Digital Commons Network^™

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 …

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 …

Patient-Rated Physician Compassion And Patient Compliance With Colorectal Cancer Screening, Christine Caputo Winn

Walden Dissertations and Doctoral Studies

In 2021, colorectal cancer was the second leading cause of cancer deaths in the United States, where screening prevented 46%–63% of colorectal cancer deaths. Compassionate care has been an area of study among scholars since Hippocrates. The purpose of this quantitative research study was to examine whether there was a relationship between the independent variables of provider compassion, patient gender, and length of provider patient relationship with the dependent variable of patient adherence behavior for prescribed colorectal cancer screening tests among primary care patients between 2019 and 2020 in a northeastern U.S. state. Guided by the theory of planned behavior …

Teachers’ Perceptions Of Technology Integration And Pedagogy In Kindergarten–Grade 5, Megan Alessandra Bailey

Walden Dissertations and Doctoral Studies

At a small, suburban elementary school in the western United States, teachers in kindergarten through fifth grade (Grades K-5) were not consistently implementing technology within instruction. The purpose of this basic qualitative study was to explore the perceptions of Grades K-5 teachers at the elementary school regarding barriers and challenges of technology integration within classroom instruction. The study's conceptual framework consisted of Mishra and Koehler’s framework of technological pedagogical content knowledge (TPACK) and Bandura’s conceptualization of self-efficacy. The research questions concerned the perceptions of teachers who teach within a 1:1 classroom where there is one device for every student, regarding …

The Linear Evolution Of Local Emergency Management Training In Response To Domestic Terrorism, Jeffrey Januchowski

Walden Dissertations and Doctoral Studies

This paper presents a research study in the field of emergency management. The study aims to identify training or educational needs for the emergency manager at the local level of government to effectively handle disasters. The study uses phenomenon theory with semi-structured interviews that gather data from emergency managers that have experience with major disasters and training requirements. Participants were experts in the emergency management profession with the ability to speak appropriately about the phenomenon. Research questions identified the training methods that produce the best results along with the specific hazards emergency managers may encounter. The research design used questionnaires …

Integrating The Pedagogy Of United States’ Fourth-Grade Math Teachers With International Approaches, Dennis Francis Tierney

Walden Dissertations and Doctoral Studies

Standardized testing results in fourth-grade math have shown that students in the United States continually score below students in many other nations, despite funding education at levels well above the global average. The problem addressed in this study was that fourth-grade math students in the United States were not performing as well on standardized tests as students of other nations and international cities. Guided by Vygotsky’s social learning theory, the purpose of this qualitative, exploratory case study was to investigate the perceptions of teachers from U.S. and international settings about different approaches to effective fourth-grade math instruction, inherent obstacles to …

Hospital-Acquired Infections And Differences Between Magnet And Non-Magnet Hospitals, Linda Mary Valenti

Walden Dissertations and Doctoral Studies

Hospital-acquired infections (HAIs), specifically clostridioides difficile (CDI) and methicillin-resistant staphylococcus aureus (MRSA) bacteremia, increase mortality and length of stay and cost the United States billions of dollars each year. Though preventable, continued incidence demonstrates that infection prevention interventions remain challenging for health system administrators. The purpose of this quantitative study was to identify whether there was a significant difference between Magnet accreditation and non-Magnet accreditation and the frequency of HAIs, specifically, CDI and MRSA bacteremia. The independent variable was Magnet accreditation status; the dependent variables were CDI and MRSA bacteremia. The foundation of the study focused on Donabedian’s framework of …

Strategies For Sustaining Leisure And Hospitality Small Businesses, Kip Cheruiyot

Walden Dissertations and Doctoral Studies

Disruptive events, such as the COVID-19 pandemic, impact leisure and hospitality businesses by disrupting customer patronage and business operations. Small business owners in the leisure and hospitality industry risk revenue loss and business failure when they cannot remain operational during disruptive events. Grounded in the blue ocean theory, the purpose of this qualitative multiple-case study was to explore strategies leisure and hospitality small business owners used to sustain their businesses during the COVID-19 pandemic. The participants comprised five leisure and hospitality small business owners in the central region of Texas who had successful business operations before the COVID-19 pandemic in …

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 …

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. …

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 …

African American Students’ Perceptions Of A Community College Mentoring Program, Julia Anderson

Walden Dissertations and Doctoral Studies

AbstractA local community college was experiencing poor retention rates among African American students, an issue that has challenged community colleges across the United States. To improve this group’s retention, college administrators instituted a mentoring program; however, they later indicated a need to better understand which mentoring strategies were most effective. The purpose of this qualitative study was to understand how students in the program perceived the effects of mentoring, which mentoring strategies they found to be effective, and whether they perceived mentoring as positively impacting their retention. Tinto’s student integration theory provided the conceptual framework to show a connection between …

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. …

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 …

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

Staff Education Program To Reduce Burnout Among Health Care Professionals On A Long-Term Care Unit, Emelda Mati Che

Walden Dissertations and Doctoral Studies

AbstractBurnout negatively impacts the performance of health care providers, decreasing the quality of care provided to patients and affecting patients’ experience. This problem is evident in health care staff on long-term care units (LTCUs) as they strive to meet their patients’ chronic and acute care needs. Health care professionals often lack adequate knowledge on how to manage work-related stress and reduce the issue of burnout in this work environment. The health care professionals working on the LTCU at the local continuing care retirement facility were identified as lacking knowledge to manage work-related stress and burnout. Addressing this problem is essential …

Impact Of Race And Socioeconomic Factors On Infant Mortality Between Non-Hispanic Black And White Women, Chukuma Clifton Chijioke

Walden Dissertations and Doctoral Studies

Abstract This quantitative retrospective study with a correlational design examined the impact of race and socioeconomic factors on the high infant mortality (IM) among non-Hispanic Black women compared to non-Hispanic White women in one midwestern US state county. Though the IM in the U.S. has consistently decreased, a disparity exists between non-Hispanic Black and non-Hispanic White women. Non-Hispanic Black women are twice as likely to experience infant deaths as non-Hispanic White women. This study utilized secondary data derived from vital records maintained by the county public health department. The research was grounded in the ecological model. Logistic regression was used …

Predictive Factors Of Bullshit Receptivity Among Adults, Gregory Coffing

Walden Dissertations and Doctoral Studies

Bullshit receptivity is a relatively new concept in the field of psychology and refers to people’s susceptibility to providing meaning to meaningless claims. Ascribing meaning to meaningless claims is a way to make inaccurate judgments regarding the behaviors, events, and interactions around each person. The research on bullshit receptivity is scant. The purpose of this quantitative cross-sectional survey design study was to investigate whether critical thinking, individualism–collectivism, political ideology, religiosity, right-wing authoritarianism, social–dominance orientation, and need for closure predict bullshit receptivity. These variables were selected to represent a greater conglomeration of daily internal and external factors that affect a person’s …

The Employees’ Perspective: Situational Leadership Style Flexibility And Effectiveness And Employee Performance In A Technological Organization, Merari Cortes

Walden Dissertations and Doctoral Studies

Poor employee performance can have adverse effects on business outcomes. Business leaders are concerned with poor performance, which can minimize profitability and negatively impact business sustainability. Grounded in the Situational Leadership II® model, the purpose of this quantitative correlational study was to examine the relationship between situational leadership style flexibility, effectiveness, and employee performance as perceived by employees, controlling for employee gender, job location, and tenure. A random sample of 99 technology company employees completed the Leader Behavior Analysis II®– Other and the Employee Job Performance measurement tools. Using hierarchical multilinear regression, employee gender, job location, and tenure were entered …

Experiences And Perceptions Of Hospital Social Workers Regarding Discharge Planning And Readmission, Kenshara Cravens

Walden Dissertations and Doctoral Studies

The Centers for Medicare and Medicaid Services created the Hospital Readmission Reduction Program in 2010 to decrease the problem of hospital readmissions. This program reduces hospital reimbursements from Medicare or Medicaid when patients with specific diagnoses are readmitted within 30 days of discharge. This generic qualitative study explored hospital social workers’ experiences and perceptions of the impact of discharge planning on hospital readmission. Meleis’s transitions theory provided the conceptual framework for this study. Data were collected from semistructured interviews with 10 female medical social workers. Data analysis entailed categorizing and classifying the data into emerging themes to answer the research …

Small Beauty Salon Business Strategies For Sustaining Operations Beyond 5 Years, Yolanda Davis

Walden Dissertations and Doctoral Studies

AbstractFifty percent of all small businesses fail within the first 5 years of operation, which includes some small salon business owners who lack effective strategies to sustain and maintain their businesses beyond 5 years. Using contingency theory, the purpose of this multiple case study was to explore the strategies some small salon business owners use to sustain and maintain their business beyond 5 years. Five small beauty salon business owners in Georgia were selected based on their strategies to sustain their businesses beyond 5 years. Data were collected from semistructured interviews and public documents from participants’ business websites and social …

Effect Of Gender On The Relationship Between Leadership Style And Employee Engagement, Shawana Denise Davis

Walden Dissertations and Doctoral Studies

This study examined the degree to which the views of transformational and transactional leadership style, based on gender, influence leader-follower employee engagement. The study was conducted using a non-experimental quantitative research design, resulting in a proposed theoretical model that defines gender as a moderating variable on leadership style that predicts leader-follower employee engagement. The sample frame was drawn from entry-level front-line employees located in the Southeastern US region. Employing multiple regression analysis, this quantitative investigation analyzed participants utilizing MLQ-5X leadership scores and employees’ ISA Engagement Scale scores. Participants (N = 102) completed both survey instruments. The research examined one research …

Assessing The Impact Of Domestic Violence Upon The Lives Of African American Women, Meleh Duarto

Walden Dissertations and Doctoral Studies

Domestic violence is a public health problem in the United States. It can be associated with physical, mental, emotional, and psychological problems for the victims. African American (AA) women experience this type of violence more than any other ethnicity or race. The purpose of this phenomenological qualitative study is to identify and report AA women’s lived experiences of domestic violence. Even though research devoted to understanding domestic/intimate partner violence’s consequences is limited, this problem has devastating consequences for AA women. This problem needs immediate attention. Likewise, there is limited empirical research done on the topic: Why do African Americans experience …

Effect Of Family Engagement On The Behavioral Health Of Mentally Ill Offenders, Jessica Rae Horn

Walden Dissertations and Doctoral Studies

In the United States, 40% of incarcerated individuals have been diagnosed with a mental health disorder, but they often lack the support system needed to navigate their incarceration. This study addressed ways to understand how family engagement opportunities can improve the behavioral health of mentally ill offenders. Specifically, five research questions were used to explore the degree to which the practice of family engagement was understood as a method for providing support to mentally ill incarcerated individuals. The study followed the Baldrige Framework of Excellence to identify current organizational leadership and management issues that can help reach its goals, improve …

Nonprofit Administrator Strategies To Procure And Retain Long-Term Donors, Dr. Maxine Rolle

Walden Dissertations and Doctoral Studies

Abstract Nonprofit sector administrators inability to procure and retain long-term donors can result in reduced revenue and possible organization failure. Nonprofit administrators who lack strategies to procure and retain long-term donors can negatively impact organizational performance and success. Grounded in network theory, the purpose of this qualitative multiple-case study was to explore strategies nonprofit administrators use to procure and retain long-term committed donors to remain operable. The participants comprised four administrators of four separate nonprofit organizations in Fort Lauderdale, Florida who procured and retained long-term committed donors to remain operable for at least 5 years. Data were collected through semistructured …

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 …

Teen Appeal, Memphis, 04.08, 2001

Documents

Issue 4.8 of the “Teen Appeal” published by the University of Memphis Journalism Department and Commercial Appeal, Memphis, Tennessee, on May 8, 2001.