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2023

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Relationship Between Homelessness, Substance Use, Employment, Living On A Reservation And Tuberculosis Among Northern Plains Native Americans, Darla Mccloskey Jan 2023

Relationship Between Homelessness, Substance Use, Employment, Living On A Reservation And Tuberculosis Among Northern Plains Native Americans, Darla Mccloskey

Walden Dissertations and Doctoral Studies

Native Americans in the Northern Plains have a long history of tuberculosis (TB) infections. There is limited research on the causes of latent TB infections (LTBI) and TB in this population. The purpose of this quantitative study was to assess the relationship between latent TB and factors of homelessness, substance use, employment, living on a reservation, and active or latent TB among this population using the eco-social theory as the theoretical framework. Data from 146 TB cases of Native Americans living in the Northern Plains and diagnosed with TB from 1999 to 2019 were analyzed using chi-square tests that showed …


Factors For Lgbt College Students That Predict Academic Success, Jonathan Mccormick Jan 2023

Factors For Lgbt College Students That Predict Academic Success, Jonathan Mccormick

Walden Dissertations and Doctoral Studies

Much research has been done on LGBT students in relation to campus climate and academic achievement, which suggested that a positive campus climate may positively influence students’ academic success. However, no research has yet been done to understand the value of campus climate, student levels of depression anxiety and stress, and student level of outness for predicting academic success. This quantitative study examined campus climate, depression, anxiety, and stress levels, and student level of outness together in their ability to predict self-reported grade point average of LGBT college students. Basic Psychological Needs Theory, a sub theory of Self-Determination Theory, was …


Administrator, Faculty, And Veteran Student Perspectives On Barriers Faced By Veterans In Higher Education, Christie Marie Mcdonald Jan 2023

Administrator, Faculty, And Veteran Student Perspectives On Barriers Faced By Veterans In Higher Education, Christie Marie Mcdonald

Walden Dissertations and Doctoral Studies

AbstractMilitary veterans’ prior experiences can impact their study experiences and result in barriers to entering higher education. Prior research on veteran student barriers in higher education has not included the perspectives of faculty and administrators in addition to veterans. The purpose of this basic qualitative study was to explore the barriers that veteran students face in higher education and how those barriers could be addressed. The research questions focused specifically on the perspectives of administrators, faculty, and veterans on the barriers veteran students face and how those barriers could be addressed. The conceptual framework included Tinto’s student integration model and …


The Relationship Between Chlamydia, Gonorrhea, Syphilis And Race, Gender, And Age, Johnny James Mcgrew Jan 2023

The Relationship Between Chlamydia, Gonorrhea, Syphilis And Race, Gender, And Age, Johnny James Mcgrew

Walden Dissertations and Doctoral Studies

The purpose of this quantitative correlational design using secondary data from Colorado Department of Public Health and Environment was to examine the relationship between different types of sexually transmitted infections (STIs), specifically, chlamydia, gonorrhea, and syphilis, and race, gender, and age in the United States. This study is significant because it could assist medical personnel to focus on more personally-based STI treatments. This study could also lead to a call for more research regarding sexual health programs across the nation, individuals’ willingness to share personal information regarding STIs, and how sexual health programs could increase testing for STIs. The study …


Perceptions Of Women Of Color Improving Patient Outcomes Through Hospital Leadership Advancement, Benita A. Mclarin Jan 2023

Perceptions Of Women Of Color Improving Patient Outcomes Through Hospital Leadership Advancement, Benita A. Mclarin

Walden Dissertations and Doctoral Studies

Women of color have been underrepresented in hospital leadership positions and face challenges in advancing their careers. The benefit to hospitals providing women of color with training and support to move into leadership positions may be improved patient outcomes. Grounded in the interactional model of cultural diversity framework, the purpose of this basic qualitative study was to explore the perceptions of women of color advancing in leadership roles in hospitals and their impact on patient outcomes. The study participants included 16 women of color in leadership positions from hospitals in a western U.S. state. Data were collected through semi structured …


Consideration Of Mindfulness Intervention For Hispanic Adolescents In A School Setting, Kierra Mcshine Gregory Jan 2023

Consideration Of Mindfulness Intervention For Hispanic Adolescents In A School Setting, Kierra Mcshine Gregory

Walden Dissertations and Doctoral Studies

Hispanic adolescents’ accessibility to treatment options for depression is met with limitations associated with financial barriers and cultural misalignment. This research study aimed to bring to light an alternative psychotherapy treatment through the foundations of mindfulness interventions. The goal was to understand the experience of Hispanic adolescents when engaging in mindfulness in a school setting. The purpose of this study was to gather information about the experiences of Hispanic adolescents using mindfulness to support mental health practitioners, school counselors, and behavioral interventionists to provide treatment options that are accessible and meet the needs of this culture group. This explanatory case …


Organizational Strategies And Best Practices For Telehealth Delivery During Covid-19, Maria D. Mejia Jan 2023

Organizational Strategies And Best Practices For Telehealth Delivery During Covid-19, Maria D. Mejia

Walden Dissertations and Doctoral Studies

Organizational Strategies and Best Practices for Telehealth Delivery during COVID-19


Faith-Based Leaders’ Perception On The Need For Active Assailant Contingency Planning, Tanzania Merriweather Jan 2023

Faith-Based Leaders’ Perception On The Need For Active Assailant Contingency Planning, Tanzania Merriweather

Walden Dissertations and Doctoral Studies

Violence is identifiable as a common threat to public and community safety. Violent incidents have had an extensive history within society and are especially concerning when orchestrated against religious institutions. There is existing research concerning massive violent incidents in sanctuaries and churches; however, there is limited research on the perceptions of religious leaders on the need for safety planning to prepare for and combat these incidents. This phenomenological study was completed to explore the perceptions of eight faith-based leaders on the need for safety contingency planning for sanctuaries and churches. The research questions posed for this study were designed to …


Fall Prevention On The In-Patient Neurological Stroke Unit, Syvol Letwan Middleton Jan 2023

Fall Prevention On The In-Patient Neurological Stroke Unit, Syvol Letwan Middleton

Walden Dissertations and Doctoral Studies

AbstractThe purpose of this quality improvement (QI) evaluation project was to decrease patient falls on a neurological stroke unit. This unit had the most falls throughout the hospital system. The unit averaged 50-60 falls per year with an average of 4.75 falls per month. Guided by Neumann’s system model, the project targeted those patients at the highest risk for falling related to deficits post-stroke and post-neurological disease process. Staff were informed about Last fall, Express needs, Awareness of safety, and Frequency of bowel and bladder (LEAF) to determine if this tool could decrease falls in the neurological stroke population patients. …


Viewpoints Of Classroom Teachers On Educational Issues Of Students With Interrupted Formal Education, Farah Merzier-Baudin Jan 2023

Viewpoints Of Classroom Teachers On Educational Issues Of Students With Interrupted Formal Education, Farah Merzier-Baudin

Walden Dissertations and Doctoral Studies

AbstractMost research on students with interrupted formal education (SIFE) and English language learners (ELLs) documents their struggle with higher attrition rates and behavioral issues in high school. This qualitative study was conducted to examine high school teachers’ perspectives working with SIFE/ELLs in the classroom. Vygotsky’s sociocultural theory (SCT) indicated that students benefit from classrooms with high social interaction among all classroom participants and appropriate scaffolding of learning materials. Although SCT and most research focused on the students’ perspectives, this research focused on teachers’ perspectives. Data were collected from semistructured, open-ended interviews with 20 participants who teach or work with SIFE/ELLs. …


Caucasian Social Workers’ Cultural Competence Regarding Advance Care Planning Among Southern African Americans, Lisa Mitchell Jan 2023

Caucasian Social Workers’ Cultural Competence Regarding Advance Care Planning Among Southern African Americans, Lisa Mitchell

Walden Dissertations and Doctoral Studies

Caucasian social workers who work in healthcare and implement advance care planning (ACP) may not be competent regarding African Americans’ reluctance to complete advance directives. Research is lacking on how Caucasian social workers in Louisiana are increasing their cultural competence regarding the interplay of historical trauma, past medical mistrust, and spiritual beliefs on African Americans’ use of ACP. This study explored how Caucasian social workers are increasing their cultural competence regarding the interplay of historical trauma, past medical mistrust, and spiritual beliefs on African Americans’ use of ACP. The conceptual framework that guided this study was the cultural competence model. …


Relationship Between Strategic Dexterity, Absorptive Capacity, And Competitive Advantage, Ifechide Monyei Jan 2023

Relationship Between Strategic Dexterity, Absorptive Capacity, And Competitive Advantage, Ifechide Monyei

Walden Dissertations and Doctoral Studies

Small- and medium-sized enterprise (SME) manufacturing executives and managers are concerned with the rapid technological changes involving artificial intelligence (AI), machine learning, and big data. To compete in the global landscape, effectively managing digital and artificial intelligence changes among SME manufacturing executives and managers is critical for leaders to compete in 2023 and beyond. Grounded in the dynamic capabilities view theory, the purpose of this quantitative correlation study was to examine the relationship between strategic dexterity, absorptive capacity, and competitive advantage. The participants were 66 executives and managers of SME manufacturing organizations who use big data and analytics daily and …


Maternal-Early-Warning-System Education To Improve Registered Nurse Knowledge Of And Appropriate Responses To Triggers, Dawn Marie Moore Jan 2023

Maternal-Early-Warning-System Education To Improve Registered Nurse Knowledge Of And Appropriate Responses To Triggers, Dawn Marie Moore

Walden Dissertations and Doctoral Studies

The maternal early warning system (MEWS) is the single most reliable response tool to improve maternal outcomes in obstetrics. Recognition and response by nurses to the MEWS triggers was worrisome at the project site as the MEWS trigger to detect changes in the clinical conditions in obstetric patients was not applied consistently at the bedside. This project was developed to evaluate whether providing an education program on the application of MEWS to nurses in obstetrics at the practicum site would improve registered nurses’ knowledge of and appropriate responses to the MEWS trigger alarms. A literature search targeting the key words …


Analyzing Small Business Strategies To Prevent External Cybersecurity Threats, Dr. Kevin E. Moore Jan 2023

Analyzing Small Business Strategies To Prevent External Cybersecurity Threats, Dr. Kevin E. Moore

Walden Dissertations and Doctoral Studies

Some small businesses’ cybersecurity analysts lack strategies to prevent their organizations from compromising personally identifiable information (PII) via external cybersecurity threats. Small business leaders are concerned, as they are the most targeted critical infrastructures in the United States and are a vital part of the economic system as data breaches threaten the viability of these organizations. Grounded in routine activity theory, the purpose of this pragmatic qualitative inquiry was to explore strategies small business organizations utilize to prevent external cybersecurity threats. The participants were nine cybersecurity analysts who utilized strategies to defend small businesses from external threats. Data were collected …


Parenting From Juvenile Confinement: Adults’ Reflections On Their Juvenile Experience, Lakeasha R. Moore Jan 2023

Parenting From Juvenile Confinement: Adults’ Reflections On Their Juvenile Experience, Lakeasha R. Moore

Walden Dissertations and Doctoral Studies

AbstractMass incarceration in the United States has resulted in an estimated 19.7 million youth living in fatherless homes. Incarcerated juvenile fathers are contributing to that number. Juvenile fathers who are incarcerated is a socially pertinent topic with significant implications, yet child developmental scholars understudy it. This phenomenological qualitative study was conducted to fill this gap by exploring the lived experiences of adults who, as juveniles, were incarcerated fathers and how they coped with social and emotional stressors while attempting to balance adolescence and defining fatherhood. Five adult males were interviewed and asked a series of four demographic and 18 semistructured …


Physical Therapy Graduate Perceptions Of The Didactic Use Of Goreact Video Assessment Software And Work Readiness, Jacqueline Moore Jan 2023

Physical Therapy Graduate Perceptions Of The Didactic Use Of Goreact Video Assessment Software And Work Readiness, Jacqueline Moore

Walden Dissertations and Doctoral Studies

Physical therapy (PT) education programs adopting online teaching and learning must ensure students acquire the necessary skills for optimal professional work readiness, including appropriate assessment and feedback in the online environment. The problem addressed in this study is the gap in research related to the use of GoReact video assessment software and how its use relates to Doctor of Physical Therapy (DPT) program graduates' professional clinical work readiness. The purpose of this basic qualitative study was to explore the perceptions of DPT graduates' professional work readiness from using GoReact at an accredited DPT education program in the United States. The …


Relationship Between Race, Collectivistic/Individualistic Attitudes, Internet Addiction, And Nomophobia Among College Students, Nefretiti Morant Jan 2023

Relationship Between Race, Collectivistic/Individualistic Attitudes, Internet Addiction, And Nomophobia Among College Students, Nefretiti Morant

Walden Dissertations and Doctoral Studies

Internet and social media misuse contributes to negative mental health outcomes among young adults. Because research suggests that cultural attitudes may influence Internet use, using Hofstede’s cultural dimension theory as the foundation, the purpose of this study was to examine the extent to which race and collectivistic/individualistic cultural attitudes predict Internet addiction and nomophobia. The sample included 250 college students (140 Caucasian, 110 African American) between the ages of 18 and 22. Participants completed the Horizontal & Vertical Individualism Collectivism II scale, the Internet Addiction Test, and the Nomophobia Questionnaire. The results revealed that race was a predictor of Internet …


Experiences Of New Graduate Nurses Who Transitioned To Practice Using Virtual Conferencing Software, Sara Moran Jan 2023

Experiences Of New Graduate Nurses Who Transitioned To Practice Using Virtual Conferencing Software, Sara Moran

Walden Dissertations and Doctoral Studies

Orientation is a pivotal moment for new graduate nurses as they transition into the acute care setting. The COVID-19 pandemic changed in-person orientation to virtual orientation, but little is known about the experiences of new graduate nurses who attended the virtual orientation process. The purpose of this qualitative interpretive descriptive study, guided by Duchscher’s theory and the technology adaptation model 2, was to understand the experiences of new graduate nurses who transitioned to practice utilizing video-based conference software for nursing orientation. Twelve new graduate nurses were interviewed using virtual conferencing software. Data were analyzed using interpretive description and then were …


Financial Aid As A Predictor For Retention Of First-Year Black Male Community College Students, Malcom Jamar Morgan-Petty Jan 2023

Financial Aid As A Predictor For Retention Of First-Year Black Male Community College Students, Malcom Jamar Morgan-Petty

Walden Dissertations and Doctoral Studies

AbstractBlack male students are retained in higher education at less than half the rate of their Hispanic and White counterparts. At Southwestern Community College (SWCC, a pseudonym), there were indicators that the amount of financial aid received was related to retention; however, the extent of the relationship was unknown. The purpose of this nonexperimental quantitative correlational study was to examine the relationship between the amount of financial aid received and the retention of first-to-second-year Black male students at SWCC. Bean and Metzner’s model of nontraditional undergraduate student attrition provided the theoretical foundation. The research question sought to clarify the extent …


Manufacturing Business Managers' Strategies To Increase Employee Engagement, Jennifer Morgan-Petgrave Jan 2023

Manufacturing Business Managers' Strategies To Increase Employee Engagement, Jennifer Morgan-Petgrave

Walden Dissertations and Doctoral Studies

AbstractEmployee engagement is critical for manufacturing businesses to achieve higher productivity, competitive advantage, and sustainability. Manufacturing business managers who implement effective strategies can potentially enhance employee job satisfaction to increase employee engagement. Grounded in Kahn’s personal engagement theory, the purpose of this qualitative multiple-case study was to explore strategies manufacturing business managers use to increase employee engagement. The participants were four manufacturing business managers from two manufacturing businesses in the southeastern region of Jamaica who successfully implemented strategies to increase employee engagement. Data were collected from semistructured interviews and company documents. Yin’s five-phase process was used to analyze data. Three …


Teachers’ Perceptions Of Social Emotional Learning Instruction And High Residential Mobility Students’ Reading Literacy, Janel Dorene Morris Jan 2023

Teachers’ Perceptions Of Social Emotional Learning Instruction And High Residential Mobility Students’ Reading Literacy, Janel Dorene Morris

Walden Dissertations and Doctoral Studies

Based on recommendations from research, leaders in a north Texas public school district implemented social emotional learning (SEL) to address academic gaps among high residential mobility (HRM) students. Incorporating SEL instruction improves academic achievement 11 percentile points on average; however, in Adoniram School District (ASD), 2021 passing rates fell 8% from 2019 despite adopting SEL curriculum. The purpose of this qualitative case study was to explore how ASD elementary teachers instructed SEL, and their perceptions of how SEL techniques influenced HRM elementary students’ reading literacy development. The study on social and emotional skills (SSES) conceptual framework guided this study because …


Perceptions And Knowledge Of Information Security Policy Compliance In Organizational Personnel, Jesus M. Mosqueda Jan 2023

Perceptions And Knowledge Of Information Security Policy Compliance In Organizational Personnel, Jesus M. Mosqueda

Walden Dissertations and Doctoral Studies

All internet connected organizations are becoming increasingly vulnerable to cyberattacks due to information security policy noncompliance of personnel. The problem is important to information technology (IT) firms, organizations with IT integration, and any consumer who has shared personal information online, because noncompliance is the single greatest threat to cybersecurity, which leads to expensive breaches that put private information in danger. Grounded in the protection motivation theory, the purpose of this quantitative study was to use multiple regression analysis to examine the relationship between perceived importance, organizational compliance, management involvement, seeking guidance, and rate of cybersecurity attack. The research question for …


Effects Of Statewide Sex Education Laws On Health Behaviors, Adam Shane Mullis Jan 2023

Effects Of Statewide Sex Education Laws On Health Behaviors, Adam Shane Mullis

Walden Dissertations and Doctoral Studies

Data suggested that abstinence-only education (AOE) was not an effective form of sex education compared to abstinence plus (AP) or comprehensive sex education (CSE). However, there was a dearth of research regarding how state sex education policies affect sixth, seventh, and eighth grade student behaviors. This study involved investigating how state policies impact sexual health behaviors of this population. The theoretical framework for this study was the socioecological model (SEM), which was used to assess how policies impact sexual behaviors. Research questions involved sex education policies and their impacts on condom use as well as age and number of sexual …


Pancreatic Cancer: Quantitative Study Investigating The Regional Risk Factors In North Carolina, Holly Marie Myers Jan 2023

Pancreatic Cancer: Quantitative Study Investigating The Regional Risk Factors In North Carolina, Holly Marie Myers

Walden Dissertations and Doctoral Studies

Pancreatic cancer is the fourth-leading cause of cancer-related deaths in the United States, killing more than 90% of individuals diagnosed within 5 years. Due to the lack of signs and symptoms, 82% of all pancreatic cancer cases are diagnosed in terminal stages. As such, the most powerful method to reducing the morbidity and mortality of pancreatic cancer is to further investigate the risk factors. According to the theoretical framework of the ecosocial theory, long-term exposure to exposures to unfavorable socioecological and environmental factors serve as a “web of causation” for adverse health outcomes. Using data from the North Carolina Department …


Relationship Between Substance Use, Alcohol, And Posttraumatic Stress Disorder Symptoms In Law Enforcement, Vanessa Nash Jan 2023

Relationship Between Substance Use, Alcohol, And Posttraumatic Stress Disorder Symptoms In Law Enforcement, Vanessa Nash

Walden Dissertations and Doctoral Studies

Law enforcement officers are plagued by a variety of traumatic incidents and organizational stressors. As a result, officers are more likely to use maladaptive coping skills and develop stress-related disorders. The purpose of this study was to identify the predictive relationship between substance use, alcohol use, and posttraumatic stress symptoms (PTSS)/dissociation symptoms in 107 law enforcement officers using the Personal Observation Wellness and Evaluation Report- POWER Portfolio survey through an archival dataset. Lazurus and Folkman’s transactional model of stress and coping was used for the theoretical understanding of the current study. The independent variable for this study was PTSS as …


Elements Of Scholarly Writing Identified By Writing Center Tutors In The Health Sciences, Hideki Nakazono Jan 2023

Elements Of Scholarly Writing Identified By Writing Center Tutors In The Health Sciences, Hideki Nakazono

Walden Dissertations and Doctoral Studies

Postsession narrative notes written by professional tutors in a health sciences university writing center had never been analyzed to identify the most common elements noted as subpar in graduate students’ scholarly writing. The purpose of this basic qualitative study was to examine these notes to identify the most common elements noted as subpar in graduate students’ scholarly writing. The conceptual framework was Bloom’s original taxonomy. Hand coding of archival data was used to analyze 300 postsession narrative notes submitted by professional writing tutors during the fall trimester of 2022. Descriptive first-cycle coding was followed by pattern coding. The five most …


Strategies To Reduce The Impact Of Disruptions In Manufacturing Transportation Supply Chains, John Enyabe Ndone Jan 2023

Strategies To Reduce The Impact Of Disruptions In Manufacturing Transportation Supply Chains, John Enyabe Ndone

Walden Dissertations and Doctoral Studies

Abstract

Supply chain managers in the manufacturing transportation industry grapple with reducing the impact of disruptions in transportation supply chains since 50% of U.S. companies have experienced between six to 20 disruptions per year. Ineffective transportation disruption strategies negatively impact the performance and profitability of manufacturing organizations resulting in losses and business failure. Grounded in Goldratt’s philosophy and thinking process of the Theory of Constraints (TOC), the purpose of this qualitative multiple case study was to explore successful strategies supply chain managers in the manufacturing transportation industry used to reduce the impact of disruptions in transportation supply chains. The participants …


Age, Race/Hispanic Origin, And Covid-19 Mortality Among Sickle Cell Disease Patients In The United States, Joe Lamont Ndula Jan 2023

Age, Race/Hispanic Origin, And Covid-19 Mortality Among Sickle Cell Disease Patients In The United States, Joe Lamont Ndula

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic remains a global health challenge, with 6.7 million deaths worldwide as of January 2023. It has illuminated the health iniquities in underserved communities and populations like those with sickle cell disease (SCD). Researchers have associated the COVID-19 outcome among SCD patients in other regions of the globe. The purpose of this retrospective cross-sectional observational study was to investigate the relationship between age, race/Hispanic origin, and COVID-19 mortality among persons with SCD in the United States from January 2020 to March 2021. The Krieger ecosocial theory of disease distribution framed the study. Data were drawn from an existing …


The Correlation Between Nurse Staffing And Quality Of Care Outcomes Within Nursing Homes In Mississippi, Nyeshia Nelson Jan 2023

The Correlation Between Nurse Staffing And Quality Of Care Outcomes Within Nursing Homes In Mississippi, Nyeshia Nelson

Walden Dissertations and Doctoral Studies

The U.S. population aged 65 years old and older is steadily increasing. Some of thispopulation resides in nursing homes; thus, the necessity for quality care provided in nursing homes has increased. Consistent, quality care remains a constant challenge for the government, nursing home administrators, health care consumers, and researchers. Nurse staffing has been identified as a critical structural measure that affects the quality of care and outcomes in nursing homes. The purpose of this quantitative study was to examine the relationship between nurse staffing and quality of care outcomes in Mississippi’s nursing homes. Donabedian’s structure, process, and outcome (SPO) model …


An Association Of The Transgenerational Implications Of Redlining And Obesity On Pediatric Type Ii Diabetes, Carlin Dexter Nelson Jan 2023

An Association Of The Transgenerational Implications Of Redlining And Obesity On Pediatric Type Ii Diabetes, Carlin Dexter Nelson

Walden Dissertations and Doctoral Studies

s the prevalence and incidence of childhood obesity has increased, so has the number of cases of pediatric Type 2 diabetes mellitus (T2DM). Although made unconstitutional in 1968, the transgenerational implications of redlining can be observed in disinvestments resulting in neighborhood detraction. Utilizing the 2019–2020 National Children’s Health Survey, the purpose of the study was to evaluate the relationship between obesity, T2DM, and neighborhood detraction elements as well as assessed indicators of T2DM in non-institutionalized children 6 through17 years of age (N = 34,725). The social determinants of health perspective served as the conceptual framework for the study. Results indicated …