Digital Commons Network^™

The Lived Experience Of Older, Independent Residents During The Covid-19 Pandemic, Karen Graeb Stanley

Walden Dissertations and Doctoral Studies

The growing older population confronting the risks of the COVID-19 pandemic have a story to tell of their experiences that may influence the way society confronts future pandemics. Little research has been done on older adults in independent living communities and their experiences with the COVID-19 pandemic. This study aimed to fill that gap using the biopsychosocial model as a framework to guide the exploration of the research question addressing the lived experiences of older, independent residents during the COVID-19 pandemic. Using a basic qualitative analysis design, a purposive sample of 10 participants from a continuing care retirement community were …

School Social Workers’ Perceptions Of The Effectiveness Of Truancy Interventions For Primary School Students, Laniesha Stephens-Dunn

Walden Dissertations and Doctoral Studies

Academic performance is a growing concern for students in kindergarten through Grade 3 (K-3) in the United States, especially those students with a high number of unauthorized absences (i.e., a high truancy rate). When students are absent from school, they may have a lower chance of succeeding academically compared to students with better attendance. School social workers can help these students address barriers to attendance, such as student or family member health, poverty, and psychological and social concerns, and could benefit from more insight on how to effectively engage parents, students, school personnel, and community agencies in eliminating truancy. The …

High School Dual Enrollment Teachers’ Perceptions Of Student College Readiness, Lisa Stoll

Walden Dissertations and Doctoral Studies

Students graduating from high school are entering college unprepared for college-level academic readiness expectations. High school dual enrollment programs were established throughout the country to help address the lack of college readiness skills among students entering college. Empirical literature presented in this study demonstrates that dual enrollment programs do prepare students for college; however, a gap exists in understanding how these programs are able to accomplish this preparation. The purpose of this basic qualitative study was to gain insight into the perceptions of high school dual enrollment teachers regarding how dual enrollment programs prepare high school students for college. The …

Clinical Practice Guideline On Suicide Prevention Among Adolescents, Beltta Gangwab Tachi

Walden Dissertations and Doctoral Studies

AbstractIncreasing rates of suicide among adolescents in the United States is an unsettling problem whereby suicide is the second leading cause of mortality among adolescents. Although interventions exist to address this problem, there is a lack of clinical practice guidelines (CPGs) to assist healthcare providers to identify and prevent adolescent suicide. Guided by the zero-suicide model, the purpose of this project was to develop a CPG to address this gap in practice. A literature review on adolescent suicide prevention resulted in 24 peer-reviewed articles published in the past 5 years that were graded and arranged in a literature matrix. These …

Elementary Teachers’ Perspectives Of Direct Instruction With More Rigorous Mathematics Standards, Sharon Denise Taylor

Walden Dissertations and Doctoral Studies

AbstractMajestic County Schools (pseudonym), a large southeastern school district, has implemented changes in instruction to align with more rigorous state and national mathematics standards. The rigor of the new standards has led to changes in instruction to help students master the standards with evidence from the state-wide standardized test. Although the district has made curricular changes, over one-third of the students in Grades 3-5 at Flint Elementary are not mastering grade-level standards. This basic qualitative study focuses on one elementary school within the district. The purpose was to understand how teachers implement direct instruction (DI) strategies in the classroom to …

How Teachers Promote Academic Success Of Primary Grade Students In Rural Schools By Supporting Their Resilience, Miranda Kay Teston

Walden Dissertations and Doctoral Studies

Low levels of academic success for primary grade students attending rural schools located in the southern region of the United States may be related to student resilience. Researchers have found that educators can support the development of students’ resilience, which can result in improved academic success, but little is known about how teachers in rural schools promote their students’ academic success by supporting the development of their resilience. Guided by a conceptual framework that combined ecological systems theory with resilience theory, this basic qualitative study explored how rural-school teachers promoted the academic success of primary grade students by supporting the …

Chronic Obstructive Pulmonary Disease 30-Day Readmission Rates In California, Illinois, And New York, Theresa Teverbaugh

Walden Dissertations and Doctoral Studies

AbstractThe Centers for Medicare and Medicaid Services (CMS) have implemented financial penalties to reduce hospital readmissions for various conditions, including chronic obstructive pulmonary disease (COPD). As a result, hospital administrators explore ways to prevent financial penalties for excessive COPD 30-day hospital readmissions. The purpose of this quantitative study was to determine if there was a correlation between hospital Medicare reimbursement, quality-of-care measures related to patient satisfaction, and 30-day readmissions rates for COPD patients in California, Illinois, and New York. The quality-of-care measures included communication with nurses, communication with doctors, the hospital staff's responsiveness, and medicine communication. The secondary data were …

African American Women Leader Perspectives On Advancement Strategies In A Community College System, Laquanda Rena Thomas

Walden Dissertations and Doctoral Studies

AbstractAfrican American women are not retained or advanced in the community college system, resulting in an underrepresentation of African American women in administrative decision-making roles. The purpose of this basic qualitative study was to examine the experiences of African American female leaders in the community college setting and to explore the strategies that these women used to obtain these positions. Semistructured interviews were conducted with seven African American women in decision-making roles within a southeastern state’s community college system. Critical race theory and Black feminist theory helped to inform how race and gender impacted the selection of strategies used by …

Relationship Between Perceived Quality Of Student Learning Experience, Perceived Quality Of Mentoring, And Student Satisfaction, George Edwin Thorpe

Walden Dissertations and Doctoral Studies

Entrepreneurship education (EEd) is essential to addressing youth unemployment, which reached 30% in Nigeria in 2018. Understanding the role of learning experience and mentoring is vital for EEd leaders to enhance student satisfaction from self-employment after graduation. Grounded in the direct performance-satisfaction link model of the expectancy disconfirmation theory of customer satisfaction and Kram’s mentor role theory, the purpose of the quantitative correlation study was to examine whether the perceived quality of learning experience and mentoring predicted student satisfaction in EEd institutions. The participants were 47 students of two EEd institutions in Lagos who had completed at least 50% of …

Correlation Of Meaning Making And Complex Trauma In Women Trafficked For Sex, Brenda Louise Tracey

Walden Dissertations and Doctoral Studies

AbstractThe trafficking of women and girls into the sex industry is one of the world’s fastest growing crimes against humanity. The psychological impact of human trafficking for the purpose of sexual exploitation on survivors has not been widely studied, creating a gap in the literature that merits further research to understand the processes of survivor rehabilitation and community. The purpose of this study was to analyze the relationship between complex posttraumatic stress disorder and having purpose in life among U.S. female citizens who were trafficked into the sex industry. Frankl’s theory of finding meaning was paired with Park’s theory of …

Financial Strategies For Sustainability Of Small- And Medium-Sized Enterprises In Nigeria, Okey Okoro Udo

Walden Dissertations and Doctoral Studies

Although small and medium enterprises (SMEs) contribute significantly to Nigeria’s socioeconomic and political development, most of the country’s SMEs no longer operate by their fifth anniversary. Many owners lack knowledge of the financial strategies required for the long-term performance and growth of their enterprise. The aim of this qualitative multiple case study was to gain an in-depth understanding of financial strategies that SMEs owner-managers can adopt to enhance the sustainability of their business operations in Nigeria. This study was grounded in entrepreneurship theory and Porter’s model of competitive strategy. Qualitative data from multiple sources, including semistructured interviews, scholarly works, and …

Project Management Communication Strategies To Engage Stakeholders And Improve Project Performance, Joshua Ukoha Ukoha

Walden Dissertations and Doctoral Studies

Project managers’ ineffective stakeholder communication strategies lead to unsuccessful project performance. Project managers who fail to implement appropriate communication strategies can experience less engagement of their stakeholders, reduced project performance, and decreased sustainability. Grounded in the stakeholder theory, the purpose of this qualitative single case study was to explore the communication strategies project managers use to engage stakeholders and improve project performance. Participants were five project managers who successfully used communication strategies to engage stakeholders and improve project performance. Data were collected from semistructured interviews, company archival documents, and field notes and were analyzed using thematic data analysis. Four themes …

Barriers In Quality Healthcare Delivery In The Veterans Healthcare Systems, Kelly A. Walker

Walden Dissertations and Doctoral Studies

The VHA and Department of Veterans Affairs (DVA) have been labeled negligent in providing healthcare for U.S. veterans. Strategies to resolve the problems included legislative changes, watchdog responsibilities, and removal of top officials within the VA. The case studies presented underscore reported problems within Veterans Healthcare Systems. The present research was conducted to determine if the negligence was the result of a toxic work environment and whether the problems continue to affect healthcare delivery to U.S. veterans. Beccaria’s Rational Choice Theory served as the theoretical basis of the research. A mixed method, transformative design was used to conduct the study. …

The Effects Of Authentic Leadership On Individual Occupational Well-Being, Tedd Allen Wheeler

Walden Dissertations and Doctoral Studies

Leaders play a critical role in an organization, and their presence and behavior significantly affect nonmanagement employee work performance, behavior, and well-being. Authentic leadership has a positive effect on an organization. The problem was nonmanagement employees spend so much time at work and desire meaningful experiences and relationships during the workday to counter feelings of uncertainty and a lack of job satisfaction. The purpose of this transcendental phenomenological study was to identify and report the lived experiences of nonmanagerial employees of the architect, engineer, and construction (AEC) industry located in the Northeastern United States about work-related well-being defined as people’s …

Military Emergency And Critical Care Nurses’ Lived Experiences Of Resilience, Carla Ann Wiese

Walden Dissertations and Doctoral Studies

Resilience has been studied across a myriad of populations. Many resilience studies have focused on military service members, including military healthcare personnel, specifically nurses. Although many quantitative resilience studies have been conducted, there have been few qualitative studies in this area. Qualitative studies have focused solely on spiritual resilience, although mixed methods studies have identified other resilience characteristics. The aim of this descriptive phenomenological study was to identify resilience characteristics through rich description within the situational and philosophical patterns of resilience and gain a better understanding of how emergency and critical care military nurses honed resilience in the face of …

Weight Management Clinical Practice Guidelines For The Obese, Pre-Diabetic, And Diabetic Population, Dawn Williams

Walden Dissertations and Doctoral Studies

AbstractDiabetes is among chronic or lifestyle-related illnesses posing health care challenges at epidemic proportions, pressuring health care systems infrastructure for positive outcome-driven practices and sustainable costs, as continued research suggests that obese people are up to 80 times more likely to develop type 2 diabetes. In June 2021, a weight-loss and wellness center serving this high-risk population established recommended guidelines for Hemoglobin A1C (HbA1C) screening and education. During the initial 3 months of implementation, data findings captured 37% in a total of 220 with elevated HbA1C levels. The gap in practice is that the Wellness Center did not have a …

Exploring The Behavioral Health Clinician Shortage At A Rural Midwestern U.S. Agency, Tracy L. Wilson

Walden Dissertations and Doctoral Studies

Behavioral health clinician shortages are a significant and ongoing problem in the United States, especially in rural areas, which have higher rates of homelessness, suicide, substance use, and violence rates than urban areas. The purpose of this qualitative case study was to explore factors contributing to the behavioral health clinician shortage in a rural midwestern U.S. public health department. The goal was to gain a better understanding of this shortage and explore strategies and solutions for recruiting and retaining behavioral health clinicians at the agency’s facilities. The Baldrige excellence framework undergirded the investigation. Data sources included interviews with three administrative …

Allied Health Professionals’ Lived Experiences Concerning Organizational Justice And Inclusion, Jozette A. Wood

Walden Dissertations and Doctoral Studies

AbstractThe lived experiences of allied health assistants (AHAs) are not well understood regarding organizational justice (OJ) and their sense of inclusion within their workplace. Although, OJ and inclusion have been an area of study among scholars for over a decade; the amount of literature supporting AHAs perceptions of these constructs is limited. The purpose of this phenomenological study was to gain a deeper understanding of AHAs’ perceptions of the components of OJ (i.e., distributive, and procedural) and the potential implications for their sense of inclusion. Justice judgment theory provided the theoretical framework for this study. Three primary research questions were …

Fidelity Of Implementation Of A Balanced Literacy Program In The Elementary Classroom, Shalonda Young

Walden Dissertations and Doctoral Studies

AbstractThe local problem is that literacy in the target school district continues to rank below the state average and the fidelity of implementation (FOI) of balanced literacy (BL) has not been addressed since BL was initiated in 2014 to address student literacy achievement. Teachers reported limited professional development (PD) and lack of motivation to implement BL as designed. The purpose of this basic qualitative research study was to explore elementary English language arts (ELA) teachers’ and support staff personnel’s perceptions of the FOI of a BL program in the target school district ELA classrooms to determine in what ways the …

Relationship Between Healthcare Provider Communication And Preventable 30-Day Copd Readmission Rates, Jonathan Butler

Walden Dissertations and Doctoral Studies

AbstractThe Centers for Medicare and Medicaid Services implemented the Hospital Readmission Reduction Program in 2012. Ten years later, hospitals across the United States have had negligible improvement in reducing preventable 30-day hospital readmissions for COPD patients. Healthcare, specifically the hospital setting, consists of complex processes and procedures. Not one process or procedure is the sole cause of correcting excessive preventable 30-day readmissions of patients with COPD. The essential elements of provider communication were studied using the Complex Adaptive Systems theory in this quantitative study. Each fundamental element of provider communication was the independent variable, and the preventable 30-day COPD excessive …

Elementary Teacher Perceptions Of Blended Learning In The Digital Classroom, Sarah Cummings

Walden Dissertations and Doctoral Studies

Blended learning is an instructional model in which instruction is delivered using a combination of traditional teaching methods and online learning materials such as digital textbooks, virtual textbooks, and teacher-made videos. The problem was that elementary teachers in local schools were not implementing blended learning as intended by the school’s improvement plan. The purpose of this study was to examine the perspectives of elementary teachers in Grades 3-5 who have experience using blended learning. The framework for the study is the complex adaptive blended learning system (CABLS) because it helps examine the blended learning elements and the changes that result …

First-Generation Academically At-Risk Black College Students' Perceptions Of Borrowing And Repayment Of Student Loans, Tianna Gordon

Walden Dissertations and Doctoral Studies

Escalating college costs have far-reaching implications, especially for low-income and first-generation students. Lack of financial literacy can negatively affect the success of these learners and may have long-lasting consequences, yet there is a lack of literature about the borrowing and repayment obligations related to student loans of first-generation, academically at-risk Black students. Grounded in social cognitive theory and human capital theory, the purpose of this basic qualitative study was to explore first-generation academically at-risk Black college students' understanding of student loan borrowing and repayment obligations. A semistructured interview protocol with open-ended questions was used to obtain the narrative data from …

Equitable Strategies: Teachers’ Expectations And The Academic Achievement Of African American Males, Danielle R. Green

Walden Dissertations and Doctoral Studies

Many African American males in high school do not acquire the knowledge and information that can make them successful in their education goals. This study focused on African American male high school students regarding the instructional practices that could help them succeed academically, so that teachers can be more successful in their teaching of African American students. The purpose of the qualitative study was to explore teachers’ perspectives on the curriculum, instruction, and assessment practices they believe most influence the academic achievement of African American males. The findings may provide insights into the educational practices that most contribute to African …

Claudia Donoso, Juan Ochoa

Latinx Civil Rights

Dr. Donoso discusses a variety of topics centered around immigration. She highlights the immigration process and lack of adequate resources for immigrants while also going into depth about political and economic factors. Dr. Donoso shares both personal and professional perspectives of immigration.

Roberto José Juáez, Ashton Jeffers

Latinx Civil Rights

The interview begins with a brief description of the focus of the session. Dr. Juárez discusses how he became involved in voting rights advocacy and how his family experiences led him to this path. He also explains how he continued centering civil rights expansion throughout law school and his legal career.

The Advocate (Fall 2022), Lewis & Clark Law School

The Advocate

No abstract provided.

Multiagent Chemotherapy And Stereotactic Body Radiation Therapy In Patients With Unresectable Pancreatic Adenocarcinoma: A Prospective Nonrandomized Controlled Trial, Colin S Hill, Lauren Rosati, Hao Wang, Hua-Ling Tsai, Jin He, Amy Hacker-Prietz, Daniel A Laheru, Lei Zheng, Shuchi Sehgal, Vincent Bernard, Dung T Le, Timothy M Pawlik, Matthew J Weiss, Amol K Narang, Joseph M Herman

Faculty, Staff and Student Publications

PURPOSE: In a prospective multicenter study, gemcitabine monotherapy followed by stereotactic body radiation therapy (SBRT) was well tolerated with outcomes comparable to chemoradiation for locally advanced pancreatic cancer (LAPC). Recent trials have reported improved survival with multiagent chemotherapy (MA-CTX) alone. This prospective trial explored whether SBRT could be safely delivered after MA-CTX. Herein, we report the long-term outcomes of adding SBRT after MA-CTX in LAPC patients and evaluate whether genetic profiles of specimens obtained before SBRT influence outcomes.

METHODS AND MATERIALS: This prospective nonrandomized controlled phase 2 trial enrolled 44 LAPC and 4 locally recurrent patients after multidisciplinary evaluation between …

Serglycin Is Involved In Tgf-Β Induced Epithelial-Mesenchymal Transition And Is Highly Expressed By Immune Cells In Breast Cancer Tissue, Marta Tellez-Gabriel, Xavier Tekpli, Trine M Reine, Beate Hegge, Stephanie R Nielsen, Meng Chen, Line Moi, Lisa Svartdal Normann, Lill-Tove R Busund, George A Calin, Gunhild M Mælandsmo, Maria Perander, Achilleas D Theocharis, Svein O Kolset, Erik Knutsen

Faculty, Staff and Student Publications

Serglycin is a proteoglycan highly expressed by immune cells, in which its functions are linked to storage, secretion, transport, and protection of chemokines, proteases, histamine, growth factors, and other bioactive molecules. In recent years, it has been demonstrated that serglycin is also expressed by several other cell types, such as endothelial cells, muscle cells, and multiple types of cancer cells. Here, we show that serglycin expression is upregulated in transforming growth factor beta (TGF-β) induced epithelial-mesenchymal transition (EMT). Functional studies provide evidence that serglycin plays an important role in the regulation of the transition between the epithelial and mesenchymal phenotypes, …

The Seen And The Unseen: Molecular Classification And Image Based-Analysis Of Gastrointestinal Cancers, Corina-Elena Minciuna, Mihai Tanase, Teodora Ecaterina Manuc, Stefan Tudor, Vlad Herlea, Mihnea P Dragomir, George A Calin, Catalin Vasilescu

Faculty, Staff and Student Publications

Gastrointestinal cancers account for 22.5% of cancer related deaths worldwide and represent circa 20% of all cancers. In the last decades, we have witnessed a shift from histology-based to molecular-based classifications using genomic, epigenomic, and transcriptomic data. The molecular based classification revealed new prognostic markers and may aid the therapy selection. Because of the high-costs to perform a molecular classification, in recent years immunohistochemistry-based surrogate classification were developed which permit the stratification of patients, and in parallel multiple groups developed hematoxylin and eosin whole slide image analysis for sub-classifying these entities. Hence, we are witnessing a return to an image-based …

Re-Thinking Therapeutic Development For Cns Metastatic Disease, Chantal Saberian, Michael A Davies

Faculty, Staff and Student Publications

There has been unprecedented progress in the development of systemic therapies for patients with metastatic melanoma over the last decade. There is now tremendous potential and momentum to further and markedly reduce the impact of this disease. However, developing more effective treatments for metastases to the CNS remains a critical challenge for patients with melanoma. Melanoma patients with active CNS metastases have largely been excluded from both early-phase and registration trials for all currently approved targeted and immune therapies for this disease. While this exclusion has generally been justified in clinical research due to concerns about poor prognosis, lack of …