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Improving Student Nurse Clinical Reasoning, Critical Thinking, And Clinical Judgment Through Simulation Debriefing, Deborah Brester

Walden Dissertations and Doctoral Studies

Simulation is an educational strategy in nursing education that incorporates structured activities that depict real-life situations to develop and enhance the knowledge, skills, and attitudes of nursing students by allowing them to analyze and initiate interventions for realistic situations in a simulated environment. Debriefing is a reflective process and is a key component in the simulation education process, but there is a lack of evidence on debriefing methods that enhance learning outcomes in nursing education. This study, which was guided by the National League for Nursing Jeffries simulation theory, was to determine the effect simulation debriefing, as assessed using the …

Self-Efficacy Facilitated Sleep, Physical Activity, Towards Regulating Bmi Of Permanent 12-Hour Shift Registered Nurses, Veronica Brock

Walden Dissertations and Doctoral Studies

Shift workers with obesity-related comorbidities have reduced health and lifespan. Registered nurses (RNs) are ranked fifth among the most obese professionals in the United States, according to recent studies. Researchers have not examined the relationship between self-efficacy, physical activity, sleep, and 12-hour night shift RNs despite demonstrating that self-efficacy inspires confident health habits in the general population. For this quantitative study, the social cognitive theory was applied to study the interrelationships among the independent variables, sleep self-efficacy, self-efficacy for physical activity, and body mass index (BMI), with multiple dependent demographic variables, quality and quantity of sleep, and the level and …

Administrators’ Perceptions Of Their Roles And Challenges In Building A Positive School Culture In Title I Schools, Yvonne Terry Browder

Walden Dissertations and Doctoral Studies

Elementary school principals in this study struggled to implement and maintain a positive school culture. School culture plays an essential role in schools, and school principals play a significant part in developing that culture. Positive school culture is vital in all schools, especially in high-poverty and low-performing Title I schools. This basic qualitative study involved understanding school principals' challenges in developing and maintaining a positive school culture in high-poverty and low-performing Title I schools. The transformational leadership theory was the framework for this study. Research questions were developed to understand what elementary principals of high-poverty and low-performing Title I schools …

Job Satisfaction, Employee Empowerment, And Intent To Leave In Human Health Service Employees, Ouida Butler

Walden Dissertations and Doctoral Studies

Researchers predicted that the United States would undergo a severe shortage of direct support professionals. This quantitative study used the Job Satisfaction Survey, Employee Empowerment Questionnaire, and Turnover Intention Scale to explore the relationship between employee empowerment and its effect on the intent to leave within the human health service industry nationwide. Herzberg's motivation theory provided the lens for the study. The study included 150 direct care staff who completed a self-administered online questionnaire. Linear regression analyses indicated that supervisor, contingent rewards, operating conditions, nature of work, and communication had the strongest negative correlation with turnover intention. A moderated regression …

The Lived Experiences Of Entry-Level Employees With Posttraumatic Growth Following Workplace Gaslighting, Marielys Camacho-Reyes

Walden Dissertations and Doctoral Studies

Although researchers have studied workplace gaslighting (a devious and manipulative tactic used by abusers) in recent years, little is known about it. The purpose of this hermeneutic phenomenological study was to examine the lived experiences of entry-level employees with gaslighting. The conceptual frameworks for this study were the resilience and posttraumatic growth (PTG) concepts. The sample consisted of currently employed participants ages 20 - 45 with two or more years of college experience who, during their first year in an entry-level position, experienced gaslighting. Semi-structured interviews were conducted via Zoom and data was analyzed and coded manually. The analysis revealed …

The Court Experiences Of Survivors Of Interpersonal Violence, Angela Cartwright

Walden Dissertations and Doctoral Studies

AbstractInterpersonal violence (IPV) is a complicated public problem that requires collaborative and coordinated strategies in order to address this issue effectively and appropriately. Although the court system has a significant role in their response, IPV is a complex issue for the justice system to address alone. Court system experiences may significantly impact survivors’ outcomes overall health and well-being. There are a limited number of studies showing that survivor experiences in the court have a significant impact on victim outcomes. The purpose of this study was to describe the lived experiences of female IPV survivors who have encountered IPV, highlighting their …

Decision-Making Practices Of Second-Grade Teachers To Support Struggling Readers With Small Group Instruction, Laura Chang

Walden Dissertations and Doctoral Studies

Teachers must devote significant time to making the instructional decisions necessary to effectively plan and prepare small group lessons. Although small group instruction has attracted the attention of researchers, there is a lack of understanding in the effective implementation of reading interventions to support struggling readers. The purpose of this basic qualitative study was to describe how second-grade teachers make instructional decisions to plan and implement small group reading interventions for struggling readers. The study’s conceptual framework included Bandura’s social-cognitive theory and was supported by Pearson and Gallagher’s gradual release of responsibility instructional framework. The framework helped describe how second-grade …

An Exploration Of The Relationship Between Learning Disabilities And Juvenile Delinquency From Parents’ Perspectives, Torsha Shawn Childs

Walden Dissertations and Doctoral Studies

This study addressed the relationship between learning disabilities and juvenile delinquency from parents’ perspectives. This qualitative study was guided by Agnew’s general strain theory (GST), which explored the force that stressors have on individuals, such as the impact learning disabilities have on juveniles. The qualitative research approach was used to gather data from 10 parents with children diagnosed with learning disabilities at an early age. Parents responded to 15 open-ended survey questions via SurveyMonkey based on their lived experiences of having children with learning disabilities. Participants remained anonymous. All participants were required to have a child with a learning disability …

Success Strategies For Information Technology Project Leaders, Angela D. Debose

Walden Dissertations and Doctoral Studies

A growing failure rate of information technology (IT) projects has the potential to create economic loss and low revenue. IT project leaders in the financial industry are concerned that IT project failure has the potential to negatively impact organization expenses. Grounded in Bass’s transformational leadership theory and the Project Manager Book of Knowledge, the purpose of this qualitative multiple case study was to explore the strategies financial industry project leaders used to ensure IT projects succeed. The participants were five participants who had a minimum of 5 years of managing successful IT projects. Data were collected using semistructured interviews and …

Promoting Healthier Treatment Outcomes In Obese Cancer Patients Taking High Dose Methotrexate, Carly Dell'ova

Walden Dissertations and Doctoral Studies

Cancer and obesity rates continue to rise, creating enormous public heath burdens to the individual and at the national and global levels, reducing quality of life, and increasing spending. Moreover, the relationships between cancer and obesity are not well understood. A commonly used chemotherapy for several types of cancer is high dose methotrexate (HDMTX). Along with chemotherapy, especially at high doses, comes toxicity to specific organs and the entire body. However, limited research has been conducted on obese cancer patients as they are often excluded from clinical studies. Practitioners need to better understand how to dose these patients to provide …

Factors Related To The Perceptions Of Academic Honesty Among Campus-Based And Online Undergraduate Students, Robert Defranco

Walden Dissertations and Doctoral Studies

Academic dishonesty poses a challenge for the online and campus-based learning environment where technology and assessment at a distance may encourage easy and innovative ways of cheating. The purpose of this quantitative study was to assess campus-based and online students’ attitudes and perceptions toward academic dishonesty. Data were collected via the Student Academic Honesty Survey to measure student perceptions of academic dishonesty to determine the following: (a) whether biological males and females differed in their perceptions of academic dishonesty, (b) the predictive relationships between perceptions of academic dishonesty and locus of control after controlling for type of school, and (c) …

Understanding Urban Agriculture As A Food Insecurity Intervention In Jacksonville, Fl, Christopher George Eddis

Walden Dissertations and Doctoral Studies

Food insecurity impacts economically disadvantaged communities around the world, including in the United States where over 41 million people experience issues of food insecurity in their daily lives. This lack of access to food can have a ripple effect on individuals and communities in multiple ways, including impacts on mental, physical, and social states of well-being and stability. Therefore, the purpose of this study is to increase the understanding of urban agriculture (UA) as a component of food insecurity assistance. This study focused on the experiences of food insecure individuals with various forms of UA, asking the research question, if …

The Experiences Of Middle-Aged Women In An Online Weight-Loss Community, Holly Fields

Walden Dissertations and Doctoral Studies

The obesity epidemic continues to be a public health crisis in the United States. The number of obese middle-aged women has risen dramatically over the past few decades. Despite multiple levels of support available, not all women are receiving the support they need to reduce overweight/obesity, as evidenced by the continuing rise in obesity. Using a qualitative phenomenological approach, this study examined middle-aged women's views on exercising, eating healthily, and social support in online weight-loss communities. For this study, the health belief model (HBM) and social learning theory (SLT) were used as conceptual frameworks to understand a person's behavioral intentions …

Teachers’ Perceptions Of High Teacher Turnover In Special Education, Anikko Gorham

Walden Dissertations and Doctoral Studies

Nationally, special education teacher turnover is a significant issue for school districts. The problem addressed in this study was the high special education teacher turnover rate in one local school district in North Carolina. Guided by Maslow’s hierarchy of needs, this basic qualitative study explored previous special education teachers’ perceived motives for leaving their workplace in the local school district. Fifteen special education teachers who had separated from the local school district over the prior five years participated in semistructured interviews. Interview data were analyzed using open inductive coding following Yin’s five-phase approach. Themes derived from the analysis included (a) …

Public School Elementary Teachers’ Perspectives On Levels Of Workplace Stress And Needed Supports, Rima S. Granados

Walden Dissertations and Doctoral Studies

The problem addressed through this study was that public elementary school teachers in the United States have reported increasing levels of workplace stress. Teachers’ stress levels need to be studied and addressed because they affect students as well. The purpose of this basic qualitative study was to explore elementary public school K-3 teachers’ perspectives on their levels of workplace stress and institutional supports needed to reduce workplace stress. Coping-competence-context theory was the conceptual framework. Research questions explored elementary public school teachers’ perspectives on their levels of workplace stress, and their perspectives on the institutional supports needed to reduce workplace stress. …

Perioperative Nurses' Perceptions And Barriers To Implementing The Colorectal Surgery Care Bundle, Kaydian Kerry-Ann Grant

Walden Dissertations and Doctoral Studies

AbstractDespite evidence that surgical care bundle usage prevents surgical site infections (SSIs) in colorectal surgeries, there is a consistent increase in SSIs. Perioperative nurses are in a unique position to provide insight into the process for colorectal surgical care bundle usage, yet little is known about how perioperative nurses view the process. The perioperative patient focused model was used in this qualitative interpretative phenomenological study to examine the perceptions of perioperative nurses regarding the use of colorectal surgery care bundle and its role in preventing SSIs in patients undergoing colon and rectal surgeries. Sixteen perioperative nurses who were members of …

How Gender And Victim Blame Impact The Identification Of Human Trafficking Victims, Rudee Colleen Hanna

Walden Dissertations and Doctoral Studies

Human trafficking is a worldwide phenomenon that uses fraud, force, or coercion to subjugate human beings into a modern form of slavery. Male and transgender victims have been excluded from previous research and as a result, the numbers of victims identifying as male, and transgender is unknown. This study examined the impact of gender and victim blame on the identification of human trafficking victims, particularly male and transgender. The theoretical frameworks of feminist theory and belief in a just world theory supported the study and supported the hypotheses. The research questions focused on the impact of gender and victim blame …

Experiences Of Hurricane-Related Events Among Campus Leadership Of Southeastern U.S. Universities, Clarissa E. Henry

Walden Dissertations and Doctoral Studies

Over the last 10 years, institutes of higher learning (IHLs) in the southeastern United States have endured natural disasters that have caused flooding, water, and wind damage and resulted in student evacuations, class disruptions, and building damage. IHLs are further challenged with resuming campus operations despite the emotional impact resulting after a natural disaster occurs. There is limited research relative to the experiences of campus leadership who share the responsibility of keeping students, visitors, and university artifacts safe during and after a hurricane-related event. This research study served as a qualitative phenomenological assessment of campus leadership experiences during a post-hurricane-related …

Rape Myth Acceptance And Attitudes Toward Bystander Intervention Among Division Iii College Student Athletes And Nonathletes, Del Rey Honeycutt

Walden Dissertations and Doctoral Studies

Sexual assault on college campuses is a significant concern and deemed a public health problem. Research suggested that certain groups, such as male college student athletes, may be the main offenders and contributors to the problem. The purpose of this study was to investigate the relationship between acceptance of specific rape myths and attitudes toward bystander intervention in specific situations among Division III athletes and nonathletes on a college campus. The theory of planned behavior and feminist theory served as the foundation for this quantitative study. An archival dataset was analyzed that included undergraduate students (N = 313) from a …

Comparisons Of Impostor Phenomenon Among Nursing Faculty Across Teaching Levels, Teaching Experience, And Gender, Deborah E. Horvath

Walden Dissertations and Doctoral Studies

Nursing faculty must be effective educators, active nurse researchers, and practicing nurse experts. Feelings of impostor phenomenon (IP), defined as emotions of fraudulence, can lead to faculty deficiencies both as educators and scholars. The purpose of this three-manuscript dissertation, guided by Weiner’s attribution theory, was to determine differences in IP by teaching level, teaching experience, and gender among nursing faculty. A two-tailed t-test was used to analyze data collected from 164 participants who completed the Clance impostor phenomenon scale. Data revealed instructors teaching at the undergraduate level had more feelings of IP than those teaching at the postgraduate and graduate …

Glass Ceiling Encountered By Female Chief Executive Officers As They Advance To C-Level Positions In International Nonprofit Sports Organizations., Eric Edokpaigbe Idehen

Walden Dissertations and Doctoral Studies

Women are underrepresented as chief executive officers (CEOs), executive-level officers, board directors, and national sports organization board chairs in 45 countries. Despite social movements, laws, and practices supporting equal employment opportunities and workplace equality, women in top senior-level positions are still lacking. The purpose of this study was to explore the challenges women face in terms of obtaining CEO leadership roles in international nonprofit sports organizations. The study involved exploring limitations eight women faced when aspiring to CEO positions in terms of leadership development, talent management, and policies involving international nonprofit sports organizations. This study employed a qualitative descriptive phenomenological …

Law Enforcement Officers’ Perceptions Of Administering Naloxone In Overdose Scenarios, Wayne Joseph Jackson

Walden Dissertations and Doctoral Studies

There is minimal research on law enforcement officers’ perceptions of overdose recovery efforts and unforeseen occupational dangers. Using a phenomenological approach and street-level bureaucracy as the interpretive lens, this study involved examining lived experiences of law enforcement officers in northern New Jersey who have implemented naloxone administration protocols for suspected opioid overdoses and actual or perceived unintentional scene-related chemical exposure. Four main themes emerged personal experience, medical interventions, the war on drugs, and safeguards. Subthemes uncovered law enforcement officers’ requests for additional occupational safeguards and education for scene-responding officers specifically involving self-protection and improved medical intervention training. These findings support …

Riders’ Lived Experiences About Ride-Sharing On The Concept Of Customer Trust In The Choice Of Rides In Dallas, Texas, Winston Randolph John

Walden Dissertations and Doctoral Studies

A business’s long-term success is dependent on the ability to build and maintain customer trust. Failed projects within the sharing economy, which ride-sharing is part of, suggest distrust of the services and products of sharing economy companies. The purpose of this qualitative phenomenological study was to explore the lived experiences of riders using ride-sharing regarding the concept of customer trust in Dallas, Texas. The conceptual framework for this study was the theory of planned behavior. Interview data were gathered from 15 participants who met the inclusion requirements of being a rider with Uber or Lyft with ride experiences before, during, …

The Role Of Parental Military Status And Educational Attainment On Mental Health Service Usage Among Children And Adolescents, Cierra Jones Williams

Walden Dissertations and Doctoral Studies

A lack of mental health services for children and adolescents has been linked to significant health problems in adulthood. Researchers have investigated factors that influence usage of mental health services among children and adolescence, but significant gaps persist regarding use of mental health service among military-connected youth. This quantitative study was conducted to examine if parental military status and parental education affected the usage of mental health services among children and adolescents ages 3–17 in the United States. Multivariable logistic regression was used to analyze secondary data from the combined 2019–2020 National Survey of Children’s Health. After adjusting for income, …

Women’S Lived Experience With Shame In Intimacy After Surviving Childhood Sexual Abuse, Meg Christine Justison

Walden Dissertations and Doctoral Studies

Childhood sexual abuse (CSA) is a global problem and can lead to substantial challenges in adult intimate relationships. Though there is considerable research on CSA, relationships, and relationship challenges, one area that required further study was how shame was felt by women who have experienced CSA. Interpretive phenomenological analysis (IPA) was used to explore these shame experiences in adult intimate relationships in women who had this history. Strength resilience theory was used as the framework for exploring their shame and resilience experiences. Open-ended, semistructured interviews were conducted with eight women aged 18 to 50 who were in intimate relationships. Results …

Small And Medium-Sized Enterprise Beauty Salon Employer Strategies Used To Improve Employee Retention, Angela Lynette Loyd

Walden Dissertations and Doctoral Studies

Retention strategies are important to beauty salon leaders as they directly affect retaining a reliable workforce. Grounded in self-determination theory, the purpose of this generic qualitative case study was to explore retention strategies used by some SME beauty salon leaders in the United States to improve employee retention. The participants were five SME beauty salon leaders who retained at least two employees for 2 consecutive years. Data were collected using semistructured interviews and company documents. The four themes from the thematic analysis were leadership, psychological needs satisfaction, motivation, and engagement. A key recommendation is to have SME beauty salon leaders …

The Motivations And Work-Life Balance Of Paid Home-Based Caregivers Of Clients Experiencing Dementia, Cheraire Lyons

Walden Dissertations and Doctoral Studies

With an expected increase in demand for professional caregivers for the growing older adult and aging population, caregivers need balance in their lives so they can provide quality patient care. The purpose of this qualitative multiple case study was to explore what motivates paid, professional home-based caregivers of clients with dementia to maintain their work–life balance. The caregiver ambition framework was the guide for exploring home-based caregivers’ work life issues along with caregivers’ motivations for work–life enrichment. Interview data were collected from five interviews that were analyzed first manually by exploring the transcribed interviews for commonly seen words and phrases. …

Educating Acute Care And Emergency Nurses On Infant Safe Sleep Practices, Kimberly Catherine Mackeil-White

Walden Dissertations and Doctoral Studies

Rates of infant deaths due to sudden infant death syndrome, asphyxia, and sudden unexplained infant death dropped significantly during the original marketing and education push for infant safe sleep practices during the 1990s following the recommendations from the Center for Disease Control and the American Academy of Pediatrics, but a plateau has occurred with no further recent decreases. Safe sleep practices are inconsistent in the practicum site and guidelines for safe sleep practices do not exist. Although aware of the concepts, staff do not consistently educate families about maintaining the practices within the hospital environment, as evidenced by non-compliance with …

The Investigation Of Resilience As A Moderating Factor On Burnout And Intention To Stay In Nursing Professionals., Florina Karasik

Walden Dissertations and Doctoral Studies

The intention to stay in nursing staff working with adult patients in a hospital setting is a major concern for healthcare organizations because of its effect on patient health outcomes. Grounded in the social cognitive career theory, the purpose of this quantitative correlational study was to investigate resilience as a moderating factor in the relationship between burnout and intention to stay for licensed registered nurses with BSN degrees working with adults in a hospital setting. The participants were 80 licensed registered nurses with BSN degrees working with adults in a hospital setting in the United States of America. The results …

The Counselor’S Perspective: Exploring The Influence Of The Strong Black Woman Identity On Sexually Traumatized Female Adolescents, Jillian Mahatha

Walden Dissertations and Doctoral Studies

AbstractThe Counselor’s Perspective: Exploring the Influence of the Strong Black Woman Identity on Sexually Traumatized Female Adolescents by Jillian Mahatha

MS, Capella University, 2012BS, Kaplan University, 2006

Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Counselor Education and Supervision

Walden University November 2023