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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 …

Disciplinary Practices Among High School Administrators, Stephanie Ganaway-Pasley

Walden Dissertations and Doctoral Studies

School administrators are responsible for the safety and physical well-being of the students. Although school disciplinary policies are in place, there is a problem with school administrators' practices and decisions when administering discipline for students' inappropriate behavior. The purpose of this mixed-method study was to explore the disciplinary processes used by school administrators when administering student discipline to determine the relationship between levels of offenses and the gender and race of students. Guided by the theory of justice, this study investigated the relationship between the level of offenses and disciplinary processes that reflect the level of offenses, as described in …

Lived Experiences Of Crisis Counselors With Repeat Exposure To Mental Health Crises, Emily Genever

Walden Dissertations and Doctoral Studies

Due to the potentially traumatic content that crisis counselors face, members of the counselor education community must understand the psychological implications of repeated exposure to mental health crises to fulfill their responsibility of properly training, supervising, and supporting crisis counselors. The purpose of this qualitative phenomenological study was to explore the lived experiences of crisis counselors who had worked full-time with a variety of mental health emergencies. A hermeneutic design and constructivist self-development theoretical lens allowed for the illumination of the perceived positive and negative consequences of crisis work. Purposive sampling strategies were employed to recruit seven crisis counselors for …

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. …

Help-Seeking Behaviors For Depression Among Native Hawaiian Women In The Western Region Of The United States Mainland, Marlana Glover

Walden Dissertations and Doctoral Studies

Help-seeking for depression, as with other mental illnesses is contingent upon stigmas that one perceives. Although causes for depression differ among indigenous populations, native Hawaiians suffer from the Western acculturation and colonization of their homeland. With lack of trust in the U.S. healthcare system, many native Hawaiians are reluctant to seek help for depression. Furthermore, research has shown that most studies on native Hawaiians are conducted in their native environment when many Hawaiians relocate to the U.S. mainland. Because of the current depression crisis, it is critical to explore depression among native Hawaiians, particularly women on the mainland to see …

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 …

Chronic Kidney Disease And Depressive Disorders Among Adult Non-Hispanic African Americans And Whites In Georgia, Omatola Gordon-Rose

Walden Dissertations and Doctoral Studies

Chronic kidney disease (CKD), depressive disorders, and mental health are significant health issues in the United States. The purpose of this study was to examine the association of CKD and depressive disorders and days of poor mental health in adults living in Georgia, controlling for race/ethnicity, socioeconomic status, gender, age, diabetes mellitus status, high blood pressure status, marital status, and number of adults in the household. The study was a descriptive, quantitative, cross-sectional design with secondary data analysis, and the framework used was Wilson and Cleary health-related quality of life measures. The 2019 Behavioral Risk Factor Surveillance System Survey weighted …

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 …

Sense Of Belonging, Achievement Motivation, And Goal Attainment Through The Lens Of Transgender Activists, Donella Gray

Walden Dissertations and Doctoral Studies

It was not known how transgender activists' lived experiences of a sense of belonging influence their motivations to achieve personal goal attainment. Using the theory of achievement motivation, the purpose of this qualitative phenomenological study was to explore how transgender activists' lived experiences of a sense of belonging influenced their motivations to achieve personal goal attainment. Two topics guided this study: how transgender activists' community participation influenced their sense of belonging and how transgender activists' lived experiences of a sense of belonging influenced their motivation to achieve and personal goal attainment. Thematic analysis was used to identify five themes collected …

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 …

Factors That Predict Prescription Opioid Misuse By Type Of Healthcare Insurance Coverage, Keon Green

Walden Dissertations and Doctoral Studies

The opioid epidemic remains one of the leading causes of unintended deaths in the United States and is still one of the focal points of the public health field. Previous research has increased awareness of the opioid crisis and has focused on sociodemographic factors that may cause or predict prescription opioid misuse. The purpose of this study was to investigate sociodemographic factors that may predict prescription opioid misuse while controlling for healthcare insurance. The theoretical foundation for this secondary data analysis project was the socioecological model using the 2019 National Survey on Drug Use and Health. The population was 56,136 …

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 …

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 …

School Social Workers’ Perceptions On Bullying In Elementary Schools, Anna Marie Gustafson Clum

Walden Dissertations and Doctoral Studies

The social problem of bullying in schools has been an area of study among researchers, but there is a gap on how school social workers can help. The purpose of this basic qualitative study was to explore elementary school social workers’ perceptions on bullying, contributing factors of bullying, and organizational culture on bullying. Sociocultural theory aided in interpretation of results and understanding the social problem of bullying. Nine elementary school social workers participated in semi structured telephone interviews. The phone interviews were analyzed using open coding methods, in vivo codes and phrases, categories, and themes. The study’s findings revealed that …

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 …

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 …

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. …

Healthcare Management Strategies For Achieving Sustainable Departmental Productivity Improvements, Timothy Hargrove

Walden Dissertations and Doctoral Studies

Healthcare organizations’ leaders' lack of strategies to effectively deploy and monitor departments’ productivity goals affect overall organizations’ performance. Healthcare leaders who fail to deploy and monitor departmental productivity strategies effectively are limited to enhancing healthcare organizations’ performance outcomes. Grounded in transformational leadership theory, the purpose of this qualitative multiple case study was to explore strategies healthcare organizations’ leaders use to effectively identify, deploy, and monitor departments’ goals for improving their overall organization's performance. The participants were 20 healthcare leaders who successfully demonstrated success in improving their organizations’ departmental-specific productivity performance. Data were collected using semistructured interviews and a review of …

Strategies Day-Care Center Leaders Use To Reduce Employee Turnover And Achieve Sustainability, Angel Harris

Walden Dissertations and Doctoral Studies

AbstractDaycare center leaders who lack effective strategies to retain employees face high employee turnover, jeopardizing children’s ability to form strong attachment bonds with their childcare staff, resulting in behavioral and developmental issues. Grounded in the hygiene-motivation theory, the purpose of this qualitative multiple case study was to explore strategies six daycare leaders in northcentral Florida used to retain their employees for 5 years or more and achieve sustainability. Data sources were semi-structured interviews, researcher notes, and employment policies at each facility. Yin’s five-step data analysis process resulted in four themes: effective hygiene factors, building relationships with employees, setting relevant performance …

Stimulus Pairing To Condition Novel Reinforcers For Bermudian Participants With Autism, Jahnae Harvey

Walden Dissertations and Doctoral Studies

Reinforcement is crucial to an individual’s quality of life and acquisition/maintenance of novel skills, but a limited bank of reinforcers could lead to a reduction in engagement with pre-established reinforcers, reducing the motivational strength to contrive teaching opportunities, and increase maladaptive behaviors, self-stimulatory behaviors, or idle time. Though the stimulus-stimulus paring (SSP) method has been effective in establishing novel reinforcers for individuals who are diagnosed with autism, there is a gap in the literature on cross-cultural variations seen among responses when using SSP. This study was conducted to determine the generalizability of the effect when using the method of SSP …

Holistic Health Among African American Women Remaining In A Marriage After Infidelity, Nena Evette Harris

Walden Dissertations and Doctoral Studies

Infidelity has been noted as a major reason married women experience stress and seek therapy. Infidelity is a social problem that results in adverse outcomes for individuals, families, and society. Health disparities are noted in women who have experienced infidelity. Studies have been conducted on marital status and health, but little has been studied on the holistic health experiences of married African American women who stay in their marriage after a spouse’s infidelity. The purpose of this generic qualitative study was to explore how the experience of marital infidelity affects the holistic health of heterosexual African American women in the …

Effects Of Indoor Air Pollutants On Childhood Asthma: African American Parents’ Perspective, Marcia Maureen Haughton Lewis

Walden Dissertations and Doctoral Studies

AbstractIndoor air pollution has been implicated in many chronic health conditions, including childhood asthma, which is more prevalent among African American children. Children are more susceptible than adults to the effects of exposure to indoor air pollution; however, many parents may not be aware of the polluting impacts of products in their homes and are inadvertently placing their families at risk for adverse health outcomes. Understanding parents’ perceptions and experiences is essential for planning and developing educational programs and interventions for improving indoor environment management as part of asthma management in children. This descriptive phenomenological study aimed to explore parents’ …

Professional Black Men And Their Developmental Relationships With Career Mentors And Sponsors, Alfred Javier Hawkins

Walden Dissertations and Doctoral Studies

A literature gap exists in research using a layered account approach that positions and deconstructs Black men's narratives of developmental relationships with career mentors and sponsors who offer access to promotion opportunities. The purpose of this qualitative, narrative inquiry study was to gain a deeper understanding of how professional Black men view their daily experiences in building developmental relationships with career mentors and sponsors. The narrative inquiry method was used to address the problem and answer the research question using interview data from nine professional Black men holding a high-ranking position within their industry sector and being mentored during their …

Cyberloafing And Technostress: Working From Home During A Pandemic, Rachel Hernandez

Walden Dissertations and Doctoral Studies

The purpose of this study was to determine the difference between cyberloafing in employees working remotely prior to the COVID-19 pandemic and those working remotely due to the pandemic and if technostress was a moderator. Bandura’s social learning theory was the basis for this study. One concept of social learning theory, neutralization, may clarify why technostress may lead to cyberloafing. Blanchard and Henle defined cyberloafing as the personal use of email and the internet while working. Anandarajan et al. described the varying levels of cyberloafing- those considered recreational and those considered deviant. This study focused on the lower tier of …