Self-Employment, Edward Aigbedion Jan 2021

Preparing Nigerian Youth For Self-Employment, Edward Aigbedion

Walden Dissertations and Doctoral Studies

More than 30% of Nigeria’s youth population is unemployed, which has led to a high crime rate. The research management problem was the lack of consensus on the suitability and attainability of selected skill sets, abilities, and support systems required to prepare the youth for self-employment. The purpose of this qualitative classical Delphi study was to develop consensus among experts on the suitability and attainability of selected skill sets, abilities, and support systems required to prepare youth for self-employment. The research question asked what the required skill set, abilities, and support systems were to prepare youth for self-employment. The conceptual …

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The Experience Of Therapists Working With Mexican American Children Of Substance Abusing Parents, Tracy M. Basile Jan 2021

The Experience Of Therapists Working With Mexican American Children Of Substance Abusing Parents, Tracy M. Basile

Walden Dissertations and Doctoral Studies

AbstractThe need for culturally competent mental health providers and the Mexican American immigrant population in the United States are growing. This study focused on themes from therapists’ narratives that may help to comprehend the intricacy of difficulties facing Mexican American children living with substance-abusing parents. The firsthand knowledge and experiences of the therapists who have worked with this population provided a basic understanding of what to expect and which therapeutic interventions may work best for both the child and their parents. The purpose of this narrative inquiry was to qualitatively identify therapists’ lived experiences and understand how they interacted with …

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Military Veterans’ Perceptions Of Barriers To College Completion Using The G.I. Bill, Richard Scott Baskas Jan 2021

Military Veterans’ Perceptions Of Barriers To College Completion Using The G.I. Bill, Richard Scott Baskas

Walden Dissertations and Doctoral Studies

Most military veterans who reside in a central U.S. city have not entirely used their Montgomery G.I. Bill (MGIB) education benefits to advance their careers. But there is limited research on veterans’ views of the effect of certain barriers on academic persistence. This study addressed this lack of information on barriers preventing military veterans from fully using the benefits of the MGIB. Clark and Caffarella’s transition theory was used in this case study to explore the perceptions of eight military veterans on reason they dropped out of college or never used the MGIB to attend college. The research questions focused …

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How Women Who Have Recidivated Describe Their Readiness For Employment After Release From Prison, Simba Kathleen Fox Jan 2021

How Women Who Have Recidivated Describe Their Readiness For Employment After Release From Prison, Simba Kathleen Fox

Walden Dissertations and Doctoral Studies

Since the 1980s, the population of women prisoners incarcerated in the state of California had significantly increased by 500% more than that of the male prisoners. The United States had more incarcerated women than any other country. Along with this alarming rise in female incarceration, recidivism rates were also higher among female inmates. This problem has negatively affected women in California; whereas 57% of the women released from prison were rearrested within three to seven years. The purpose of this qualitative phenomenological research study was to investigate how 18 women who had recidivated with the same or a different criminal …

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Elementary School Teachers’ Implementation Of The Substitution, Augmentation, Modification, And Redefinition Model In Their Instruction, Carlos Jenkins Jan 2021

Elementary School Teachers’ Implementation Of The Substitution, Augmentation, Modification, And Redefinition Model In Their Instruction, Carlos Jenkins

Walden Dissertations and Doctoral Studies

Teachers in a rural southeastern state school district are not integrating technology in ways that provide students with engaging technology-based learning experiences. The purpose of this study was to explore teachers’ current technology-based instructional practices based on the substitution, augmentation, modification, and redefinition (SAMR) model. This project study was guided by three research questions focusing on how elementary teachers integrate technology in their instructional practices, the levels of SAMR being implemented by elementary teachers, and the SAMR levels of students’ technology related assignments. The study was conducted using an instrumental case study design, and data were collected through interviews, observations, …

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Students’ Perceptions Of Faculty Social Presence In Online Gateway Classes, Michelle Whitley Turner Jan 2021

Students’ Perceptions Of Faculty Social Presence In Online Gateway Classes, Michelle Whitley Turner

Walden Dissertations and Doctoral Studies

The number of postsecondary students taking online classes increased in the last 2 decades and grew substantially in 2020 with the COVID-19 pandemic. Online learning offers opportunities for postsecondary students who cannot or do not want to attend face-to-face classes but presents a challenge with some students feeling disconnected. Positive faculty social presence is a way to address this issue. The purpose of this basic descriptive, qualitative study was to explore the underresearched area of postsecondary students’ perceptions of faculty social presence in online gateway classes at a 4-year, private, nonprofit university in the U.S. Midwest focused on adult learners. …

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Stakeholder Perceptions On The Efficacy Of The Cayman Islands School Inspections, Villence Buchanan Jan 2021

Stakeholder Perceptions On The Efficacy Of The Cayman Islands School Inspections, Villence Buchanan

Walden Dissertations and Doctoral Studies

AbstractEducators and community members in the Cayman Islands are subjected to school inspections that are based on the United Kingdom model for inspecting schools. This model has not been tested to determine its appropriateness for use in a Caribbean education setting. The purpose of this study was to explore the perceptions of educators and community members on the efficacy of the Cayman Islands school inspections in relation to perceptions of inspection procedures, demographic relevance, and student progress and achievement. The conceptual framework was based on Ehren’s school inspection theory and Quintelier’s model to analyze the perceptions and experiences of educators …

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Nonprofit Employees’ Responsibility To Provide Ethical Solutions To Prevent Workplace Bullying, Tionette M. Burton Jan 2021

Nonprofit Employees’ Responsibility To Provide Ethical Solutions To Prevent Workplace Bullying, Tionette M. Burton

Walden Dissertations and Doctoral Studies

AbstractWorkplace bullying is not illegal in the United States and is not classified with other forms of harassment, making it hard for organizations to adopt appropriate prevention and solution methods. Human resource employees have been identified as key contributors in preventing workplace bullying in organizations by using ethics-based strategies. The purpose of this case study was to explore the perceptions of human resource employees or employees with human resource duties regarding their responsibility to use duty-based ethical approaches to prevent workplace bullying and the practicality of its implementation. Duty-based ethics formed the theoretical approach for this study. Duty-based ethics, founded …

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A Qualitative Study Of Parolee Perceptions Of Penal Educational Program, Deborah Denise Johnson Jan 2021

A Qualitative Study Of Parolee Perceptions Of Penal Educational Program, Deborah Denise Johnson

Walden Dissertations and Doctoral Studies

An estimated 30% of the incarcerated population does not participate in the educational programs offered within the target state penal education system. The purpose of this study was to understand the perceptions of parolees towards the prison’s education system and the problem of low participation by using a qualitative approach and conceptual framework based on Bandura’s theory of self-efficacy. Three research questions explored parolee perceptions toward barriers for enrollment and participation in education programming during incarceration, strategies and supports that could have increased self-confidence and motivation to participate in the programs, and descriptions of internalized experiences. Data were collected using …

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Teachers’ Motivations To Use Data In Making Instructional Decisions, Theodore Scott Murray Jan 2021

Teachers’ Motivations To Use Data In Making Instructional Decisions, Theodore Scott Murray

Walden Dissertations and Doctoral Studies

Student achievement levels on state standardized tests consistently declined at a high school in the Midwestern United States even after the district established the expectation that teachers use data-driven decision making to guide instruction. The school administration wanted to understand why teachers use data-driven decision making to guide instruction. The purpose of this qualitative study was to understand the reasons and motivations behind teachers’ use of data driven decision making (DDDM) to inform instruction in accordance with district expectations. This study was guided by self-determination theory which focuses on the intrinsic and extrinsic motivations of individuals and the internal and …

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Information Technology Service Continuity Practices In Disadvantaged Business Enterprises, Allen Edward Raub Jan 2021

Information Technology Service Continuity Practices In Disadvantaged Business Enterprises, Allen Edward Raub

Walden Dissertations and Doctoral Studies

Disadvantaged business enterprises (DBEs) not using cloud solutions to ensure information technology (IT) service continuity may not withstand the impacts of IT disruption caused by human-made and natural disasters. The loss of critical IT resources leads to business closure and a resource loss for the community, employees, and families. Grounded in the technology acceptance model, the purpose of this qualitative multiple case study was to explore strategies IT leaders in DBEs use to implement cloud solutions to minimize IT disruption. Participants included 16 IT leaders in DBEs in the U.S. state of Maryland. Data were generated through semi-structured interviews and …

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Faculty Perceptions Of Preparing Bachelor Of Science In Nursing-Registered Nurse Students For Primary Health Care, Gloria J. Hopkinson Jan 2021

Faculty Perceptions Of Preparing Bachelor Of Science In Nursing-Registered Nurse Students For Primary Health Care, Gloria J. Hopkinson

Walden Dissertations and Doctoral Studies

Healthcare systems rely on nurses to provide essential healthcare services in primary healthcare settings. However, few nursing school graduates seek careers in primary healthcare (PHC). The purposes of this exploratory, qualitative study guided by the patient-centeredness theory were to explore the beliefs and attitudes of nursing faculty who teach Bachelor of Science in nursing level PHC courses, how they incorporate PHC into the nursing curriculum, and what strategies they use to promote student interest in PHC. Participants of this study included seven faculty who teach PHC courses at two universities in the Midwest. The interviews were audio recorded, transcribed, and …

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High School Principals' Perceptions And Instructional Leadership Practices Regarding Algebra I State Scores, Tangia Ann Miller Jan 2021

High School Principals' Perceptions And Instructional Leadership Practices Regarding Algebra I State Scores, Tangia Ann Miller

Walden Dissertations and Doctoral Studies

States are double scheduling algebra classes; using calculators and virtual manipulative-like algebra tiles; and applying interventions such as Response to Interventions, needs assessments, and various computer graphing technology such as Demos. However, during the school year 2018-2019, 12.9 percent of a state public school students failed to meet passing score requirements on the state algebra test and were at risk of not graduating. The purpose of this research was to examine school principal perceptions and instructional leadership practices supporting mathematics teachers to help students to improve their proficiency in Algebra I. A basic qualitative research design, grounded in instructional leadership …

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Non-Governmental Organisations' Impact On Educational Policy In Rural Ghana, Sarah Ayikai Okine Jan 2021

Non-Governmental Organisations' Impact On Educational Policy In Rural Ghana, Sarah Ayikai Okine

Walden Dissertations and Doctoral Studies

Abstract Non-governmental organizations (NGOs) have become an increasingly important factor in education globally. The social structure in developing countries such as Ghana has created a need for government to work with NGOs in the educational system to reach out to children and provide quality basic, primary education, especially in rural communities. However, there are still challenges in the discharge of their duties due to challenges in collaboration with all stakeholders. This case study addressed the perception of stakeholders regarding NGOs’ influence on Ghana’s educational system to better understand the influence and impact of NGOs on education in Ghana’s rural communities. …

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An Examination Of The Absence Of A Comprehensive Smokefree Law In Georgia On College And University Campuses, Nakki Price Jan 2021

An Examination Of The Absence Of A Comprehensive Smokefree Law In Georgia On College And University Campuses, Nakki Price

Walden Dissertations and Doctoral Studies

AbstractCigarette smoking is the number one preventable cause of death and disability in the United States. Although there are policies that govern the use of tobacco products, there are jurisdictions that do not employ these policies. Comprehensive smokefree laws govern private-sector entities and prohibit smoking in public places, specifically restaurants, bars, and workplaces. While states have the authority to implement these laws, some include exceptions that limit the intention of the law. Colleges and universities are specific communities for learning and serve as housing for students and an employer for the greater community. There is a gap in the literature …

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Hispanic Graduates’ Perspectives On Experiences Contributing To Successful Community College Degree Completion, Catherine Aguilar-Morgan Jan 2021

Hispanic Graduates’ Perspectives On Experiences Contributing To Successful Community College Degree Completion, Catherine Aguilar-Morgan

Walden Dissertations and Doctoral Studies

While the Hispanic population is the fastest-growing in both the United States and higher education enrollment, the gap in degree attainment for Hispanic students is not closing at the same rate. Degree completion provides Hispanics the opportunity to secure jobs that require skills learned in higher education and, in turn, can increase their socioeconomic status. Hispanic graduates’ perspectives on the experiences that contributed to community college degree completion is the focus of this basic qualitative study. Tinto’s theory of student departure was used for the conceptual framework. The two research questions that guided the study were what community college experiences …

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Sociodemographic And Pregnancy Risk Factors Associated With Place Of Delivery Among Northern Nigerian Women, Daniel Ali Jan 2021

Sociodemographic And Pregnancy Risk Factors Associated With Place Of Delivery Among Northern Nigerian Women, Daniel Ali

Walden Dissertations and Doctoral Studies

AbstractOne out of every 13 women in Nigeria die during childbirth. In Nigeria, over 60% of deliveries that take place at home were attended to by an unskilled person. This study involved using Thaddeus and Maine’s three delays model to determine the influence of sociodemographic factors (woman’s age, woman’s residence [rural/urban], woman’s and husband’s education level, husband’s occupation, household wealth), pregnancy risk factors (antenatal care usage, wanted pregnancy, and birth order) on the choice of place of delivery amongst women of reproductive age (15-49 years) in Northern Nigeria. This quantitative cross-sectional study used the National Demographic Health Survey of 2018. …

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Strategies For Catalyzing Clinicians’ Support Of Telemedicine Programs In Rural Communities, Jonathan Liwag Jan 2021

Strategies For Catalyzing Clinicians’ Support Of Telemedicine Programs In Rural Communities, Jonathan Liwag

Walden Dissertations and Doctoral Studies

Clinicians’ failure to accept contemporary technology has been a critical barrier to telemedicine program adoption. Staff technical challenges and resistance to change can affect technology return on investment, which concerns telemedicine program leaders. Grounded in Davis’s technology acceptance model, the purpose of this qualitative, descriptive single case study was to explore strategies used by program leaders in the Marianas Islands who successfully gained clinicians’ acceptance of contemporary technology. The participants were 5 program leaders recommended by their institution because of their leadership role and telemedicine technologies experience. Data were collected from 4 face-to-face and 1 audio teleconference interview with the …

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