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Elementary Teachers’ Perceptions Of Evidence-Based Practices For Twice-Exceptional Students, Khadijah Muhammad

Walden Dissertations and Doctoral Studies

Twice-exceptional students (2E) are identified as having high aptitude and a disability, as classified by their state of residence. However, elementary school teachers are not consistently implementing evidence-based practices (EBPs) for kindergarten through fifth-grade 2E students, creating a gap in practice. The purpose of this qualitative study was to understand teachers’ perspectives regarding the challenges with and needed supports for consistently implementing EBPs for 2E students. Universal design for learning was the conceptual framework and the foundation for the study. A basic qualitative research design was used in this study to address research questions regarding elementary teachers’ perspectives on challenges …

Health Education Needs For Mortality Surveillance In Machakos County, Kenya, James S. Mwanza

Walden Dissertations and Doctoral Studies

Reporting mortality information is the primary data source from which evidence can be drawn to monitor disease trends and inform public health policy to improve population health. Still, only two-thirds of expected annual deaths are reported globally. Health education and promotion play a significant role in empowering communities to uptake public health services such as mortality surveillance. This qualitative descriptive study aimed to understand health workers’ (HWs’) perspectives regarding the need for health education to support mortality surveillance in Machakos County, Kenya. The capabilities, opportunities, and motivation for the behavior change model guided the study. Semi-structured interviews were used to …

Differences In Phq-9 Depression Severity Between Adults Receiving Ketamine Or Ketamine-Assisted Psychotherapy, Sophie Lake Oswin

Walden Dissertations and Doctoral Studies

Treatment-resistant depression (TRD) affects roughly 2.8 million or 1.1% of the United States population. Many traditional treatments of mental disorders including various types of psychotherapy and pharmacotherapy do not provide adequate symptom reduction for clients, and many clients diagnosed with TRD seek out nontraditional treatments such as ketamine and psychedelics for their antidepressant effects. Due to the dissociative nature of psychedelic medication wherein resistance is reduced, and a trance-like state is induced, ketamine-assisted psychotherapy (KAP) has great potential as an adjunct to ketamine therapy. Procedures of KAP have been in development for the last 7 years and a consensus on …

Nurses’ Perception Of Pain Assessment In Cognitively Impaired Older Residents In Long-Term Care, Abigail Owolabi

Walden Dissertations and Doctoral Studies

AbstractPain has been a significant problem in old age and is more problematic in cognitively impaired older residents (CIOR) because of their inability to express themselves. The goal of pain assessment in CIOR is to treat pain before it escalates to behavioral problems. This descriptive qualitative study aimed to explore nurses’ perceptions of pain assessment in CIOR in long-term care facilities. Watson’s theory of human caring was used to frame the study. A purposive sample of eight nurses was recruited from two long-term care facilities for interviews conducted using the telephone and continued until saturation was reached. Data was manually …

Money Laundering And Terrorist Financing Typologies That Reduce Financial Crime Risks, Sina Vinod Patel

Walden Dissertations and Doctoral Studies

The Covid-19 pandemic has increased concerns over money laundering and terrorist financing and their impacts on societies and the world’s finance and economic systems. Some financial institutions are failing to detect and track new emerging financial crime threats. The purpose of this qualitative descriptive case study was to identify predicate offense typologies that U.S. banking and financial services company compliance managers use to reduce the risks of money laundering and terrorist financing. To understand the concepts of predicate offense and financial crime risks, Gary Becker’s economic theory of criminal behavior was the conceptual framework that grounded this study. The population …

Examining Help-Seeking Intentions Among Female Veterans With Military Sexual Trauma, Elizabeth Pirone

Walden Dissertations and Doctoral Studies

An estimated 38.4% of military women have experienced military sexual trauma (MST) at some point in their careers. Because MST experiences can be confounding, navigating beliefs toward treatment resources and seeking help can be challenging. The problem under study was that no literature examined multiple constructs of the health belief model (HBM) together as a foundational tool to identify perceptions of help-seeking intentions among female veterans with MST experiences. Guided by the HBM, the purpose of this study was to examine the relationship between health motives, perceived severity of emotional or nervous problems, perceived benefits of getting help for emotional …

Understanding The Connection Between Male Intimate Relationship Narratives And Domestic Violence Convictions, Stephanie Purdy

Walden Dissertations and Doctoral Studies

Domestic violence (DV) continues to be a serious social challenge throughout the world. DV and recidivism rates are continuing to rise among individuals involved with intimate or familial relationships, with victims and perpetrators of all genders. This narrative inquiry study utilized narratives of intimate relationships among adult men, 18 years and older, who were convicted of domestically violent behaviors. The research question investigated participant experiences with female intimacy and how this was connected to domestically violent behaviors. The theoretical and conceptual frameworks were led by attachment and social learning theories, which were linked to understanding challenges with forming a less-than-positive …

Nurse Education Regarding Hypertension And Use Of A Follow-Up Call Protocol In Primary Care, Edwin Omar Rivera-Figueroa

Walden Dissertations and Doctoral Studies

AbstractMany patients whose primary or secondary chronic condition is hypertension present to their first follow-up appointment in a primary care facility in the north of Puerto Rico with uncontrolled high blood pressure. Nurses’ knowledge of hypertension is vital to addressing a gap in practice for this patient population and patient quality of life and the prevention of cardiovascular diseases. The practice-focused question guiding this project focused on a nurse educational session for increasing hypertension management knowledge as well as a follow-up phone call protocol that aimed to improve patient care. The theoretical framework guiding this project was Pender’s health promotion …

The Experiences Of Female Sexual Minority Service Members After 2013, Ada I. Rivera

Walden Dissertations and Doctoral Studies

In 2010, the United States Armed Forces ended the policy Don’t Ask, Don’t Tellthat excluded sexual minorities from being able to serve openly in the military. Full military benefits were extended to them and their family members in 2013. Despite these changes, victimization, stigma, and discrimination have continued to impact the lives of service members who identify as a sexual minority, as the result of microaggressions due to their sexual orientation. Past literature has examined experiences of sexual minorities, but little research has focuses on sexual minority women whose minority gender identity creates greater risk to experience micro assaults with …

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 …

Understanding U.S. Customers' Intention To Adopt Robo-Advisor Technology, Deborah Wall

Walden Dissertations and Doctoral Studies

Finance and information technology scholars wrote that there is a literature gap on what factors drive investors in Western financial markets to use a Robo-advisor to manage their investments. The purpose of this qualitative, single case study with embedded units is to understand the adoption intentions of retail investors in U.S. markets to use a Robo-advisor instead of a human advisor. A single case study design addressed the literature gap, and qualitative data from seven semi=structured interviews, reflective field notes, and archival data were triangulated to answer the research question. This study was grounded in a theoretical framework that includes …

Educating Nursing Staff On Code Lavendar, Melanie Gumapas Webb

Walden Dissertations and Doctoral Studies

The role of the nurse has changed considerably over the past decade. Nurses are facing alarming rates of burnout that is causing them to leave the profession prematurely. The practice-focused question was to determine if a nurse staff education program on Code Lavender that focused on wellness and resiliency strategies helped to decrease nurse burnout. The purpose of this doctor of nursing practice project was to educate nurses on an 11-bed inpatient oncology unit at a hospital located in Maryland. A comprehensive literature review was conducted utilizing several databases and using inclusive terms such as nurse burnout, wellness, patient safety …

Thirty-Second Mindful Body Scan Meditation For Bedside Nurses, Shruti Balwalli-Udyawer

Walden Dissertations and Doctoral Studies

Compassion fatigue, or secondary traumatic stress, is a state of physical and mental exhaustion caused by an inability to cope with the everyday environment that reduces the ability of the nurse to provide high-quality health care to a patient. The purpose of this staff education project, guided by Selye’s general adaption syndrome , was a 6-week, 30-second mindfulness exercise program to promote stress reduction for cardiac step-down and medical-surgical nurses. In this quantitative, pre- and posttest study, the Perceived Stress Scale was completed by a sample of 24 nurses who met the inclusion criteria. The practice focused whether educating nurses …

Sexually Transmitted Disease Awareness Amongst Adolescents 13 To 18 Years Of Age, Ngwanma Nwokoro

Walden Dissertations and Doctoral Studies

Abstract Sexually transmitted infections or diseases (STIs/STDs) acquired through sexual activities lead to compromised sexual health. The adolescent population is at high risk of acquiring STIs/STDs due to their lack of knowledge. The gap in practice was that the nurse practitioners (NPs) were deficient in standard of care; adolescent patients lacked consistent evaluation, education, or documentation of the education in their medical records. The practice-focused question focused on the evaluation of the effectiveness of a quality improvement (QI) initiative that incorporated the use of the American Association for Pediatrics screening and Center for Disease Prevention and Control (CDC) treatment guidelines …

Reducing Employee Turnover In The Fast-Food Industry Through Leadership Strategies, Terrell Brown

Walden Dissertations and Doctoral Studies

Some fast-food industry managers lack leadership strategies to reduce employee turnover rates. Fast-food industry managers are concerned with high employee turnover that leads to increased costs of recruitment and decreased productivity. Grounded in servant leadership theory, the purpose of this qualitative multiple-case study was to explore leadership strategies used by fast-food industry managers to reduce employee turnover rates. The participants consisted of five fast-food industry managers in the Midwest region of the United States. Data were collected through semistructured interviews and a review of company documents. Thematic analysis was used to analyze the data; three themes emerged: a value-based leadership …

Relationship Between An Entrepreneur’S Self-Efficacy, Self-Leadership, And Startup Sustainability In Nigeria, Juliet Ehimuan

Walden Dissertations and Doctoral Studies

Self-efficacy and self-leadership have been identified as important indicators of business sustainability. Business owners and investors are concerned about sustainability because most businesses fail within the first five years. Grounded in self-efficacy and self-leadership theories, the purpose of this quantitative correlation study was to examine the relationship between entrepreneurial self-efficacy, self-leadership and startup sustainability. The participants were 156 entrepreneurs who completed the entrepreneurial self-efficacy scale and the abbreviated self-leadership questionnaire delivered via email. The multiple linear regression analysis results indicated the model was able to significantly predict startup sustainability, F(2, 129) = 432.47, p < .001, R2 = .87. Self-efficacy provided a significant contribution to the model (t = 8.424, p = < .001, β = .914). In contrast, the contribution of self-leadership was not significant (t = 0.185, p = .853, β = .20). A key recommendation is the utilization of mentoring programs and structured leadership internships that enhance self-efficacy by providing startup leaders with exposure to more seasoned corporate leaders, and successful peers who have had similar experiences to theirs. The implications for positive social change include the potential development of training and capacity-building programs that can be provided to entrepreneurs and other startup leaders to enhance their ability to sustain their startups, leading to more successful businesses, job creation, and economic growth.

African American Baby Boomers’ Lived Experiences In Skilled Nursing Facilities For Post-Acute Care Admissions, Dr. Charles A. Fraiser

Walden Dissertations and Doctoral Studies

AbstractPrevious studies have examined the quality of elderly healthcare offered in skilled nursing facilities (SNFs) among older adults, in general, but the studies have not emphasized ex-periences unique to African America baby boomers and the factors they consider when making SNF-related decisions for post-acute care. The purpose of the study was to exam-ine the lived experiences of African American baby boomers who are currently in or have been treated in SNFs for post-acute care to learn about their decisions to select an SNF. Andersen’s behavioral model of health services served as the conceptual framework. A descriptive phenomenological qualitative design was …

Teachers’ And Education Leaders’ Perspectives On Using Technology To Develop Vocabulary Among Kindergarten English Learners, Nelsy J. Jackson

Walden Dissertations and Doctoral Studies

AbstractResearch has shown that technology-mediated interventions in education can increase students’ understanding of academic vocabulary. However, it is not known how teachers provide opportunities for kindergarten English learners (ELs) to learn vocabulary using technology, and school leaders support teachers in this endeavor. The purpose of this basic qualitative study was to understand teachers' and school leaders’ perspectives on opportunities for kindergarten ELs to use technology to develop vocabulary in an urban school in the southwest United States. The theoretical framework for this study was based on Cummins’s theory of basic interpersonal communication skills and cognitive academic language proficiency. Using purposeful …

Relationship Between Country Culture, Country Demographics, And Restaurant Electronic Word-Of-Mouth Valence Ratings, Cynthia Roberts Maubert

Walden Dissertations and Doctoral Studies

Researchers have documented that country culture and country demographics influence electronic word-of-mouth (eWOM) within various industries. Although past research has shown the importance of eWOM to restaurants as a measure of consumer satisfaction, researchers have not established the effect of country culture and country demographics on eWOM within the restaurant industry. Thus, the specific management problem addressed in this quantitative correlational study was the lack of knowledge and understanding regarding the relationship between country culture, country demographics, and restaurant eWOM valence ratings. Grounded in Hofstede’s cultural dimensions theory, the research questions addressed six measures of country culture, 12 measures of …

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. …

The Effect Of Community Health Linkages On Suicide Rates In Veterans, Erica Anderson

Walden Dissertations and Doctoral Studies

Suicide risk is a public health issue. It is a complex and poorly understood mental health and societal threat. This study examined veteran suicide rates and their relationship to family and social support, as measured by the social association rate, mental health funding per capita, and the lethality of the method rate. The interpersonal-psychological theory of suicide and the social-ecological model are the theoretical frameworks that guided the study. Both theories emphasize the complexity surrounding suicide at the state level as it is related to the individual, social, environmental, and political landscape related to veteran suicide. The quantitative bivariate correlation …

A Phenomenological Study On Protective Factors Preventing College-Aged Criminal Activity During Cameroon’S Anglophone Crisis, Melvis N. Asongwed

Walden Dissertations and Doctoral Studies

The Anglophone crisis, in which marginalization of the English-speaking regions in Cameroon began in October 2016 and has become one of the most prominent social problems in the nation’s history. It has led to loss of lives, infrastructure damage, displacement of families, incidents of mass violence, unemployment, and a rise in criminal activity in the Anglophone regions. Grounded in the phenomenological approach and guided by the general strain theory (GST), this qualitative inquiry explored the protective factors that have reduced or prevented criminal activity for college students in the Anglophone regions during the crisis. Semi structure interviewing guided participant responses. …

Strategies Information Technology Leaders Used In Implementing Remote Work During The Covid-19, Jouliana Kamal Barghouth

Walden Dissertations and Doctoral Studies

With the imposed lockdown in many countries due to the spread of COVID-19, many leaders were forced to adopt online technologies in transitioning employees to remote work. Leaders not adopting online technologies or remote work during a pandemic are highly susceptible to business closure. Grounded in the technology acceptance model, the purpose of this qualitative single case study was to explore strategies information technology (IT) leaders in Kuwait used to successfully transition employees to remote work during the pandemic. The participants were six IT leaders from a single multinational IT organization who contributed to strategy development during the pandemic to …

Improving Nurse-Patient Communication Through Motivational Interviewing In A Step-Down Unit, Ana G. Becker

Walden Dissertations and Doctoral Studies

AbstractPatient satisfaction is an essential component in assessing the quality of nursing care. Often monitored through patient satisfaction surveys, this doctorate in nursing practice project (DNP) was developed to improve the problem of low Press Ganey nurse-patient communication scores for a medical-surgical step-down unit. The aim of the project was to develop a staff education program for the purpose of introducing motivational interviewing as an intervention to improve nurse-patient satisfaction scores. Lewin’s change model, Knowles’ adult learning theory, and the analysis, design, develop, implement, and evaluate (ADDIE) model were used to guide the development of the DNP project. Conducted over …

A Clinical Practice Guideline For Managing Behavioral Problems In Persons With Dementia, Ken J. Brinker

Walden Dissertations and Doctoral Studies

AbstractAs the baby boom generation ages, the demand for effective nursing care for patients diagnosed with dementia has greatly increased. The challenges associated with dementia include a patient’s inability to focus, pay attention, and follow conversations. Patients often become forgetful, angry, frustrated, and aggressive with family members and caregivers. The medical providers and administrators at a long-term care facility needed assistance in developing a clinical practice guideline for managing behaviors demonstrated by patients with dementia. The project question centered on the identification of current evidence supporting a clinical practice guideline for nursing practice for unpredictable behaviors demonstrated by residents diagnosed …

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 …

The Relationship Between Counterproductive Work Behavior And Emotional Intelligence Among Leaders In Corrections, John Fitzgerald Caraway

Walden Dissertations and Doctoral Studies

The need for soft skills in corrections and law enforcement continues to be polarized in the media, and the courts, costing organizations billions in litigation and, in some cases, costing the lives for which the individuals have sworn to protect. The purpose of this quantitative correlational study aimed to examine the relationship between counterproductive work behavior (CWB) and emotional intelligence (EI). The research questions focused on the relationship between CWB and EI among leaders in corrections with age, gender, education, and veteran status as control variables. The relationship between a leader's CWB and their EI was not known. The theoretical …

First-Year Teachers’ Perceptions Of The Mentor Program In A Southeastern School District, Taylor L. Castaldo

Walden Dissertations and Doctoral Studies

Many educators are leaving their teaching positions, especially in the early years of their career. This has led many states and districts to mandate teacher mentor programs for new teachers with the hope of retaining these teachers. However, even with these mentor programs, new teachers are continuing to leave their positions, which affects the district, the school, its employees, and the students. A lack of knowledge about teachers’ experiences as mentees in mentoring programs limits a state’s ability to improve programs. This study was conducted to address this gap in knowledge. The purpose of this qualitative study was to explore …

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

Perceived Multicultural Self-Efficacy As A Predictor Of Competency In Social Justice Advocacy Among U.S. School Counselors, Damon D. Chambers

Walden Dissertations and Doctoral Studies

School counselors who engage in advocacy work may experience barriers when attempting to challenge oppression; hence, they need specific skills to advocate efficiently and effectively. Despite the trend in conceptual articles surrounding school counselor advocacy, little is known about how school counselors’ multicultural self-efficacy predicts school counselors’ social justice advocacy practices. This study addressed this gap in the literature by exploring factors related to school counselor social justice advocacy; that is, multicultural self-efficacy. Multicultural self-efficacy and advocacy competence have had an integral role in fostering school counselors’ abilities to identify and support the needs of diverse student populations within the …