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2022

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Predictors Of Time Spent Counseling: Counselors’ Professional Identity, Counseling Competencies, And Principal Relationship, Lori P. Barthel Jan 2022

Predictors Of Time Spent Counseling: Counselors’ Professional Identity, Counseling Competencies, And Principal Relationship, Lori P. Barthel

Walden Dissertations and Doctoral Studies

This quantitative study was an inquiry into whether Louisiana school counselors’ perceptions of their professional identity, quality of principal-school counselor relationships, and confidence level (self-efficacy) of providing school-based mental health services (SBMHS) including counseling skills, addressing student issues, and working with students who have a Diagnostic and Statistical Manual diagnosis influence the frequency of counseling services provided to K-12 students. The theoretical lenses were the leader-member exchange theory and social cognitive theory. The hypotheses were that Louisiana school counselors (N=147) who identify as mental health providers working in a K-12 school setting with higher ratings of relationship quality with their …


Faculty Perception: Developing Critical Thinking In New Graduate Associate Degree Nurses, Joyet Belcher Jan 2022

Faculty Perception: Developing Critical Thinking In New Graduate Associate Degree Nurses, Joyet Belcher

Walden Dissertations and Doctoral Studies

Despite national nursing exams that assess critical thinking, new nurses do not fully develop the skills to think critically. The literature review revealed that the lack of critical thinking endangers patients' lives. This study's purpose was to investigate how students are supported by college faculty in their knowledge of critical thinking to ensure they are prepared to care for patients. Participants were a purposeful sample of full-time nursing educators with doctoral or master's degrees in nursing, familiar with critical thinking, who have taken nursing students to clinical settings. The study had a basic qualitative design with 8 semistructured interviews. The …


Low Income African American Parents Experiences Managing Obese Young Children Weight Loss, Angela Berry Jan 2022

Low Income African American Parents Experiences Managing Obese Young Children Weight Loss, Angela Berry

Walden Dissertations and Doctoral Studies

February 2022 Abstract In the United States, 17% of children between the ages of two to 19 years are diagnosed with obesity more than any other chronic health condition. African American children living in the United States have an obesity rate of 22% compared to White children who have an obesity rate of 14.1%. These high obesity rates created situations in which these children are likely to experience significant lifelong health problems. The purpose of this descriptive qualitative phenomenological study was to describe the experiences of African American parents of low-income managing weight-loss in their young children with obesity between …


Culinary Employees’ Lived Experiences Of Abusive Leadership And Perspectives Of Its Impact On Individual And Organizational Performance, Louise Elizabeth Black Jan 2022

Culinary Employees’ Lived Experiences Of Abusive Leadership And Perspectives Of Its Impact On Individual And Organizational Performance, Louise Elizabeth Black

Walden Dissertations and Doctoral Studies

More than half of U.S. employees will have an abusive manager at some point in their careers. Although the adverse impacts of an abusive leader on organizations have been well established, much less is known about the phenomenon in the culinary industry specifically and how experiences of abusive leadership affect employees in the sector. The purpose of this qualitative interpretative phenomenological study was to understand the lived experiences of culinary employees who are affected by abusive leadership relationships and the impact of such leadership on individual and organizational performance. The conceptual framework used in this study included those pertaining to …


Perceptions Of Human Interactions In Adult Patients After Using Digital Therapeutic Mobile Applications, Traci Brakefield Jan 2022

Perceptions Of Human Interactions In Adult Patients After Using Digital Therapeutic Mobile Applications, Traci Brakefield

Walden Dissertations and Doctoral Studies

AbstractWhile the use of technology in healthcare has been present for many years, the recent rise of digital therapeutics in healthcare has been understudied, specifically regarding the perceptions and experiences of patients using mobile applications. Traditional healthcare involves face-to-face human interactions, requiring scheduled check-ins and provides structured interventions. Conversely, Digital therapeutics is primarily comprised of human to machine interactions. Digital therapeutics allows the user to access intervention in their time of individual need. The decrease of human-to-human interaction and the rise of human-to-machine interaction was explored in this qualitative descriptive phenomenological study from the patient perspective. Watson’s theory of human …


Factors Causing Commercial Leaders In U.S. Multinational Pharmaceutical Businesses To Change Companies, Robert J. Britting Jr Jan 2022

Factors Causing Commercial Leaders In U.S. Multinational Pharmaceutical Businesses To Change Companies, Robert J. Britting Jr

Walden Dissertations and Doctoral Studies

Employee turnover in U.S. multinational pharmaceutical companies remains high, even though U.S. multinational pharmaceutical companies offer competitive salaries and benefits compared to other large industries. A recent survey found that 67% of 2,400 pharmaceutical leaders would be looking for a new job within 12 months and that general employee turnover costs organizations 70% to 300% of each employee's salary. The purpose of this case study was to explore the factors that cause commercial leaders from mid- to large-size U.S. pharmaceutical companies to seek employment outside of their organization. Lewin’s three-stage model of unfreezing, moving, and refreezing, along with the psychology …


The Role Of Child And Adult Sexual Fantasies And Criminal Paraphilia Involving Serial Sexual Murderers, Heather Brown Jan 2022

The Role Of Child And Adult Sexual Fantasies And Criminal Paraphilia Involving Serial Sexual Murderers, Heather Brown

Walden Dissertations and Doctoral Studies

Childhood trauma may be a reason a child develops maladaptive coping mechanisms such as sexual fantasies and paraphilia. These coping mechanisms increase in intensity, leading to sexual violence to gain a sense of power and control. Even though researchers have identified that serial sexual killers suffer from child and adult sexual fantasies and criminal paraphilia, details of the sexual fantasies and paraphilia have not been examined. The purpose of this qualitative exploratory case study was to explore the role of child and adult sexual fantasies and criminal paraphilia involving serial sexual murderers. Hickey’s trauma-control model and relational paraphilic attachment theory …


Perceived Barriers To Health Care Access And Delivery Among Arkansas Medicaid Beneficiaries, Kimbra D. Butler Jan 2022

Perceived Barriers To Health Care Access And Delivery Among Arkansas Medicaid Beneficiaries, Kimbra D. Butler

Walden Dissertations and Doctoral Studies

Arkansas has historically been one of the lowest ranking states in the United States in education, economy, opportunity, crime and corrections, and health care. Though more than 3 million Arkansans live in the state, nearly 1 million receive Medicaid-funded health insurance. This phenomenological study employed a constructivist paradigm and focused on the perceptions of underserved Arkansans regarding their health and their access to health care; additionally, within this study, the Health Belief Model shifted the study’s focus to individuals’ perspectives, perceptions, experiences, and opinions through interview responses. The research was intended to identify factors that may relate to the higher …


Communication Strategies To Enhance Productivity For Virtual Advertising Account Executives, Gregory Scott Christman Jan 2022

Communication Strategies To Enhance Productivity For Virtual Advertising Account Executives, Gregory Scott Christman

Walden Dissertations and Doctoral Studies

AbstractSignificant communication challenges experienced by leaders in managing virtual dispersed teams can hinder production schedules, completion timelines, and service to stakeholders. Grounded in situational leadership theory, the purpose of this qualitative single case study was to explore communication strategies three online automotive managers used to motivate virtual sales team members to maintain productivity in California, Washington, Oregon, and Idaho. Data were collected from semistructured interviews and a review of organizational documents, including performance reports, and were interpreted using thematic analysis. The three primary themes that emerged were (a) accountability, (b) leadership communication and engagement practices, and (c) leadership role in …


Child Sexual Abuse And Its Effects On A Young Adult Relationship With A Sexual Partner, Friends, And Community, Miriam Cires Jan 2022

Child Sexual Abuse And Its Effects On A Young Adult Relationship With A Sexual Partner, Friends, And Community, Miriam Cires

Walden Dissertations and Doctoral Studies

AbstractIn the United States, child sexual abuse is a significant public health issue, but society lacks awareness and its consequences. Therefore, little is known about the influence of sociodemographic factors on a sexually abused child and the quality of relationships as a young adult. A quantitative cross-sectional study based on the social-ecological model was carried out to assess whether the presence of sexual abuse, age of abuse, frequency of abuse, abusive kindship, race, and sex predict in a sexually abused child inappropriate relationships as a young adult. Logistic regression analyses were conducted using secondary data collected from 1300 children and …


Strategies For Family-Owned Small Business Succession Planning, Paul Andrew Clennon Jan 2022

Strategies For Family-Owned Small Business Succession Planning, Paul Andrew Clennon

Walden Dissertations and Doctoral Studies

Family-owned businesses (FOBs) have been an important economic force in the United States for many centuries, yet only 30% of FOBs survive the second generation. Family business owners want their businesses to survive and remain in the family. Through the prism of the socioemotional wealth theory, the aim of this qualitative multiple case study was to explore strategies family-owned small business owners use to transfer the entity to members of their family. Seven family business owners from the U.S. state of Alabama provided the primary data for this study via their participation in semistructured interviews. Thematic analysis was used to …


Strategies To Reduce Technostress On Corporations’ Employees, Kenneth Michael Coble Jan 2022

Strategies To Reduce Technostress On Corporations’ Employees, Kenneth Michael Coble

Walden Dissertations and Doctoral Studies

Technostress is a phenomenon that hurts the performance of corporations and employees. Technology managers must identify strategies to reduce technostress, as technostress causes employee burnout and absenteeism, reducing employee performance and the corporation’s productivity and ability to remain financially stable. Grounded in transformational leadership theory, the purpose of this qualitative multiple case study was to explore leadership strategies technology managers use to minimize technostress. The participants were nine business leaders in the United States who implemented strategies to minimize technostress. Data were analyzed using Yin’s five components of case study data analysis. Five main themes were identified: (a) tech-break; focus …


Professional Identity Within An Evolving Profession: Clinical Social Work In Puerto Rico, Lorna Betzaida Colon Gonzalez Jan 2022

Professional Identity Within An Evolving Profession: Clinical Social Work In Puerto Rico, Lorna Betzaida Colon Gonzalez

Walden Dissertations and Doctoral Studies

More than three decades of data document the challenges of clinical social workers in establishing their professional identity within the social work profession in Puerto Rico. Less is known specifically about how they identify within interdisciplinary and multidisciplinary teams in the various clinical settings on the island. The purpose of this study was to explore the perceptions of clinical social workers in Puerto Rico regarding their professional identity as compared to generalist social workers. The generic qualitative study was based on the ecological system theory framework. Data were collected from semistructured interviews with a purposive sample of 10 clinical and …


Discrimination Threats For U.S.-Born Latinx During The Trump Administration, Isaac Cudjoe Jan 2022

Discrimination Threats For U.S.-Born Latinx During The Trump Administration, Isaac Cudjoe

Walden Dissertations and Doctoral Studies

U.S.-born Latinx tend to have greater proximity to the enforcement of U.S. Customs and Border Protection (CBP) and U.S. Immigration and Customs Enforcement (ICE) than their European American, African American, and Asian American counterparts. The purpose of this generic qualitative study was to explore whether and how U.S.-born Latinx young adults experienced discrimination during CBP and ICE investigations, arrests, and deportation during the Trump administration. The narrative policy framework guided the study. Data were collected from interviews with seven U.S.-born Latinx young adults who were between 18 and 34 years old during the Trump administration. Findings from coding analysis indicated …


Strategies To Promote Employee Engagement In The Aerospace Industry, David R. Cunningham Jan 2022

Strategies To Promote Employee Engagement In The Aerospace Industry, David R. Cunningham

Walden Dissertations and Doctoral Studies

Disengaged employees harm organizational performance. Lack of employee engagement costs manufacturing leaders in the United States billions of dollars annually in productivity. Guided by the personal engagement theory, the purpose of this single case study was to identify strategies manufacturing leaders use to improve employee engagement. The participants were manufacturing leaders in the aerospace industry in southern California. Data were collected from face-to-face semistructured interviews with three participants and a review of company engagement strategies available on the company website. Data were analyzed using thematic analysis and methodological triangulation. Four themes emerged: (a) leadership competency, (b) intrinsic and extrinsic motivation, …


Stigmas Of Alzheimer's Disease And Help Seeking For Alzheimer's Disease Among African Americans, Donna De Levante Raphael Jan 2022

Stigmas Of Alzheimer's Disease And Help Seeking For Alzheimer's Disease Among African Americans, Donna De Levante Raphael

Walden Dissertations and Doctoral Studies

AbstractThe purpose of this study was to examine how the perceptions of stigma of Alzheimer’s disease (AD) affected the help-seeking behaviors of African American caregivers. Data used in this study were collected using semistructured interviews with 11 African American caregivers caring for loved ones diagnosed with AD. The conceptual framework of this study was guided by the stigma theory and the sociocultural health belief model. The four types of social stigmas used to assess the effects of the stigma of AD were public, self, courtesy, and structural stigma. Data were analyzed using the Thematic Content Analysis (TCA). Results provided support …


Therapists’ And Teachers’ Experiences Of Children With Aggression: A Children’S Partial Hospitalization Program, Kimberlee Joy Dunlap Jan 2022

Therapists’ And Teachers’ Experiences Of Children With Aggression: A Children’S Partial Hospitalization Program, Kimberlee Joy Dunlap

Walden Dissertations and Doctoral Studies

Aggression is an indicator of future criminal behavior. It can be a result of trauma, substance-abusing parents, or executive functioning. Research has shown that aggression in childhood often creates criminal behavior later in life, thus researchers suggest that more studies are conducted on programs that help children with aggression. The purpose of this qualitative study was to examine the experiences of therapists who work with aggressive children in a children’s partial hospitalization program, and those teachers who have had these children in class before entering the program and upon discharge from the program. The qualitative study was done using semi-structured …


University Student Descriptions Of Their Financial Knowledge Of Student Loan Debt, Dr. Loraine Edwards Griffiths Jan 2022

University Student Descriptions Of Their Financial Knowledge Of Student Loan Debt, Dr. Loraine Edwards Griffiths

Walden Dissertations and Doctoral Studies

University students and university personnel are important contributors to the economy of the United States regarding excessive student loan debt. As such, a lack of financial literacy is a significant problem. The purpose of this single descriptive qualitative case study was to describe the experiences of certain individual university students about their financial knowledge of their student loan debt. Bandura's social learning theory and Maslow's hierarchy of needs theory was used to analyze the results of this study. The research questions asked how university students describe their experiences regarding student loan debt and their financial acuity, and how do university …


Examining Possible Challenges In The Recruitment And Retention Of Female Police Officers In The Southeast Texas Region, Kim Eikenberg Jan 2022

Examining Possible Challenges In The Recruitment And Retention Of Female Police Officers In The Southeast Texas Region, Kim Eikenberg

Walden Dissertations and Doctoral Studies

Despite progress in other career fields, women remain underrepresented in law enforcement by a large margin, and recent numbers have been stable. Issues for women in law enforcement have been well researched; however, few recent studies have detailed female police officers’ personal experiences. The study problem concerned the challenges and barriers faced by women who choose law enforcement as a career and their underrepresentation. The purpose of this phenomenological study was to explore the lived experiences of female police officers, recruits, and applicants living in southeastern Texas and their perceptions of challenges and barriers for women in the field. Data …


Predicted Sexual Risk By Sexual Minority Emerging And Young Adults Who Had Sex Education In School, Jewel Marie Flitcraft Jan 2022

Predicted Sexual Risk By Sexual Minority Emerging And Young Adults Who Had Sex Education In School, Jewel Marie Flitcraft

Walden Dissertations and Doctoral Studies

The topic of abstinence-only sex education and comprehensive sex education in schools, as well as its effectiveness, have been a subject of conversation in the United States since the beginning of the 21st century. The lack of applicable sex education for sexual minorities has been missing from the conversation, and has led to STIs, HIV/AIDs, and pregnancy. The purpose of this study was to test whether sexual minority emerging, and young adults would score higher or lower on sexual risk scale, depending on the type of sex education they received in school. The research question concerned whether the type of …


Returning Home: The Reported Reintegration Experiences Of Parents/Guardians Of African American Female Youth, Jenay Garrett Jan 2022

Returning Home: The Reported Reintegration Experiences Of Parents/Guardians Of African American Female Youth, Jenay Garrett

Walden Dissertations and Doctoral Studies

African American, female youth remain overrepresented in juvenile detention centers. Parental involvement has been identified as a major factor in the success of a youth’s reintegration into the community post detention; however, there is limited information about the experiences of parents/guardians of African American female youth during reintegration. The purpose of this generic, qualitative study was to gain insight and understanding regarding the reported reintegration experiences of parents/guardians of African American teenage daughters returning, home post detention, regarding their role development as parents/guardians during that time. The theoretical framework for this study is parent development theory (PDT) developed by Dr. …


Influence Of Knowledge Sharing Behaviors On Global Virtual Team Performance, Robert Nolen Goodson, Jr Jan 2022

Influence Of Knowledge Sharing Behaviors On Global Virtual Team Performance, Robert Nolen Goodson, Jr

Walden Dissertations and Doctoral Studies

Global virtual teams (GVT) are increasingly important in organizations. Barriers to knowledge sharing behavior (KSB) could negatively impact GVT performance. The purpose of this quantitative study was to discover the extent of predictive power of KSB on GVT performance and how Leader-member exchange (LMX) moderates this relationship. Research questions investigated the extent that KSB influences GVT performance and the extent that LMX moderates the relationship between KSB and GVT performance. LMX theory focuses on individual relationships between superiors and subordinates and ways each relationship impacts team dynamics and performance provided theoretical foundation for this study. Online survey measured the influence …


Case Managers’ Perspectives Of Hospital Postdischarge Services For Patients Diagnosed With Coronary Artery Disease, Brian Alexander Grant Jan 2022

Case Managers’ Perspectives Of Hospital Postdischarge Services For Patients Diagnosed With Coronary Artery Disease, Brian Alexander Grant

Walden Dissertations and Doctoral Studies

The United States lacks postdischarge services, which can negatively impact hospital readmissions within 30 days. It is important for case managers to effectively leverage outpatient services to enhance patient care and reduce readmission rates. Grounded in the practice change model framework, this qualitative single case study explores the perspectives of case managers involved with postdischarge services for patients diagnosed with coronary artery disease (CAD). Participants included 13 case managers from two metropolitan hospitals in Atlanta, Georgia. To address the research problem and study purpose, data collection techniques included semi-structured interviews, case management discharge summaries, and reflective journal notes. The thematic …


Developing A Tai Chi Education Module For Nurses, Edna Green Jan 2022

Developing A Tai Chi Education Module For Nurses, Edna Green

Walden Dissertations and Doctoral Studies

The U.S. population is living longer, which leads to challenges with chronic conditions that attack their health and well-being. Chronic diseases also cost $ 3.8 trillion dollars every year in the United States. According to the Centers for Disease Control, there are four behaviors that cause many of the chronic preventable diseases: lack of physical activity, excessive alcohol, smoking, and diet. Alternative strategies including physical activity like Tai Chi can improve health outcomes for older adults with chronic disease. The purpose of this Doctor of Nursing Practice project was to develop a Tai Chi education module for nurses who provide …


Diabetes, Obesity, Geographic Location Of The Patient And Clostridium Difficile Infection In The United States, Mary (Maribeth) Greenway Jan 2022

Diabetes, Obesity, Geographic Location Of The Patient And Clostridium Difficile Infection In The United States, Mary (Maribeth) Greenway

Walden Dissertations and Doctoral Studies

AbstractClostridium difficile infection (CDI) is a major nosocomial threat to be reckoned with in the current health care setting in the United States. Advancing age, underlying chronic disease associated with inflammation (including Diabetes Mellitus Type I ([DMI]), Diabetes Type II ([DMII]), and obesity), trauma, immunodeficiency and other factors that diminish the overall health of an individual, and increase an individual’s susceptibility to CDI. The ecological framework was used to determine the relationship between geographic, chronic diseases and the occurrence of infectious diseases. To continue enhancing knowledge related to CDI susceptibility this quantitative study used the 2010 National Hospital Discharge Survey …


Teaching Environment, Instructional Coaching, And Perceived Organizational Support On Educators’ Quality Of Work-Life, Patrick Terrell Hall Jan 2022

Teaching Environment, Instructional Coaching, And Perceived Organizational Support On Educators’ Quality Of Work-Life, Patrick Terrell Hall

Walden Dissertations and Doctoral Studies

In the field of education, work-life challenges are becoming a source of concern, especially during the recent global pandemic. This study sought to identify relationships between teaching environment, instructional coaching, perceived organizational support, and work-life quality. The variables in the study were measured using the following validated instruments: classroom environment scale; coaching evaluation scale; perceived organizational support scale; and the work-related quality of life scale. This research was informed by the ecological system theory, which served as the theoretical basis for the investigation. Elements of the ecological systems theory express a complex system of relationships that affects multiple levels of …


Staff Education For Identifying, Assessing And Managing Pain In Patients With Dementia, Nadia S. Handspike Jan 2022

Staff Education For Identifying, Assessing And Managing Pain In Patients With Dementia, Nadia S. Handspike

Walden Dissertations and Doctoral Studies

Pain is a common symptom in healthcare settings, especially among patients with Alzheimer's Disease (AD). AD patients have cognitive and communication impairment making it difficult or impossible for them to communicate their pain to their caregivers or healthcare practitioners. The purpose of this project was to implement a staff education program for healthcare professionals on evidence-based practices for assessing, recognizing, and managing pain in patients with AD. The practice-focused question explored if a staff education program on identification, assessment, and management of pain in patients with AD improves the staff's knowledge, skills, and attitude towards timely and effective pain assessment …


Integrated Care Impact On Postpartum Visit Compliance And Readmissions, Matthew Herrick Jan 2022

Integrated Care Impact On Postpartum Visit Compliance And Readmissions, Matthew Herrick

Walden Dissertations and Doctoral Studies

The specific research problem that was addressed through this study is the low rate of postpartum visits among Medicaid-enrolled women, leading to increased postpartum complications and readmissions. The purpose of this quantitative study was to evaluate if hospital readmissions can be reduced by integrated care home visiting services relating to postpartum visit compliance. The research questions evaluated the relationships between postpartum visit compliance, hospital readmissions among Medicaid-enrolled women in Indiana, and an integrated care home visiting program. The Donabedian model for quality-of-care grounds this study and is based on structure, process, and outcome. Through this model, healthcare leaders can evaluate …


Elementary Teachers’ Perceptions Of Professional Development Effectiveness, Justin C. Hose Jan 2022

Elementary Teachers’ Perceptions Of Professional Development Effectiveness, Justin C. Hose

Walden Dissertations and Doctoral Studies

Through continuing education, educators improve their skills and become more proficient at their jobs. However, some educational leaders are unaware of the perception of teachers regarding professional development. Grounded in Desimone and Garet’s framework of best practices in teachers’ professional development, the purpose of this interpretive qualitative study was to compare that framework to what a sample of teachers believe is effective professional development based on their experiences. Data were interviews with 10 teachers with at least a year of experience in Virginia. The framework was used to compare the theory of what makes effective professional development to the actual …


Urban Administrators Perspectives Of Exclusionary Discipline Techniques And The School-To-Prison Pipeline, Sabrina Enid Johnson Jan 2022

Urban Administrators Perspectives Of Exclusionary Discipline Techniques And The School-To-Prison Pipeline, Sabrina Enid Johnson

Walden Dissertations and Doctoral Studies

There is an overrepresentation of elementary-age, Black boys being suspended across the United States. Researchers have found that if these boys are disconnected from school at an early age, they are at risk of becoming part of the school-to-prison pipeline (STPP). Educators, particularly those in urban settings, need to understand more about the use of exclusionary discipline policies and practices. The purpose of this generic qualitative study was to understand how urban educators consider the consequences of exclusionary discipline practices and the overrepresentation of elementary-age, Black boys who receive them compared to others. Critical race theory informed this study. Ten …