Digital Commons Network^™

Local Anesthetic Systemic Toxicity Education For Perianesthesia Nurses, Rachelle Lynn Dix

Walden Dissertations and Doctoral Studies

Local anesthetic systemic toxicity (LAST) is a potentially life-threatening event following a local anesthetic bolus into the circulatory system. Because LAST is a low-volume, high-risk event, clinical exposure is lacking, creating a knowledge gap among perianesthesia nurses. A knowledge gap regarding LAST among perianesthesia nurses was identified at the project site, an ambulatory surgery center in south Mississippi. The practice-focused question was: Whether a web-based education intervention would increase perianesthesia nurses’ knowledge about LAST. The doctoral project aimed to provide perianesthesia nurses with the clinical knowledge essential for early detection of LAST symptoms. A LAST education module was developed using …

Organizational Engagement Strategies Used By Midlevel Managers In The Energy Industry, Joni Hoxsey

Walden Dissertations and Doctoral Studies

Company employees often see an organizational engagement breakdown when managers do not combine processes and knowledge transfer strategies to achieve goals. Some midlevel managers lose communication and collaboration among business departments as well as with their subordinates, leading to a breakdown in organizational performance. The purpose of this qualitative single case study was to explore organizational engagement strategies midlevel managers use to encourage organizational performance. The theory of organizational learning provided the conceptual framework for the study. Six midlevel managers from various departments in an energy company in the midwestern and southern regions of the United States independently participated in …

Fostering Electricity Access In Cameroon: Impeding Factors And Cost-Effective Model, Jean-Jacques A. Enow

Walden Dissertations and Doctoral Studies

Abstract Due to irregularities and shortages in electricity generation and distribution, 95% of Cameroon’s population suffers from debilitating effects on national economic security, public health, education, safety, and quality of life. Cameroon needs a sustainable, efficient, and innovative electricity source and policy system. Failure to meet this demand forestalls the much-needed socio-economic and political development of the country. The purpose of the present study was to explore inadequacies of the current hydroelectric supply system in Cameroon, putting into perspective factors that impeded the development of a sustainable electricity supply system, strategies to alleviate these impediments, and the most cost-effective framework …

Co-Rumination In The Friendships Of Black And White Adolescents, Andrea Renee Gourdine

Walden Dissertations and Doctoral Studies

Co-rumination is the process of friends discussing challenges via a problem-focused dialogue that is excessive and involves dwelling on negative emotions. Co-rumination is related to higher friendship quality but also depression. The adjustment consequences of co-rumination have been studied, but racial differences in co-rumination have yet to be studied. The purpose of this non-experimental, correlational, quantitative study was to examine co-rumination among Black and White adolescents. Theoretical frameworks included the response styles theory and Africentric theory. Research questions included whether there were racial differences in the degree to which adolescents co-ruminate and in the relations of co-rumination with friendship quality …

Psychological Manipulation And Cluster-B Personality Traits Of Cult Leaders, Jennifer Henderson

Walden Dissertations and Doctoral Studies

Cults, thousands of which exist in the United States, present a societal problem due to their ability to rob followers of free will, sever familial ties, and even incite violence, such as the case of the Manson Family. Their leaders' manipulation of followers can be dangerous, resulting in emotional and physical abuse. There is a lack of meaningful literature on how personality traits may affect cult leaders’ abilities to recruit and maintain members. The purpose of this study was to examine how Cluster-B personality traits (narcissism, borderline, antisocial, and histrionic) relate to cult leaders’ abilities to manipulate. The qualitative case …

How It Professionals Acquire Soft Skills, Paul Majett

Walden Dissertations and Doctoral Studies

AbstractIn this study, I investigated how information technology (IT) professionals learn/acquire soft skills. Little is understood about how IT professionals describe and apply the soft skills that they consider necessary for their own employability. Exploring how IT professionals describe and apply soft skills is important to their future work and career advancement. The purpose of this basic qualitative study was to better understand how IT professionals learn/acquire soft skills. Bandura’s 1986, social learning theory served as the organizational conceptual framework of this study and guided the research question, which asked how IT professionals acquire learn/acquire soft skills. This research question …

Advisor Perceptions On Relationship-Based Advising And Student Retention, Sharene Leek

Walden Dissertations and Doctoral Studies

Research shows that relationship-based advising has a track record of producing better student outcomes and retention, thus local college administrators chose relationship-based advising as the advising model to be used at the campus. The problem addressed in this study was inconsistent implementation of the relationship-based advising model by the advisors at the local community college. The purpose of this basic qualitative study was to investigate how advisors were implementing the relationship-based advising method when advising students. Guided by Vygotsky’s social interaction theory, the perspectives and experiences of advisors were explored regarding how relationship-based advising was implemented at the college. Ten …

Nonprofit Business And Management Challenges Encountered When Delivering Services And Fulfilling Organizational Missions, Becky A. Hammer

Walden Dissertations and Doctoral Studies

Failure of nonprofit organizations (NPOs) causes negative impacts to community service users and the NPO workforce. Although the impact of NPO failure has been researched, a comprehensive understanding of business and organizational challenges from the NPO leaders’ perspective was not well documented. Learning more about these challenges may assist with understanding how to best support and solve them. The purpose of this qualitative single case study was to explore the business and management-related barriers and challenges NPO leaders encounter when delivering services and fulfilling organizational missions in the Greater Austin Metropolitan Statistical Area in Texas. The conceptual model included the …

Dietary Changes In Preventing Type Ii Diabetes Mellitus Among Young Hispanic Adults, Taiwo Onipede

Walden Dissertations and Doctoral Studies

Diabetes mellitus continues to be a major chronic disease affecting the global population today with more prevalence amongst minority groups in the United States. The genetic susceptibility to obesity and higher insulin resistance seen in the Hispanic population puts them at the highest risk for development of Type II Diabetes (T2DM). The alarming increase in young adult T2DM diagnosis led to the project question: How can teaching on dietary changes affect Type II Diabetes diagnosis in predisposed young Hispanic adults? The purpose of this project is to accomplish the goal of Healthy People 2020 towards improving the quality of life …

Impact Of Resilience On Quality Of Life In Spinal Cord Injured Clients, Crystal D. Glover

Walden Dissertations and Doctoral Studies

Abstract Impact of Resilience on Quality of Life in Spinal Cord Injured Clients by Crystal D. Glover

MSM, Troy University, 2006BSN, University of North Carolina at Greensboro, 1995

Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Public Health

Walden University August 2023

K-3 Teacher Perspectives Regarding Herzberg’S Factors That Affect Teacher Retention, Leann Laury

Walden Dissertations and Doctoral Studies

Abstract In the United States teacher retention in K-3 classrooms has declined, and so has the retention rate for the charter elementary school located in the study state. The problem is teacher retention rates in K-3 schools have declined in the U.S. The purpose of this basic qualitative research study was to explore teachers’ perspectives regarding factors that affect teacher retention. Factors were Herzberg et al.’s motivation (satisfaction) and hygiene (dissatisfaction), which was used as the conceptual framework to address teachers’ perspectives about why they choose to remain in a school with low retention rates. This study involved using semistructured …

Social Media Strategies That Lead To Success In The Film Industry, Elisa O'Keefe-Smith

Walden Dissertations and Doctoral Studies

Social media influence is important to movie industry leaders as it directly affects film revenues. The problem is that independent film managers often fail to increase revenues due to limited resources and a lack of social media marketing strategies. Grounded in the conceptual framework of social media marketing management (SMMM), this multiple case study was an exploration of the social media strategies used by independent film managers to increase film revenues. Participants were 10 U.S.-based independent film managers who successfully leveraged social media strategies in the film industry. Data were collected using semistructured interviews, publicly available documentation, data found on …

Exemplary High School Teachers’ Practice Of Embedding Career Exploration In Stem Curricula, Cara Pekarcik

Walden Dissertations and Doctoral Studies

The number of individuals entering the workforce with an interest in science, technology, engineering, and mathematics (STEM) careers is low across the United States. Although exposure to STEM careers through the intentional integration of career exploration can positively influence career choice, most student exposure to STEM career exploration occurs in after-school programs and dedicated summer programs but is limited in the general education curricula. The purpose of this study was to understand how and why high school STEM teachers embed career exploration into curricula even though local and national standards do not include these objectives. The conceptual framework for this …

Managing Change And Organizational Resources When Implementing Customer Relationship Management Systems, Stephanie M. Spears

Walden Dissertations and Doctoral Studies

Many customer relationship management (CRM) projects fail to produce the desired outcomes. Failed CRM projects negatively impacts operational efficiency, data-driven decision-making, scalability, financial performance, compliance, and customer service. Grounded in Kotter’s 8-step change management model, the purpose of this qualitative multiple case study was to explore strategies firm leaders used to manage change and organizational resources when implementing CRM. The participants included five business-to-business firm leaders working for small or medium-sized enterprises within Texas who used strategies to manage change and organizational resources when implementing CRM. Data were collected through semistructured interviews and document analysis. The data were analyzed using …

Clinical Vaccination Education Guideline For The African American Community, Margaret Chinedum Nwoji

Walden Dissertations and Doctoral Studies

AbstractVaccination hesitancy is high among African Americans and other people of color. The practice gap addressed in this project was the lack of a culturally sensitive clinical guideline for vaccination education relevant to the African American community. The practice-focused question was answered by developing an evidence-based Clinical Vaccination Education Guideline for the African American Community (CVEGAAC) that was validated by a group of four content experts using the Appraisal of Guidelines, Research, and Evaluation tool. The content experts scored each of the domains above 90%, implying that the CVEGAAC is of high quality and ready for implementation. The end users …

The Disaster Health System: Built For Collaboration And Coordination In A Complex Environment, Leslie E. Taylor

Walden Dissertations and Doctoral Studies

This qualitative case study examined patient distribution and coordination during complex, rapidly changing, uncertain emergencies or disasters. The study explored how Washington State’s Northwest Healthcare Response Network (NHRN) uses the state’s patient tracking system, WaTrac, as a collaboration tool for Emergency Support Function 8 (ESF 8) and public health emergency operations. This study used complexity theory to address a gap in the literature, acknowledging the importance of relationships among members of the NHRN and how the patient tracking system could enhance positive patient outcomes. This study included nine healthcare response participants; all were members of the NHRN healthcare coalition serving …

African American Women’S Experiences Of Self-Care And Recidivism, Sandra Louise Smith

Walden Dissertations and Doctoral Studies

African American women face some of the highest incarceration and recidivism rates among their female counterparts within the United States. The purpose of this generic qualitative research was to explore African American women’s experiences of self-care amid multiple recidivism incidents and related health and psychosocial environmental challenges. The theoretical frameworks of Orem’s self-care and Gorski’s post incarceration syndrome theories were used for this study. Data were collected using semi structured phone interviews. The study participants included 16 formerly incarcerated African American women, ages 18 years and older, recruited through social media via Facebook postings. Data analysis included interview transcriptions, sentence …

Examining The U.S. Disaster Management Program: A Case Study Of The U.S. Virgin Islands Hurricanes Irma And Maria Evacuation, Victoria F. Vachon

Walden Dissertations and Doctoral Studies

AbstractWhether from natural or human causes, every global community is at risk for overwhelming, destabilizing incidents. Hurricanes Irma and Maria devastated the U.S. Virgin Islands in late August and early September 2017, necessitating the urgent evacuation of hemodialysis patients over 1000 miles to the U.S. mainland. Because the damage and response to the U.S. territory were unprecedented, the public health implications of the government’s strategies on the evacuated population subset were unexplored. However, available information suggested that some evacuees sustained avoidable harm while in the protracted care and custody of the government. This qualitative case study, conceptually framed by Bronfenbrenner’s …

Community Members' Motivations When Deciding To Attend A Police-Sponsored Public Meetings And Events, Lynn Vernon Venables

Walden Dissertations and Doctoral Studies

AbstractCommunity events sponsored by police organizations intend to promote communication and support for the police, but there is limited information on what would attract participants to these events. The current study explored what conditions were needed for community members to make their decision to attend. Social exchange theory was used in this research as the conceptual framework to understand participant behavior, positing that the rewards and the benefits affect an individual's decisions. Situational theory of publics also elucidates the understanding of the results, pointing out the differences between groups within a community when planning an event. Open-ended interview questions explored …

Lived Experiences Of Non-Licensed African American Pastors Providing Counseling For Race-Related Mental Health Issues To Their Parishioners, Brian Sutton

Walden Dissertations and Doctoral Studies

It is important to understand treatment practices of clergy members due to their influence on the treatment seeking behavior for professional counseling services among African American parishioners. The purpose of this qualitative study was to explore and describe African American pastors’ experiences of providing counseling for race-related mental health issues to their parishioners. The conceptual framework for this study was critical race theory. The research design included a descriptive phenomenological study with semi structured interviews with five non-licensed pastors and clergy members. The results of data analysis revealed three main themes and nine subthemes related to the participants’ experiences. The …

Research News, Publications, 2023, Volume 1, Soumyajit Majumdar

Publications (2015-)

Publications that appeared during the period of January 1 through March 31, 2023

Less Is More? First Impressions From Cosmic-313, Pavlos Msaouel

Faculty, Staff and Student Publications

The COSMIC-313 phase 3 randomized controlled trial tested the triplet combination of cabozantinib with nivolumab and ipilimumab in comparison with nivolumab plus ipilimumab control as fist-line systemic therapy in metastatic clear cell renal cell carcinoma. The first results presented at the 2022 European Society of Medical Oncology Congress are a milestone for the renal cell carcinoma field because they signal the advent of triplet combinations as potential treatment options for our patients. The present commentary highlights some considerations and potential next steps based on these first impressions.

Relationship Between Perceived Language Proficiency And Economic Life Satisfaction For Migrants, John Ndunduma

Walden Dissertations and Doctoral Studies

The United States needs migrant workers to fill the labor market gap because baby boomers are retiring from the US workforce in large numbers beginning in 2020. Approximately 2.1 million migrants came from Africa to fill the U.S. labor shortage. Many of these African migrants faced challenges with English language proficiency. There are benefits to the United States involved with increasing the economic wellbeing of migrants, such as reducing remigration, increasing the high-skilled labor force, and increasing cultural diversity. This study used Maslow’s motivational theory to test significant relationships between perceptions of English language proficiency (PELP) and economic life satisfaction …

Factors Associated With Intent To Quit Smoking Among U.S. Adult Smokers, Patrese Ann Nesbitt

Walden Dissertations and Doctoral Studies

Smoking and tobacco use continue to be a public health issue for over 40 million Americans, which explains the appropriateness and abundance of smoking cessation programs throughout the United States. The purpose of this quantitative correlational study was to examine the associations between independent variables of marital status, advice from a medical clinician, and use of community smoking cessation resources and the dependent variable of intent to quit smoking, controlling for race, ethnicity, gender, and age. The theory of reasoned action was used to guide the study. Data from the National Adult Tobacco Survey (N = 12,357) were analyzed using …

The Lived Experiences Of Stress For People With Alcoholism Striving Toward Recovery, Gerald Okeke

Walden Dissertations and Doctoral Studies

Recovery from alcohol is an individualized process, therefore, effective treatment necessitates an understanding of the phenomenon from the perspective of individuals in recovery. This study involved an exploration of the lived experiences of stress of 10 individuals with alcoholism in their first year recovery journey, particularly with respect to access resources (e.g., helpfulness and availability). Pearlin et al.'s stress process theory and Bandura's social learning theory constituted the study's theoretical foundation; the key concepts of social stress and social learning informed the development of the research questions and the analysis of data. The major themes that emerged were spirituality, hitting …

Development Of A Standardized Novice Neonatal Nurse Orientation Program, Joanne Rau Pasinski

Walden Dissertations and Doctoral Studies

Abstract Neonatal intensive care units (NICUs) are fast-paced units requiring skilled nurses to care for a unique patient population. Orientation of new nurses to the NICU can be challenging for both the orientee and the preceptor. Offering an evidence-based practice orientation program by an accredited organization that is specific to NICU can be a valuable tool for both the preceptor and the orientee as well as enhance nurse, patient, and organizational outcomes. The project question explored if use of the Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) 15-module nursing orientation program for RNs in a NICU increased their …

Teachers’ Perceptions Of Using Culturally Relevant Education Practices To Teach Middle-Grades Mathematics, Lorna Bridgetnal Randle

Walden Dissertations and Doctoral Studies

AbstractAfrican American students and other students of color are not experiencing equitable learning outcomes in mathematics classrooms. The problem this study investigated was if and how teachers used culturally relevant education to help increase learning opportunities for African American students. This basic qualitative study aimed to explore teachers' perceptions of how they use culturally relevant education instructional practices to teach mathematics to middle-grade African American students. Further, teachers’ perceptions of their preparedness to use culturally relevant education practices were explored. Aronson and Laughter’s theory of culturally relevant education framed the study and guided data analysis. The research questions investigated if …

Technological And Pedagogical Challenges For Teachers During Covid-19, Suzanne Reaid

Walden Dissertations and Doctoral Studies

AbstractImplementation of a national contingency plan to mitigate the effects of a natural disaster or major health crisis for schools in the United States has been a focus of scholars since the polio epidemic in 1916. While examining the impact of the COVID-19 pandemic on education in the United States, researchers demonstrated that online remote instruction was adopted as a temporary answer to school closures, yet teachers were not prepared for this type of teaching. Researchers had yet to identify the technological and pedagogical challenges for teachers who taught remotely during the crises with little distance education experience. The purpose …

Perceptions And Experiences Of The Benefits Of Premarital Counseling Among African American Couples, Evelyn N. Roberts

Walden Dissertations and Doctoral Studies

Researchers have conducted studies on the benefits of premarital counseling. However, little was known about the experiences of African American couples. The purpose of this generic qualitative study was to explore African American couples’ perceptions and experiences concerning the benefits of premarital counseling. Social learning theory provided the framework for the study. Data were collected from semistructured interviews with eight heterosexual African American couples. Colaizzi’s seven-step method of coding was used to analyze participants’ responses. Four themes emerged: couples’ expectations of premarital counseling, influences regarding participation, quality and structure of sessions, and overall experience. Findings could impact social change by …

Nursing Graduates' Strategies For Success On The Nclex-Rn, Karla Lashonda Sanders

Walden Dissertations and Doctoral Studies

AbstractA nursing program has had difficulty from the years 2015-2022 consistently meeting the national pass rate requirement during students’ first attempts taking the National Council Licensure Examination for Registered Nurses (NCLEX-RN). The purpose of this qualitative study was to explore perceptions of recent traditional and nontraditional nursing school graduates regarding which evidence-based learning strategies and resources were most effective in leading students to be successful during their first NCLEX-RN attempt. Knowles’ theory of andragogy was the conceptual framework for this study. Research questions involved traditional and nontraditional nursing graduates’ perceptions of which evidence-based strategies were successful for them. Using a …