Digital Commons Network^™

How Healthcare Big Data Analytics Information Asymmetry Influences Organizational Design Absorptive Choices, Neil Black

Walden Dissertations and Doctoral Studies

Although the relationship between big data analytics (BDA) organizational, firm, and financial performance is well supported, little attention has been paid in extant research to exploring the organizational design issues resulting from information asymmetry caused by BDA; in particular, organizational absorptive choices that include acquisitions, mergers, reorganization, executive changes, or board of director adjustments. The purpose of this qualitative single case study within a U.S. hospital was to explore the conditions and circumstances that influence absorptive organizational design choices of hospital administration. The theoretical base of this study is Pfeffer and Salancik’s resource dependence theory (RDT). Logic model data analysis …

Association Between Covid-19 Health Knowledge, Self-Efficacy And Preventive Behaviors Among Nursing Students, Josephine Miane Britanico

Walden Dissertations and Doctoral Studies

Abstract Nursing students possess valuable public health knowledge to prevent the spread of COVID-19 infection. They can provide health education to the public with reliable information and adequate resources. To better understand the role nursing students can take in prevention efforts, the purpose of this quantitative correlational study was to examine the association between COVID-19 health knowledge, self-efficacy, and preventive behavior among undergraduate nursing students. The health belief model was the theoretical framework that guided this study. The primary research questions assessed (a) if there was a statistically significant association between COVID-19 health knowledge and preventive behavior among nursing students, …

Mental Health Utilization Among Former Pregnant And Parenting Teen Mothers, Chana Danielle Campbell

Walden Dissertations and Doctoral Studies

Teen pregnancy and parenting at an early age can create numerous emotional stressors. Despite the documented need for mental health services among pregnant and parenting mothers, utilization rates of mental health services remain low. The purpose of this generic qualitative study was to explore the experiences of pregnant and parenting mothers who utilized mental health services. Bandura’s social learning theory was used to explore how the experiences, perceptions, learned behaviors, thoughts, and beliefs surrounding mental health services impacted teen mothers’ experiences with mental health utilization. One-on-one interviews were conducted with eight teen mothers or other young mothers who had given …

Exploration Of Nurses' Knowledge About Healthcare For Transgender Patients, Elizabeth Kempt

Walden Dissertations and Doctoral Studies

AbstractThe transgender population is growing, and along with the population growth, the healthcare needs for gender transitioning of both medical and surgical procedures. Registered nurses (RNs) who care for hospitalized transgender patients are required to be knowledgeable about their care, yet little is known about what nurses know about the healthcare of the transgender patient. The purpose of this basic qualitative study, guided by Benner’s novice to expert theory, was to explore the knowledge and perceptions of RNs regarding healthcare of transgender persons undergoing transition to the opposite gender. Social media and snowball sampling were used to recruit 10 RNs …

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 …

Gender Dynamics In The Management Care Of Internally Displaced Persons: The Boko Haram Insurgency, Evelyn Kikelomo Ikuenobe Otaigbe

Walden Dissertations and Doctoral Studies

The Boko Haram asymmetric insurgency and warfare have decimated the Northeastern region of Nigeria and its neighboring environs of Chad, Niger, and Benin. The purpose of this study was to explore the peculiar socioethnic and cultural challenges encountered by female victims of Boko Haram terrorism at internally displaced persons camps in Abuja, Nigeria, including challenges in functioning, relocating, and acclimating back into society. A phenomenological approach was applied to understand participants’ lived experiences. Data collection occurred through interviews and observation. Data analysis involved the synthesis of narratives, and generation of themes. Among the emergent themes were poor feeding; lack of …

Examining Psychosocial Characteristics Of Female Serial Murderers, Rachael Strebel

Walden Dissertations and Doctoral Studies

Previous studies of serial murderers have focused primarily on male serial murderers.The reason for this is unknown, but is primarily reflective of media patterns, gender roles, and social norms that often exclude females from conversations surrounding female serial murder. This study focused on the psychosocial characteristics of female serial murderers. Both solo female serial murderers and serial murderers who worked with one partner were studied. Using a grounded theory approach, based on the review of 11 secondary data case studies, 12 female serial murderers were studied; six who murdered individually and six who murdered within a team. Six main themes …

U.S. Senate And House Perspectives On Missile Defense Systems Opposed By Russia And China, Constance Valarie Baroudos

Walden Dissertations and Doctoral Studies

The United States and its allies and partners have deployed three missile defense systems to protect against Iranian and North Korean missile threats: the European Phased Adaptive Approach, Terminal High Altitude Area Defense, and Ground-based Missile Defense. Russia and China oppose these systems because they view them as undermining their strategic interests. The purpose of the present study was to better understand the perspectives of Senate and House Armed Services Committee HASC members about the three missile defense systems in congressional hearings. The three models of the congressional behavior model, the preference, simple party, and asymmetric categories, and neorealism and …

Public Policy And African American Victims Of Inner-City Violence, Michael Andrew Benson Sr.

Walden Dissertations and Doctoral Studies

The effects of being victimized or being a witness to a violent traumatic event without the support of public institutions, such as criminal justice, social service agencies, and mental health care clinics has led to post-traumatic stress disorder (PTSD). The purpose of this study was to explore the barriers and success factors for victims of inner-city violence as it related to access to public administration institutions to address their victimization. Self-efficacy theory was used as the theoretical foundation, and the study’s research question focused on victimization and access to public policy institutions. The study used a qualitative design with 10 …

Personal Hardiness As An Unexamined Component Of The Healthy Volunteer Effect, Angelique E. Blann

Walden Dissertations and Doctoral Studies

Clinical trials are the standard for approving medicines for public use. To conduct trials, researchers depend on a declining number of volunteers. The healthy volunteer effect, a phenomenon in which participants demonstrate better outcomes than their peers, limits the generalizability of trial outcomes. The healthy volunteer effect does not fully explain the outcome difference between volunteers and nonvolunteers. The purpose of this cross-sectional quantitative study was to examine personal hardiness as an unexplored component of the healthy volunteer effect and determine whether personal hardiness is associated with willingness to participate. Hardiness was a personality construct that represented resilience to stress. …

Succession Planning Strategies For Nonprofit Organizations, Chandler Campbell

Walden Dissertations and Doctoral Studies

Nonprofit organizations are cornerstones in the community that contribute to improving environments, communities, persons, and life overall. However, some nonprofit organization senior leaders lack the succession planning strategies, resources, and funding to continue serving as positive social change agents in the community. Grounded in the general systems theory, the purpose of this qualitative single case study was to explore business strategies nonprofit leaders use for succession planning. The participants included three senior leaders in a nonprofit located in the northeastern region of the United States who have indirectly or directly implemented succession planning strategies. Data were collected through semistructured interviews, …

Environmental Factors And Breast Cancer Mortality, Joel Collazo Rodriguez

Walden Dissertations and Doctoral Studies

Breast cancer is a public health problem in the United States that impacts diverse ethnic female groups in different ways regarding incidence and mortality. Much is known about the factors increasing the risk of developing breast cancer, but little is known about those that increase the chances of dying from it, other than access to health care, screening, and appropriate treatment. This study aimed to understand the association between exposure to Environmental Protection Agency-regulated air pollutants and breast cancer mortality, including how the interaction between these air contaminants impacts the outcome of interest, considering median income, education level, and percentage …

The Relationship Between Adolescent Stress In Five Domains And Depression: Rumination As A Moderator, Crystal Victoria Lupo

Walden Dissertations and Doctoral Studies

Prior to this study, understanding the impact of rumination as a moderating factor in predicting the interaction between specific domains of stress and adolescent depression remained largely unknown. Guided by the theoretical frameworks of response style theory of depression, control mastery theory, and diasthesis stress model, the purpose of this quantitative nonexperimental study was to examine the link between five domains of adolescent stress (i.e., school, family, peers, appearance, and sports) and depression, the relationship between rumination and depression, and the moderating effect of rumination on these relationships. Participants included previously data collected from 635 adolescents from a midwestern U.S.city. …

Determining Strategies For Cost Effectiveness In Sustainable Healthcare Delivery – An Emerging Market Study, Francis Ikechukwu Igbo

Walden Dissertations and Doctoral Studies

AbstractSome South African healthcare managers and physicians find sustaining quality, cost-effective healthcare services challenging. Healthcare leaders are concerned about the high cost of healthcare as it can negatively impact sustainability and patient outcomes. Grounded in the cost-effectiveness theory and complex adaptive system theory, the purpose of this qualitative multiple-case study was to explore strategies some South African healthcare leaders use to sustain healthcare delivery in lower- and middle-income countries. The participants were five healthcare practitioners in rural areas of South Africa. Data were collected through semistructured interviews and secondary data sources. Thematic analysis of the data yielded four themes: patients’ …

A Qualitative Study Of Urban Male Perception And Definition Of Respect For Law Enforcement Officers, Kyla Duckworth Lurry

Walden Dissertations and Doctoral Studies

Among African American males, deaths are alarmingly high for reasons that cannot be completely pinpointed. The purpose of this study was to analyze the definition and perception of respect and law enforcement by an African American male and to determine if Goffman’s dramaturgical model is sufficient to explain the social acceptance respect phenomena. Micro-sociological assessments of everyday social interactions are often based on dramaturgy, a sociological perspective. In a dramaturgical model, social interaction is analyzed as an actor’s performance on stage. This study employed a qualitative design so that the research questions could be answered. Based on the findings of …

The Quality Of Life Of Menopausal Women With Polycystic Ovary Syndrome, Glendoria Stephens

Walden Dissertations and Doctoral Studies

Polycystic ovarian syndrome (PCOS) is a severe public and clinical health issue that puts a strain on health care resources and adversely affects the health of women throughout their life span. The syndrome has adverse reproductive and metabolic features linked to infertility, heart disease, cancer, diabetes, and psychological problems. The literature provides evidence that the quality of life (QoL) and psychological well-being of PCOS reproductive-age women is compromised due to comorbidities related to both the reproductive and metabolic features of the syndrome. Little research has been conducted to investigate the QoL of menopausal women ages 48–65 who were diagnosed with …

Gender-Based Hiv Epidemic, Care Retention, And Medication Adherence In South-South Nigeria, Iniobong U. Akai

Walden Dissertations and Doctoral Studies

AbstractWomen 15-24 years of age globally have a 60% higher rate of human immunodeficiency virus (HIV) infection than men and account for over half of the population of people living with HIV worldwide. In Akwa Ibom State (AKS), Nigeria, more women than men are infected and living with HIV despite being the minority. The socioecological model and HIV treatment cascade framework formed the theoretical foundation for the study. The purpose of the study was to explore the impact of gender on the drivers of the HIV epidemic in AKS using data from the AKS AIDS Indicator Survey. I examined the …

What Contributes To A Military Veteran Turned College Instructor's Job Satisfaction?, Elizabeth Button

Walden Dissertations and Doctoral Studies

Veterans may seek a second job after retirement or separation from military service. Some choose to seek employment in the field of education and earn the appropriate credentials to do so. If so, they bring motivation, leadership skills, and emotional intelligence (EI) to the classroom. While EI might be a complement to education, it is essential in the military, and veterans continue to use these attributes as they pursue employment in areas of education. The extra steps that former military service personnel must take to transition from the battlefield to the classroom, their immersive experience in the real world, and …

Educating Registered Nurses On Interventions To Alleviate Compassion Fatigue, Andre Sabrina Castor

Walden Dissertations and Doctoral Studies

Walden University

College of Nursing

This is to certify that the doctoral study by

Andre Sabrina Castor

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 CommitteeDr. Marilyn Losty, Committee Chairperson, Nursing Faculty Dr. Cheryl Holly, Committee Member, Nursing Faculty Dr. Susan Fowler, University Reviewer, Nursing Faculty

Chief Academic Officer and Provost Sue Subocz, Ph.D.

Walden University2022

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 …

Evacuation Emergency Management During Hurricane Katrina: A Decision-Making Analysis, Kimberli Roessing-Anderson

Walden Dissertations and Doctoral Studies

Emergency management policy is useful when it involves the stakeholders it serves in the decision-making process. The death toll for Hurricane Katrina in 2005 was almost 2,000 people. Many of the dead and injured lived in low-income communities. There were significant challenges with the evacuation of residents of the Ninth Ward of New Orleans during Hurricane Katrina. Like many public policies, emergency management has evolved over time. Periodically, a catalyst event, such as Hurricane Katrina, shapes public opinion and eventually public policy and its administration. Punctuated equilibrium theory was used to examine the decision-making process of Ninth Ward residents to …

Effective Business Survival Strategies Among Women-Owned Small And Medium Enterprises After A Natural Disaster, Clorinda Valentina Sanders

Walden Dissertations and Doctoral Studies

Women business owners (WBOs) who experience natural disasters face significant challenges, such as disruption of business operations, damage, or detriment to infrastructure, decreased revenue, and low customer confidence. WBOs are concerned with business continuity and the social and economic impact of natural disasters in their communities. Grounded in the resource-based view and marketing entrepreneurship theories, the purpose of this qualitative multiple case study was to explore strategies WBOs of small and medium enterprises (SMEs) use to survive a natural disaster. The participants were four women SME owners in northeast Florida who implemented strategies to maintain business continuity during and after …

Informal Caregivers’ Experiences Of Caring For Older Adults Diagnosed With Urinary Tract Infections, Novelett M. Stennett-James

Walden Dissertations and Doctoral Studies

Informal caregivers’ experiences of caring for older adults diagnosed with a urinary tract infection (UTI) is a prevalent issue that affects adults as they age. The purpose of this generic qualitative study was to understand informal caregivers’ experiences observing and reporting to doctors observable changes of behavior in older adults that were later linked to unconventional symptoms of potential UTIs. Attribution theory was used as the theoretical framework for this study. This qualitative study addressed the research question of informal caregivers’ experiences observing and reporting to doctors observed changes in older adults associated with unconventional UTI symptoms. Data were collected …

Veterans’ Experience With Social Acceptance After Beginning Civilian Employment, Dr. Mike Smith

Walden Dissertations and Doctoral Studies

AbstractWhen an individual feels excluded from a group that they seek to be a part of, they experience negative physiological and psychological outcomes. The innate human need to be socially accepted is identified and described in elements of Maslow’s hierarchy of needs and McClelland’s human motivation theory. Social acceptance has also been shown to play an integral role in areas of communication, organizational commitment, performance, and team cohesiveness. However, it is not known if social acceptance directly impacts a veteran’s ability and desire to maintain civilian employment after transitioning from active-duty service. Therefore, the purpose of this qualitative, phenomenological study …

Moral Injury Themes Involving Criminal Recklessness Among Adults With Alcohol Use Disorder, Sandra Starch

Walden Dissertations and Doctoral Studies

Moral injury (MI) can emerge following transgressive acts against one’s deeply held moral beliefs. Its symptomology involves individual psychological, spiritual, behavioral, and social spheres. It has primarily been studied within the military and in a few select civilian populations. This descriptive phenomenological study involved exploring MI themes among adults with alcohol use disorder (AUD) who had engaged in criminally reckless acts. Data collected from semi-structured interviews with eight participants were coded and analyzed, leading to six major themes revealing the symptomology of MI. Responses from study participants supported Festinger’s theory of cognitive dissonance via their descriptions of alcohol abuse cycles …

Strategies For Diverse Membership Recruitment And Retention In Nonprofit Organizations, Portia G. Smith

Walden Dissertations and Doctoral Studies

Incorporating diversity is essential to the survival of nonprofit organizations. This qualitative single case study was important to membership-based nonprofit organization leaders because recruitment and retention strategies contribute to organizational diversity. Grounded in critical multicultural marketing theory, the study was conducted to explore the strategies that nonprofit organization leaders used to recruit and retain a diversified membership. Data were collected from three participants, who were nonprofit organization leaders in the eastern United States, through semistructured interviews, and review of organizational documents and reports, social media, and internet reports. The data were thematically analyzed and two themes emerged: (a) recognition and …

Middle School Teacher Perceptions Of The Use Of Serious Games For Students With Attention Deficit Hyperactivity Disorder, Latoyia R. Stewart

Walden Dissertations and Doctoral Studies

Attention deficient hyperactivity disorder (ADHD) is the most common childhood neurodevelopment disorder, and digital serious game use has recently shown significant promise in this psychotherapeutic area. Digital serious games have also been used as an innovative teaching and learning approach. The purpose of this study was to explore middle school teachers’ perceptions of the use of digital serious games for students with ADHD. The conceptual framework for this study was Sherry’s model of game engagement. The two research questions for this basic qualitative study focused on middle school teacher perceptions regarding the benefits and challenges related to the use of …

Perinatal Nursing Education Related To Opioid Use Disorder, Britney Taniguchi

Walden Dissertations and Doctoral Studies

Opioid use disorder (OUD) contributes to severe perinatal and neonatal morbidity and mortality in the United States, leading to alarming complications for pregnant women, mothers, and newborns. Complications the mother experiences with OUD include increased mortality, overdose, infections, endocarditis, narcotic bowel syndrome, and accident-related injury. Complications the newborn can suffer include neonatal abstinence syndrome, respiratory depression, microcephaly, and sudden infant death syndrome. Framed within the analysis, design, development, implementation, and evaluation model of instructional design, this project aimed to plan, implement, and evaluate a staff education program on opioid use disorder. The staff education program was presented to 13 perinatal …

An Evaluation Of A Community-Based Children’S Bereavement Group Using A Resilience Model, Ada Terry Denone Terry

Walden Dissertations and Doctoral Studies

The death of a loved one can be an extremely painful process that can have detrimental consequences on the emotional well-being of individuals if they don’t receive grief intervention support. When it specifically comes to the emotional eudaemonia of children and teens experiencing the death of a loved one, research is limited on empirical-based bereavement intervention support to enhance their coping skills. Utilizing the theoretical framework of resilience theory, the purpose of this quantitative secondary research study was to evaluate the Sutter Sacramento Children’s Bereavement Art Group (CBAG) ten- week intervention for children and teens ages 5-12. The first question …

Parenting Skills Of African American Young Mothers Who Transitioned From Foster Care, Tamesha Yvonne Townsend-Simmons

Walden Dissertations and Doctoral Studies

Prior research indicated there is an ongoing social issue in the United States for young single mothers with foster care experiences and their children. This group of women face poor economic and parenting outcomes without assistance from government resources in the form of effective parenting programs. Yet programming lags and there are ongoing assumptions about young mothers' in foster care parenting skills and abilities. The purpose of this qualitative multiple-case study was to better understand the development of parenting skills among a selected group of African American adult young mothers who transitioned from foster care to independence and motherhood between …