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Diabetes Self-Care Management Education For Advanced Practice Registered Nurses In Primary Care Setting, Rebecca Anne Griggs-Galyean

Walden Dissertations and Doctoral Studies

Type 2 diabetes mellitus is a preventable chronic condition that affects many members of the U.S. population. Diabetes is associated with comorbidities including cardiovascular disease, end-stage renal disease, hypertension, neuropathy, and lower limb amputations, leading to increased mortality. Patient self-care education has been shown to improve adherence to diabetes self-care (DSC) in the primary care setting. However, advanced practice registered nurses (APRN) in the local primary care setting lacked knowledge of DSC. Therefore, nursing knowledge of DSC was needed. The project question asked whether staff education on the use of the Association of Diabetes Care and Education Specialists 7 (ADCES7) …

Native American Registered Nurses Experience In Failing The Nclex-Rn On The First Attempt, Kristine Hilton

Walden Dissertations and Doctoral Studies

Nursing school graduates must pass the National Council Licensure Examination for Registered Nurses (NCLEX-RN) to become licensed and work as a registered nurse. Nurse educators do not understand the experiences of Native American nursing graduates in preparing for the NCLEX and must understand how to support and mentor Native American nursing students to have more success in taking the NCLEX-RN. The purpose of this qualitative descriptive study, guided by Roy’s adaptive model, was to understand the experiences of Native American nurses who failed the NCLEX-RN on the first attempt. The participants in this study were nine Native American nurses who …

Implicit Motivations In Personality Systems Interactions Predictive Of Burnout In Mental Health Professionals, Yi-Chien Hung

Walden Dissertations and Doctoral Studies

Burnout among mental health professionals (MHPs) has been of interest to scholars and practitioners since the 1970s. For MHPs, burnout leads to less effective client treatment outcomes, increased turnover rate, and decreased overall wellbeing. Despite a significant body of literature on MHP burnout, there is little literature on how MHPs’ implicit motivations (IMs) may influence and contribute to their burnout. Understanding how IMs correlate with burnout may help with self-awareness and specific therapeutic treatments, both of which are important in preventing and alleviating burnout. Grounded in motive disposition theory, personality systems interaction theory, and theory on dimensions of burnout, this …

Juvenile Probation Officers’ Perceptions Of The Effectiveness Of Evidence-Based Programs Among Gang-Involved Youth, Shacourtney Quantia Jackson

Walden Dissertations and Doctoral Studies

Gang activity has become widespread in the United States, totaling over 1.5 millionjuvenile gang members. Often, male African American youth join gangs at higher rates than any other race or ethnicity, and these juveniles are likely to reoffend. To reduce recidivism in Georgia, policy and lawmakers have attempted juvenile justice reform, but gang activity and recidivism among this population continues to persist. This qualitative study was conducted to determine probation officers’ perceptions of evidence-based programs effectiveness in reducing recidivism rates for gang-involved youth. Data were collected through interviews with 10 juvenile probation officers with at least 3 years of experience …

Lack Of Leadership Roles And Advancement Opportunities For Black Female Nurses, Mikela Jerilynn Jones

Walden Dissertations and Doctoral Studies

Underrepresentation is a significant issue for Black female nurses to secure nurse leadership positions in healthcare facilities. Leadership by Black female nurses is needed to provide culturally appropriate quality of care, to have a more diverse workplace, and to ensure that the needs of diverse patient populations are met. The purpose of this quantitative study was to explore the barriers and challenges faced by Black female nurses who failed to achieve their advancement goals into leadership roles.Using the National Sample Survey of Registered Nurses (NSSRN) database, the independent variables used were interpersonal differences with colleagues or supervisors, lack of good …

The Relationship Between Perceived Occupational Stress, Gender, Education, And Job Skill Level, Rumena Hm Kabir

Walden Dissertations and Doctoral Studies

AbstractOccupational stress is a common problem among workers, and it may have implications for productivity, job satisfaction, and employee wellness. The purpose of this study was to explore different skill levels related to perceived occupational stress and whether gender and education influence it. Publicly available secondary data for this study came from the Public Library of Science at-risk and intervention thresholds of occupational stress using a Perceived Stress Scale 14 survey from June 2017. The 500 participants in the secondary data were a random sample of workers from five occupational health centers recruited during annual work medical examinations. Findings indicated …

Small Business Internal Control System Strategies To Protect Business Assets And Profitability, Edward Gabriel Earl Kuupualeialoha Keaunui

Walden Dissertations and Doctoral Studies

The absence of financial expertise and internal control systems contributes to losing business assets and profitability. Small business leaders who lack internal control systems and strategies to protect against the financial loss of business assets and profitability may be vulnerable and suffer losses. Grounded in the Committee of the Sponsoring Organization of the Treadway Commission (COSO) internal control-integrated framework, this qualitative multiple-case study explores internal control system strategies that small business leaders use to protect business assets and profitability. The participants were five small business leaders from the Western region of the United States who have successfully operated for over …

Hbcu Students’ Experience With Remote And Blended Learning Amid Covid-19, Andrew Sivan Mclear

Walden Dissertations and Doctoral Studies

AbstractLittle peer-reviewed literature existed on how the transition from face-to-face instruction to emergency remote teaching (ERT), online learning, and blended learning impacted the education of historically Black college and university (HBCU) students amid the Covid-19 pandemic. The gap in the literature was significant given the longstanding challenges HBCUs faced, which threatened their existence, and the disproportionate effect Covid-19 had on minority populations. This interpretive descriptive qualitative study explored the experiences of 10 HBCU students from six HBCUs across the United States using Garrison et al.'s community of inquiry framework to understand the participants' perceptions of the teaching, social, and cognitive …

California School Psychologists’ Advocacy Efforts Related To Contractual Caseloads, Tess A. Melendrez

Walden Dissertations and Doctoral Studies

Despite the evolving role of school psychologists, policies have failed to address the high student-to-school psychologist ratios. The purpose of this study was to determine the predictability of contractual caseload advocacy among California school psychologists and their use of resources to engage in policy-oriented learning strategies. A quantitative research design was used, and data were collected from school psychologists in California (N = 138) who completed an online questionnaire. The theoretical foundation was Sabatier and Jenkins-Smith’s advocacy coalition framework. Ordinal logistic regression indicated that school psychologists’ location and job were not statistically significant predictive factors for advocacy for contractual caseloads. …

A Staff Education Program For Early Fall Detection And Fall Prevention In A Nursing Home Population, Andrew Akueteh Mensah-Sowah

Walden Dissertations and Doctoral Studies

Walden UniversityCollege of Nursing This is to certify that the doctoral study by Andrew Mensah-Sowah has been found to be complete and satisfactory in all respects, and that any and all revisions required by the review committee have been made. Review Committee Dr. Cheryl Holly, Committee Chairperson, Nursing Faculty Dr. Edna Hull, Committee Member, Nursing Faculty Dr. Tracy Andrews, University Reviewer, Nursing Faculty Chief Academic Officer and Provost Sue Subocz, Ph.D. Walden University 2023

A Staff Education Program for Early Fall Detection and Fall Prevention in a Nursing Home Population

by

Andrew Akueteh Mensah-Sowah

MS, Walden University, 2017

BS, Mountain …

Adaptive And Maladaptive Coping As Mediators Of The Relationship Between Impostor Phenomenon And Help Seeking Intention, Victor Mosconi

Walden Dissertations and Doctoral Studies

The modern workplace and public media have reported on the influence of the impostor phenomenon (IP) on leadership mental health and workplace effectiveness. The choice of coping strategy may influence leaders’ intentions to seek psychological help. Guided by the impostor cycle model, the purpose of this quantitative study was to examine the extent to which adaptive and maladaptive coping mediates the relationship between IP and help-seeking intention in a convenience sample of 162 participants in leadership positions. The Clance Impostor Phenomenon Scale assessed strength of IP, the Brief COPE measure assessed adaptive and maladaptive coping, and the Beliefs About Psychological …

The Relationship Between Socioeconomic Factors And Obesity In Adults (25-54 Years) In Guam In 2020, Perinne O'Brien

Walden Dissertations and Doctoral Studies

In Guam, a United States Pacific Island territory, the rate of obesity in adults continues to rise. Relationships between obesity and six socioeconomic factors (health care coverage, education level, employment status, home ownership, household income, and marital status) in adults 25 to 54 years of age living in Guam in 2020 were explored. Because obesity may be affected at multiple levels of influence, the socioecological model grounded this research. Secondary data from the Centers for Disease Control and Prevention’s Behavioral Risk Factor Surveillance System was used to carry out a quantitative, cross-sectional study. Complex samples binary logistic regression analyses were …

Employee Retention Strategies In Selected Small And Medium Enterprises In Nigeria, Ijeoma Omeoga

Walden Dissertations and Doctoral Studies

AbstractThe lack of employee retention strategies in Nigeria’s small and medium enterprises (SMEs) can have adverse business outcomes. Business leaders are concerned about employee retention strategies since they can help reduce turnover and retain experienced employees. Grounded in Herzberg’s two-factor theory of motivation, the purpose of this qualitative multiple-case study was to explore strategies business leaders use to retain their experienced employees. The participants were four business leaders of four SMEs in Nigeria who successfully implemented strategies that helped retain their experienced employees. Data were collected using semistructured interviews and a review of organization policy documents. Through thematic analysis, four …

Relationship Between Childhood Trauma, ,Adverse Childhood Experiences, And Self-Management Of Type 1 And Type 2 Diabetes, Deserie J. Otoole

Walden Dissertations and Doctoral Studies

AbstractPoorly controlled diabetes is the result of lack of self-care, which contributes to complications, ill quality in life, the rise in health care costs, and early death. The purpose of this quantitative, nonexperimental study was to examine the extent to which diabetes type (Type 1 and Type 2), childhood trauma, and adverse childhood experiences predict diabetes self-management (glucose management, dietary control, physical activity, health care use, total self-management). Contemporary trauma theory suggests that early childhood trauma results in negative health-related consequences in adulthood. Standard multiple regression analyses showed that (a) higher levels of physical neglect and emotional abuse predicted poorer …

Providing Health Care To Patients With Intellectual And Developmental Disability During Covid-19, Pauline Andrea Park-Maxwell

Walden Dissertations and Doctoral Studies

AbstractThis project sought to enhance the care offered in a local clinic to individuals with an intellectual and developmental disability (IDD) during the COVID-19 pandemic. Individuals with IDD are faced with the challenges of coping with some social conditions. Mainly waiting for extended periods in a doctor’s office can be challenging. To reduce this population’s waiting time, a staff education program was developed to address this concern. Currently, this local clinic did not have a prescreening exercise that would meet the needs of this population. This DNP project aimed to develop a staff education program for staff in a primary …

College Experiences Of Female Students With Posttraumatic Stress Disorder, Cleo Patrick

Walden Dissertations and Doctoral Studies

AbstractThis study, using feminist trauma theory as the conceptual framework, addressed a gap in the literature about female university students’ experiences with posttraumatic stress disorder (PTSD) related to the academic and social supports needed for college success and degree completion. Nearly 30% of college students will drop out during their 1st year in school. Research suggests that personal histories of simple and complex traumas may be influential factors contributing to dropout rates. There are limited programs or resources in colleges and universities to address the needs of students struggling with past traumas aside from routine student counseling. The purpose of …

Relationship Between Food Insecurity, Depression, And Race/Ethnicity Among U.S. Adults Aged 60–69 Years, Patrick E. Crandon

Walden Dissertations and Doctoral Studies

Abstract Food insecurity (FI) and depression among older populations in the United States are public health concerns. Although FI has declined in the United States, it is a psychosocial stressor prevalent among the growing population of adults over 60. It is unknown to what extent FI contributes to depression among racial/ethnic minorities in this population. The purpose of this quantitative cross-sectional study was to examine the relationships between FI and race and depression among U.S. adults aged 60–69 years when adjusting for other variables. The social-ecological model was used to understand the interplay between individual and environmental factors that may …

Relationship Between Employee Human Capital, Relational Capital, And Work Engagement, Royelle David Comer Sr.

Walden Dissertations and Doctoral Studies

Work engagement is a challenge for information technology leaders in the digital industry because employees with engagement concerns may exhibit decreased commitment and increased workplace incivility towards the organization, thereby impacting business profits. Grounded in the job demands-resource theory, the purpose of this quantitative correlational study was to examine the relationship between human capital, relational capital, and work engagement initiatives in technology companies in the United States. The participants were 125 supervisors and full-time personnel from the metropolitan region of Atlanta, Georgia, who completed an online-based survey. The results of the multiple linear regression were significant, F (18, 106) = …

Leadership And Spirituality: The Relationship Of Incorporating Spirituality In Ethical Workplace Decision Making, Tiffany D. Cooper

Walden Dissertations and Doctoral Studies

Unethical actions such as fraud, corruption, and corporate scandals have led to a global loss of more than $7.1 trillion. The unethical actions concern business leaders because unethical decision-making can lead to business closure. Grounded in Fry's spiritual leadership theory, the purpose of this quantitative correlation study was to examine the relationship between spiritual leadership, spiritual well-being, and ethical decision-making. The participants were 102 mid-level managers in the United States who completed the Spiritual Leadership Survey. The results of the multiple linear regression were significant, F(4, 97) = 7.808, p < .001, R2 = .244. In the final model, hope/faith was the only significant predictor (t = 2.079, p = .040, ß = .314). A key recommendation is for organizations' leaders to incorporate hope/faith in their overall decision-making. The implications for positive social change include the potential of leaders enlightening an individual's thinking toward ethical decisions for themselves, their organizations, and personnel within the workplace.

The Impact Of Staffing Level On Patient Care In Behavioral Health Care Settings, Sheuness Cuthbertson

Walden Dissertations and Doctoral Studies

AbstractIn many behavioral health care organizations, adequate staffing represents a key challenge that can compromise the workforce and cause detrimental outcomes for patients. The purpose of this qualitative study was to understand how inadequate staffing shapes the environment of one behavioral health care organization. A case study design was used, with the Baldrige Excellence Framework serving as the conceptual guide to understand how the organization's leadership performed and addressed important organizational challenges. The participant, a leader in the organization who oversaw program services, operations, policies, and procedures, answered interview questions about inadequate staffing and its impact on patient care and …

Health Education Practices For Middle Eastern Women With Polycystic Ovary Syndrome, Walaa Daffaalla

Walden Dissertations and Doctoral Studies

Polycystic ovarian syndrome (PCOS) is a complex women’s health condition that reduces women’s quality of life, leading to health complications, such as menstruation issues, infertility, insulin resistance, risk of type 2 diabetes, depression, anxiety, emotional stress, being overweight or obese, and more. Research on PCOS has focused on the etiology and complications in women from different ethnicities. But limited research has explored the experiences and perspectives of Middle Eastern (ME) women in the United States with PCOS related to PCOS health education. The purpose of this qualitative study was to explore the perspectives and experiences of ME women of reproductive …

Influences On Influenza Vaccine Uptake Among Older Lebanese Adults, Doha D'Agostini

Walden Dissertations and Doctoral Studies

Influenza is a viral infection that is globally transmitted and that increases the risk for infectious diseases, hospitalization, and morbidity and mortality, especially among the older adult population. Although influenza vaccines are recommended in several countries, influenza vaccine hesitancy remains a challenge. In Lebanon, there is minimal research related to older adults’ attitudes and perceptions associated with influenza vaccination. To explore older Lebanese adults’ vaccination experiences and perceptions of the factors that affect their influenza vaccine uptake, a qualitative investigation was conducted. The theory of planned behaviors served as the theoretical framework for the study. A thematic analysis was conducted …

Lived Experiences Of Job-Hopping Millennials During The Covid-19 Pandemic, Dottie Dancy

Walden Dissertations and Doctoral Studies

Millennials, also known as “the job-hopping generation,” are on the brink of becoming the largest generation in the workforce by 2025. In March 2020, a global pandemic was declared due to the spread of the virus known as COVID-19, which led to more than 5.3 million deaths globally. Prior research has been conducted concerning the job-hopping tendencies of Millennials, but previous studies have not incorporated the life-changing event of the global pandemic and how it may have changed the beliefs and attitudes of the Millennial generation. The purpose of this qualitative study was to explore the voluntary job-hopping beliefs and …

Risk Factors Of Human Papillomavirus Positive Oropharyngeal Cancer In Men, Kentress Davison

Walden Dissertations and Doctoral Studies

The human papillomavirus (HPV) is a leading domestic and global sexually transmitted disease. The purpose of this secondary quantitative, cross-sectional study is to investigate if there is an relationship between the rate of oral HPV-oropharyngeal squamous cell carcinoma (OPSCC) and race, exposure to smoking cigarettes (tobacco), risky sexual behavior, and participation in oral sex of male-to-male contact vs. male-to-female contact. The social cognitive theory grounded this study. The University of Alabama at Birmingham cancer database population supplied the study’s sample size of 337 males greater than 18 years of age with a diagnosis of OPSCC. I conducted descriptive analyses using …

Strategic Leadership Steps For New Certified Community Behavioral Health Clinics, Keisha Stacy-Ann Davis

Walden Dissertations and Doctoral Studies

States grapple with how to address the opioid epidemic and the growing need for behavioral health (BH) services. Certified Community Behavioral Health Centers (CCBHCs) are a new industry solution to address the need for integrated and coordinated physical and BH care. New CCBHCs are funded by the Federal 223 Substance Abuse and Mental Health Services Administration’s (SAMHSA) grant. However, they must be certified by states to meet the SAMHSA criteria for continued funding. This qualitative study presents a single-case study of a Southern state’s behavioral health department’s (SSBHD) leadership strategy for certifying the CCBHCs in its state and creating a …

Identifying And Examining Key Themes Emanating From The U.S. Legislative Tobacco Policy Subsystem, Arnon Dayak

Walden Dissertations and Doctoral Studies

Americans’ continuously increasing tobacco use in the form of smoking presents an ongoing and rising negative health impact on this leading cause of preventable death. Despite existing U.S. federal level tobacco regulation through the Family Smoking Prevention and Tobacco Control Act (FSPTCA), U.S. tobacco use remains ubiquitous demonstrating existent ineffectiveness of tobacco control legislation. Unknown underlying attributing factors present critical information gaps which, when exposed, could improve tobacco regulation. Using a case study approach, the question, “What key themes are aligned with legislative subsystem actors when voting on the FSPTCA” was examined. Multi-source data streams using existing secondary datasets including …

Elementary Administrators' Perspectives And Experiences Of Supporting Students Through Nature-Based Learning, Amanda Marie Shelley Degoede

Walden Dissertations and Doctoral Studies

Although nature-based learning (NBL) contributes to the development of students, itsinclusion in elementary schools is inconsistent. Researchers have established the benefits of nature to learning and child development, yet there is a gap in the literature on elementary administrators’ perspectives of and experiences with NBL. The purpose of this qualitative study was to explore elementary administrators’ perspectives of and experiences with NBL, its support of elementary student development, and its inclusion in elementary schools’ curricula and design. The research questions addressed elementary administrators’ perspectives of and experiences with NBL, how NBL supports student development, and how NBL is included in …

Student Physical Therapy Supervision And Physical Therapy Productivity In Skilled Nursing Facilities, Dionne Degrande

Walden Dissertations and Doctoral Studies

Physical therapy (PT) educational programs are faced with the problem of securing thenecessary clinical experiences for their students, particularly in long-term care settings. Student physical therapists (SPTs) must complete clinical education requirements to graduate and transition from learner to entry-level practitioner. Clinical instructors (CIs) provide SPT supervision and are responsible for meeting industry-standard productivity expectations. There is the notion that SPTs negatively impact PT productivity, creating a reluctance for organizations to host SPTs for clinical experiences. This quantitative pilot study aimed to determine if there was a statistically significant difference between PT productivity with and without SPTs in skilled nursing …

Implementing Corporate Social Responsibility Strategies To Enhance The Profitability Of Firms, Franklin Alexander De La Rosa

Walden Dissertations and Doctoral Studies

Ineffective corporate social responsibility (CSR) strategies can negatively impact a company’s competitive advantage. A lack of competitive advantage may lead a business leader to experience poor performance and lost profits. Grounded in the stakeholder theory, the purpose of this qualitative multiple case study was to explore strategies some commercial banking, loan, and savings association leaders used to ensure successful CSR programs to enhance profitability. Participants comprised four leaders in Puerto Rico who successfully established CSR strategies to improve organizational profitability. Data were collected from semistructured interviews and banking websites. Thematic analysis was used to analyze the data. Three themes emerged: …

Resiliency Perceptions Of Women In Organizational Management, Brandi Dehart

Walden Dissertations and Doctoral Studies

Exploring the perceptions of women managers involving effective strategies to remain within their roles is essential to further understand resiliency. A literature gap exists regarding the resilience strategies of women managers to stay in leadership roles. The purpose of this qualitative single case study with embedded units was to explore perceptions of women managers with at least five years of experience in management regarding how they remained resilient throughout their careers. The overarching research question was developed to address the purpose of this qualitative single case study with embedded units. Qualitative data were collected from semistructured interviews with nine women …