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Strategies Mental Health Managers Use To Reduce Direct Care Employee Turnover, Theresa Foster

Walden Dissertations and Doctoral Studies

Direct care professionals assist people with intellectual and developmental disabilities with health care services in the consumer's home, community based residential setting, hospitals, and vocational settings. The high turnover rate of direct care professionals working in mental health organizations may jeopardize many services, including administrative, medical, and provisions for the individuals they serve. Retaining direct care professionals is vital due to the expected demand for direct care jobs in the future. Grounded in Herzberg’s two-factor theory, this qualitative multiple case study explored leadership strategies managers from mental health organizations use to retain direct care professionals. Participants were eleven managers from …

The Childbirth Experiences And Perceptions Of Sierra Leonean Women Relating To Basic Maternal Rights, Francess Fornah

Walden Dissertations and Doctoral Studies

Sierra Leone faces immense challenges in supporting good quality, woman-centered care, with one of the world's highest maternal mortality ratios of 717 per 100,000 live births. In countries with high maternal mortality, evidence of the fear of disrespect and abuse women usually confront in maternity care is a more solid deterrent to the use of skilled care than commonly recognized barriers, such as cost or distance. This qualitative phenomenological study aimed at understanding the childbirth experiences and perceptions of Sierra Leonean women relating to basic maternal rights. The ecological systems theoretical framework and the respectful maternity care charter conceptual framework …

Strategies For Developing And Implementing Internal Controls For Mitigating Retail Consumer Fraud, Anna Marie Foye

Walden Dissertations and Doctoral Studies

The lack of consumer fraud internal controls can destroy a small business. Small retail business owners who do not practice good internal controls are susceptible to early failure. Using the fraud triangle theory, the purpose of this qualitative multiple case study was to explore strategies small retail business owners use to develop and implement internal controls for mitigating retail consumer fraud. Participants consisted of four small retail business owners in the Southeastern United States who practiced effective internal controls. Data were collected from semistructured interviews and financial documents and analyzed using thematic analysis. Three themes emerged: financials, monitoring, and segregation …

Stakeholder Perceptions Regarding The Impact Of Creative Placemaking On Homelessness In Neighborhoods Experiencing Gentrification, Vanessa Renee Frazier

Walden Dissertations and Doctoral Studies

Urban planning and community development scholars continue to be interested in creative placemaking, a process meant to facilitate strategic partnerships between public and private sectors, art and culture communities, and community sectors, and the role it plays within the displacement of residents living in gentrified neighborhoods. However, researchers have found that the implementation of creative placemaking results in gentrification-related outcomes. Researchers have found a connection between the lack of affordable housing and gentrification-related displacement when creative placemaking is implemented. Researchers have suggested that stakeholder decisions direct the outcomes related to the implementation of creative placemaking; however, there is a lack …

Mental Health Providers’ Perspectives: The Link Between Childhood Trauma, Juvenile Delinquency And Long-Term Effects, Vanay Lashon Frederick-Ellis

Walden Dissertations and Doctoral Studies

Juvenile delinquency is an ongoing problem in society and is detrimental as many delinquents have mental and behavioral health issues. Delinquency is costly to society, and it was found that many delinquents have a traumatic past or adverse childhood experiences. They include child abuse and neglect, loss, separation/divorce of parents, witnessing domestic violence, parents who struggle with mental health and/or drug and substance abuse, parents who have their own trauma, death of a loved one, natural disaster, or other tragedies that are linked to an increase in the likelihood of juvenile delinquency. In this study, the relationship between juvenile delinquency …

Predictors Of Radio Frequency Identification Adoption For Medication Administration In Hospitals, Sherita Freeman

Walden Dissertations and Doctoral Studies

Medication administration challenges within the United States hospital system have led to adverse drug events from medication errors among patients, resulting in 1.3 million emergency room visits and 350,000 hospitalizations annually. Radio frequency identification (RFID) has been identified as a useful tool within hospital systems; however, this technology has been slow to be incorporated to manage medication administration processes, necessitating exploration of predicting factors of RFID adoption. This quantitative, cross-sectional study explored the contributing factors of United States hospital’s adoption of RFID for medication administration using the technology-organization-environment framework as a foundation and secondary data from the Health Information Management …

Reporting Sexual Revictimization: The Decision-Making Process For Victims With Prior Reporting Experience, Jessica Paige Frye Holcomb

Walden Dissertations and Doctoral Studies

It is widely known that sexual assault is a pervasive global health issue. Victims of sexual assault face a greater risk of later being sexually revictimized. Despite its prevalence, sexual assault is the most underreported of violent crimes. Existing research has explored rates of formal and informal sexual assault disclosure, barriers, and motivators to report as well as survivor experiences withing the criminal justice process. However, the deciding factors for sexual assault victims in reporting revictimization or how any prior experience making a report may impact their decision to report subsequent assaults have not been studied previously. The purpose of …

Successful Strategies To Sustain Practice Changes In Healthcare, Erin Gable

Walden Dissertations and Doctoral Studies

Healthcare managers implement evidence-based practice to meet the growing needs of aging populations. However, many healthcare leaders fail to sustain newly implemented practices. Grounded in the promoting action on research implementation in health services conceptual framework, the purpose of this qualitative interpretative descriptive study was to explore strategies healthcare leaders use to sustain practice changes to meet increasing demands for quality care of the aging population. The participants included eight healthcare managers from Canada and the United States who led strategies to sustain practice change. The four themes that emerged using semistructured interviews and thematic analysis were staff buy-in, staff …

Novice Nurses’ Perceptions And Expectations Of What Constitutes Nursing Practice, Mcfrances Catherine George

Walden Dissertations and Doctoral Studies

AbstractAfter completing preceptorship programs, novice nurses work independently to provide patient care at the bedside. Novice nurses may leave bedside nursing with a minimum of 1 year of experience, resulting in vacant bedside nurse positions. These vacant positions are a problem because this could lead to low patient satisfaction, higher patient mortality rates, and failure to rescue in emergent cases. The purpose of this study was to explore the perceptions and expectations of nursing practice related to performance, demands, and requirements from novice nurses. Afaf Meleis's 1960 transition theory guided the understanding of novice nurses' perceptions and expectations of nursing …

Strategies For Increasing The Sustainability Of Small Restaurant Business, Sahara J. Givens-Evans

Walden Dissertations and Doctoral Studies

Small business owners who operate in the restaurant industry face many challenges and sometimes succumb to failures. Identifying solutions to avoid failure is important and will strengthen this community of entrepreneurs and help in terms of creating sustainability strategies. Grounded in Richard Cantillon’s entrepreneurship theory, the purpose of this qualitative multiple case study was to explore strategies small business owners in the restaurant industry use to sustain business beyond 5 years. Participants included six small restaurant business managers who survived beyond 5 years and specialized in fast-casual food service within Chicago. Data were collected using semi-structured interviews and participant reflections. …

The Impact Of Agency Culture On A Supervisor's Modeling Of Self-Care To Social Workers, Lacey Maxwell Godsby

Walden Dissertations and Doctoral Studies

Supervision is a field standard in which experienced social workers assist other social workers by modeling practical skills and teaching self-care standards. However, an agency's culture has the potential to negatively affect a supervisor’s ability to model self-care to social workers in a mental health setting, which can in turn increase the risk of burnout and the potential for harm to the agency including decreased employee retention, decreased employee satisfaction, and lower quality client care. The purpose of this project was to explore how agency culture affected a supervisor’s ability to model necessary self-care techniques to social work professionals. Another …

Law Enforcement Officers' Experience Of Crisis Intervention Team (Cit) Training, Jessica Yolanda Goings

Walden Dissertations and Doctoral Studies

AbstractThe decline in mental health services has led to an increased role of law enforcement officers (LEOs), who are often the first to respond to mental health crisis incidents. Despite the specialized training that officers receive, there continues to be a public consensus that LEOs lack proficiency when handling a mental ill individual and have a deficiency in communication skills. The purpose of the research was to explore the experience of Crisis Intervention Team (CIT) training for LEOs and then describe how their experience ensued once deployed to the field to handle mental health encounters. Evaluations of CIT training have …

Continuity Of Care For Adult Offenders With Severe And Persistent Mental Illnesses: An Action Research Study, Lakeshia C. Gonzalez

Walden Dissertations and Doctoral Studies

For decades, the representation of adults with severe and persistent mental illnesses (SPMI) in the criminal justice system has steadily grown despite public recognition and increased federal implementation of mental health courts and diversion programs. Though more is known about risk factors associated with psychiatric and criminal recidivism among this population, a gap in the literature remains on collaborative interventions and continuity of care between inpatient mental health and criminal justice facilities. Grounded in resilience theory, the purpose of this qualitative study was to examine challenges social workers faced when attempting to facilitate discharge planning between inpatient mental health facilities …

Blood Stream Infections Related To Hemodialysis Catheter Use, Patricia Goodman

Walden Dissertations and Doctoral Studies

Abstract Hemodialysis is a life-sustaining procedure for patients diagnosed with end-stage renal failure. Most of these patients initiate hemodialysis with a tunneled central venous catheter, with some depending on its use for long-term treatment due to poor vascularity. Catheter-related bloodstream infections in hemodialysis patients are a complication of hemodialysis catheter use with a high morbidity and mortality rate. A quality improvement (QI) project was conducted to answer the practice-focused question of whether the use of chlorhexidine swabs and caps for central venous catheter dressing changes decreased the rate of hemodialysis catheter-related bloodstream infections. Resolution to this problem would benefit the …

Strategies To Generate Innovation For Profit Gains Of U.S.-Based Global Retailing, Kazue Goto

Walden Dissertations and Doctoral Studies

Ineffective innovation strategies can negatively affect profit gains of U.S.-based global retailing companies (USGRC). Leaders in the retailing industry who fail to use strategies to generate innovation for profit gains can experience decreased profitability. Grounded in the dynamic theory of strategy, the purpose of this qualitative multiple case study was to explore strategies that leaders of USGRC use to generate innovation for profit gains. Participants included six USGRC leaders in California, who used strategies to generate innovation for profit gains. Data were collected from semistructured interviews, company documents and analyzed using thematic data analysis. Three themes emerged: customer-centric opportunity identification …

Middle School Administrators’ Perceptions Of The Implementation Of Restorative Practices, Janis Marie Grace

Walden Dissertations and Doctoral Studies

AbstractPublic school administrators use restorative practices (RPs) as a discipline intervention to reduce student expulsions and suspensions. The problem addressed in this qualitative study was that despite the implementation of RPs in a school district in the Southwestern United States, student misconduct increased. The purpose of this basic qualitative study was to explore middle school administrators’ perceptions regarding the use of RPs to decrease the number of student expulsions and suspensions at the school district. The conceptual framework that grounded this study was Vaandering’s critical theory of restorative justice in education, which supports the need for school administrators to implement …

Christian U.S. Army Female Combat Veterans Diagnosed With Ptsd Experiencing A Moral Injury Of War, Kathaleen Graham-Young

Walden Dissertations and Doctoral Studies

Warzone exposure potentially impacts the mental and physical health of veterans who receive a diagnosis of PTSD. There is limited research addressing the adjustments of the potentially morally injurious event(s) (PMIEs) experienced by Christian U.S. Army female combat veterans diagnosed with PTSD who returned home from Iraq and Afghanistan warzones post - 9/11. To better understand the impact of PMIEs experienced by the target population, a study of the integration of the transpersonal-existential meaning-based model was used. A general qualitative research design was selected to understand the complex social phenomena. In-depth telephone interviews were conducted to gather viable data. These …

Administrators’ Perceptions Of Their Role In Increasing Parental Involvement, Jessica Demetria Smith Grant

Walden Dissertations and Doctoral Studies

Parental involvement is a critical component of student academic achievement. However, parental involvement in a Mid-Atlantic school district was dwindling, specifically in elementary schools. The current study examined school administrators’ roles in involving parents in academic activities at elementary schools in the district. A conceptual framework based on Hoover-Dempsey and Sandler’s process model of parental involvement guides the study. The research questions examined administrators’ roles in increasing parental involvement, possible challenges they face when addressing low parental involvement and underlying factors to low parental involvement. In addition, the study gathered data on administrators’ beliefs about the underlying issue of low …

Early Childhood Teachers' Perspectives Of Their Relationships With Students With Emotional Behavioral Disorders, Tyesha Greene

Walden Dissertations and Doctoral Studies

Abstract

General education early childhood (EC) teachers may find it challenging to build positive teacher-student relationships (TSRs) with students with emotional behavioral disorders (EBD). There is a gap in practice regarding general education EC teachers’ TSRs with students with EBD and the support they need when teaching these students. The purpose of this basic qualitative study was to explore the perspectives of general education EC teachers regarding their TSRs and the support they need when teaching students with EBD. The conceptual framework was Bronfenbrenner’s ecological systems theory of human development. Participants were nine general education EC teachers who were currently …

Leadership Experiences With Organizational Infrastructure In Early Childhood Mental Health Consultation Programs, Latia Greer

Walden Dissertations and Doctoral Studies

Lack of buy-in is a critical factor when initiating organizational change. Although changes are necessary for growth and sustainability, leadership can be met with resistance. Early childhood mental health consultation is a solution-focused intervention to support early childcare providers and educators to improve child outcomes. The implementation of the program requires a well-defined operational model to have greater effectiveness and efficiency. The present case study explored the leadership experience of buy-in to change during the implementation of an early childhood mental health consultation school-based program in a nonprofit organization in the Midwest region of the United States. The Baldrige Excellence …

A Meta-Analysis Examining The Efficacy Of Flipped Instruction For Stem Academics, Daphne Marie Gricoski

Walden Dissertations and Doctoral Studies

AbstractImproving education, particularly for the sciences, is an important and necessary endeavor which can lead to positive social change. Education reform tends to involve updating and aligning curriculum standards without considering methodologies or teaching strategies involved. Identifying evidence-based practices to improve achievement in science, technology, engineering, and mathematics (STEM) will contribute to improving the education system. Flipped classroom instruction is a pedagogical approach that emphasizes student involvement and engagement in the learning process. There is evidence that active learning strategies improve achievement in STEM academic areas. The purpose of this study was to compare traditional lecture teaching methods to the …

Social Capital And Food Insecurity In Two Counties In Wisconsin, Yvonne Denise Greer

Walden Dissertations and Doctoral Studies

Hunger and food insecurity are public health issues with 38 million people in the US struggling with food hardship. This study examined if there was a relationship between four types of social capital (SC) (bonding, bridging, community structural-formal, and community structural-informal), income, and food insecurity risk (FIR), in two counties in Wisconsin. A quantitative descriptive correlational study design involving multiple linear regression analysis and the integral model framework was conducted with cross-sectional secondary data from the 2014-2016 Survey of the Health of Wisconsin. Participants were from Milwaukee (n = 335) and Dane County (n = 235). Results revealed that in …

Intersectional Invisibility Of Black Lgbtqia+ Client Strategies For Bias And Discrimination Prevention, Dr. Tonya Y. Griffith

Walden Dissertations and Doctoral Studies

Abstract Those who identify as members of lesbian, gay, bisexual, transgender, queer or questioning, intersex, and asexual (LGBTQIA+) communities have been victims of bias and prejudicial attitudes. Because LGBTQIA+ people embody all cultures, races, religious convictions, and socioeconomic statuses, this creates additional barriers for some community members who identify as both Black and LGBTQIA+. The purpose of this qualitative study was to explore social workers’ perceptions of intersectional invisibility when working with Black LGBTQIA+ clients and the strategies that social workers identify as beneficial in averting discrimination and bias when working with this community. Implicit bias theory and intersectionality theory …

Community College Students’ Perceptions About Listening To Music To Cope With Stress, Maryann H. Gulyas

Walden Dissertations and Doctoral Studies

The local problem addressed in this study was that students at a community college are experiencing stress levels that may impede their ability to learn. The purpose of this qualitative study was to examine student perceptions of self-selected music listening as a strategy for learning under stress. The theory of emotional intelligence by Goleman was the conceptual framework that informed this study. The research questions focused on student perceptions of how music listening affects their ability to decrease stress while learning and increase learning effectiveness. The methodology for this study was a basic qualitative design. Eight students between ages 18 …

Marketing Strategies For Automotive Dealerships In Grenada, Keith Wayne Hall

Walden Dissertations and Doctoral Studies

AbstractSome executive-level automotive dealership managers in Grenada lack successful marketing strategies to sell new U.S. or Japanese vehicles to increase dealership profits. Executive-level automotive dealership managers are concerned about how dealership marketing strategies can negatively impact the business’s bottom line. Grounded in the segmentation, targeting, and positioning model, the purpose of this qualitative multiple-case study was to explore the successful marketing strategies four executive-level dealership managers used to sell U.S. or Japanese vehicles to increase profit in the southern region of Grenada. Yin’s 5-step thematic analysis of semistructured interviews and company documents derived four themes: customer retention, product branding, media …

Lived Experiences Of Black Male Ex-Offenders In Recovery, Sheila Khadijah Hameen

Walden Dissertations and Doctoral Studies

AbstractAlthough a body of literature aimed at documenting the positive effects of the rehabilitative qualities of Alcoholics Anonymous existed, much of the research examining the ways that Black members make use of AA focuses on ethnic and cultural differences that may affect the way that members engage in AA because they are Black as opposed to what qualities (i.e., social support) AA has that may appeal to Black members. The purpose of this qualitative phenomenological study was to examine the experience of Black male ex-offenders’ choice of AA as a self-help program for recovery. Social control theory was used as …

Marketing Strategies To Adapt Organizations To Changes In The Business Environment, Sara Hammoud

Walden Dissertations and Doctoral Studies

Organizations with low marketing programs adaptation to changing market requirements suffer low firm performance. Retail business leaders who fail to implement marketing programs adaptation can experience decreases in profitability. Grounded in the 7S model, the purpose of this qualitative multiple case study was to explore marketing strategies that retail business leaders use to adapt their organizations to changes in the business environment. The participants comprised four business leaders of retail apparel organizations in southern Italy who developed and implemented successful marketing strategies to adapt their organization to changes in the business environment. Data were collected from semistructured interviews and company …

The Role Of Health And Diet In The Development Of Metabolic Syndrome Stratified By Race, Sex, And Age, Michael D. Harada

Walden Dissertations and Doctoral Studies

Obesity is now recognized as a disease in need of treatment by the medical profession and is associated with other chronic diseases including hypertension, hyperglycemia, hypertriglyceridemia, insulin-resistance, and reduced levels of high density lipoproteins. Metabolic syndrome (MetS) occurs when a combination of at least three of these chronic conditions are comorbid with each other. The purpose of this quantitative cross-sectional study was to find significant health and nutritional predictors of MetS status across race, sex, and age. The evolutionary mismatch hypothesis and health belief model provided the framework for this study. Data were collected from 2,303 participants from the 2015-2016 …

Parents’ Perceptions: Strategies To Motivate Lower-Elementary Children’S Virtual Emergency Learning During Covid-19, Brittany Harden

Walden Dissertations and Doctoral Studies

During the 2020–2021 school year, many students were forcibly shifted from traditional in-person learning to virtual emergency response learning (ERL) due to the COVID-19 pandemic. During this shift, many lower-elementary school students suffered socially, emotionally, and academically due to lack of infrastructure, social isolation, and the loss of direct instruction from educators. Because of this loss, many parents had different responsibilities to their children’s social, emotional, and academic well-being. Research has not provided practical, motivational strategies used by parents to motivate their lower-elementary school children during virtual ERL during COVID-19 pandemic. The purpose of this study was to examine parents’ …

Strategies To Decrease Unethical Financial Management Behavior In Nonprofit Organizations, Cristi Michelle Hargrave

Walden Dissertations and Doctoral Studies

Unethical financial management leadership conduct in nonprofit organizations threatens organizational mission accomplishment. Leaders of nonprofit organizations who fail to decrease unethical financial management conduct can observe a lack of mission accomplishment in their organizations. Grounded in the stakeholder and agency theories, the purpose of this qualitative multiple case study was to explore strategies nonprofit leaders use to decrease unethical financial management conduct. Participants were three nonprofit leaders from organizations on the East Coast of the United States who implemented strategies to reduce unethical financial management conduct. Data were collected using semistructured interviews and a review of nonprofit regulatory reporting documents. …