Digital Commons Network^™

The Meaning Of Spiritual Care For Behavioral Health Nurses, Rowan Sirri Teboh

Walden Dissertations and Doctoral Studies

Patients with mental and substance use disorders who are under the care of behavioral health nurses (BHNs) frequently present with spiritual needs. However, there is no information related to how these needs are addressed. It was relevant to explore the lived experiences of the BHNs as they attend to the spiritual needs of this patient population. Therefore, this qualitative study explored the meaning of spiritual care and the lived experiences for BHNs as they attend to the spiritual needs of patients with mental and substance use disorders. Using the descriptive phenomenological design, open-ended interview questions were administered via telephone and …

Factors Influencing The Effectiveness Of Managing Human–Robot Teams, Theodore B. Terry

Walden Dissertations and Doctoral Studies

Certain factors can influence the capabilities of a robot–human team by affecting their social and behavioral dynamics in a work environment. But these factors were not known due to the progressive nature of human–robot partnerships and a lack of peer-reviewed literature on the topic. This e-Delphi study aimed to identify and understand these unknown influential factors based on the participants’ insights. The overarching research question asked about the need to determine factors that might influence the effectiveness of managing human-robot teams. The basis for the conceptual framework for this study was the theory of communication used in organizational management. Twelve …

How Teachers Promote Academic Success Of Primary Grade Students In Rural Schools By Supporting Their Resilience, Miranda Kay Teston

Walden Dissertations and Doctoral Studies

Low levels of academic success for primary grade students attending rural schools located in the southern region of the United States may be related to student resilience. Researchers have found that educators can support the development of students’ resilience, which can result in improved academic success, but little is known about how teachers in rural schools promote their students’ academic success by supporting the development of their resilience. Guided by a conceptual framework that combined ecological systems theory with resilience theory, this basic qualitative study explored how rural-school teachers promoted the academic success of primary grade students by supporting the …

Differences On Employee Satisfaction And Intent To Leave Between Older And Younger Federal Leaders, Alex P. Thames

Walden Dissertations and Doctoral Studies

The retiring of an aging workforce leaves significant deficits in leadership positions across the federal government. As employee turnover increased, onboarding was not occurring at rates necessary to replace retirees, ultimately contributing to the leader deficit. The evidence was insufficient on how the employee satisfaction of both older and younger leaders affects their intent to leave and ultimately the leader deficit. The purpose of this quantitative study was to examine the differences in employee satisfaction and the intent to leave between older (i.e., age >= 40) and younger (i.e., age < 40) federal leaders to discern how their age influences their satisfaction and desire to leave federal service. Grounded in Herzberg’s two-factor theory and Strauss and Howe’s generation theory, the research questions addressed if the independent variable, categorized age of supervisory employees, had an effect on the dependent variables, employee satisfaction and intent to leave. Archival data from the 2016 Federal Employee Viewpoint Survey were analyzed. The results of the Welch t-test and Fisher’s exact test (r x 2) found no significant statistical differences (p > .05) between the categorized age group of supervisory employees and …

Vitamin K Deficiency And Ischemic Stroke In Atrial Fibrillation Patients On Warfarin, Kimberly Therese Thompson

Walden Dissertations and Doctoral Studies

Individuals with poor nutritional vitamin K status can suffer from atrial fibrillation (AF) due to misinterpretation of warfarin instructions by healthcare providers. The purpose of this quantitative study was to determine if there was an association between inadequate dietary vitamin K intake in AF patients and stroke outcomes to address the lack of research surrounding stroke outcomes in patients with true vitamin K deficiency. Grounded in the health belief model, this study assessed if individual beliefs from health education influenced the nutritional quality of their diet and health outcomes. The study is a secondary data analysis of the Framingham Heart …

Barriers To The Implementation Of Effective Sustainable Development Plans In Sierra Leone: Stakeholders’ Perspectives, Mohamed Nabie Turay

Walden Dissertations and Doctoral Studies

Abstract:Stakeholders’ competing positions with elected officials created barriers to the effective implementation of sustainable environmental policies. This study aimed to explore the barriers to implementing the National Environmental Policies (NEP), passed by the parliament of Sierra Leone in the 1990s. Sabastier and Jenkin-Smith’s advocacy coalition framework model provided the theoretical foundation for this study. The key research question explored is stakeholders’ perceptions of the barriers to effectively building coalitions to implement sustainable development policies like the NEP in Sierra Leone. A case study research approach was used to understand the barriers to implementing the NEP in Sierra Leone. Data were …

The Efficacy Of Juvenile Treatment Program Services As Evidenced By Posttreatment Re-Offenses, Michelle R. Valenzuela

Walden Dissertations and Doctoral Studies

AbstractThe determination of whether juvenile intervention programs are effective in the reduction of future delinquency has been an ongoing research concern among scholars for over a century. Researchers have established that intervention programs are helpful for some juveniles but have not determined if intervention treatment outcomes continued beyond adolescence. The purpose of this quantitative study was to address the efficacy of services provided within juvenile intervention programs. This study addressed these gaps in previous research, focusing on the services provided within the intervention program and outcomes of continued delinquent behaviors beyond 3 years using multiple regression analysis. Social control theory …

The Influence Of Parents' Pathological Social Media Engagement And Parenting Style On Delinquent Behavior Among Mexican American Adolescents, Martha Lilia Varela-Rios

Walden Dissertations and Doctoral Studies

The pathological use of social media is a growing problem for diverse groups today. For parents, the resulting detachment from their adolescent children, compromised communication, and limited monitoring of children's activities appear highly correlated with increased adolescent delinquency. The purpose of this quantitative correlational study was to examine the predictive relationships between Mexican American parents’ pathological use of social media and their adolescent's delinquent behavior and between these parents’ parenting styles and their adolescent's delinquent behavior. Unhealthy parenting styles have also been associated with delinquency in adolescents. The theoretical foundation of the study was based on Bowlby’s attachment theory and …

Factors Influencing Human Papillomavirus Vaccination Among Hispanic Youth In Bexar County, Texas, Timothy Edward Wallum

Walden Dissertations and Doctoral Studies

A high number of Hispanic youth in Bexar County, Texas, face morbidity and mortality related to human papillomavirus (HPV) infection due to inadequate vaccination coverage youth. A better understanding of the factors that influence vaccination might help public health authorities to increase coverage. The aim of this quantitative, cross-sectional study, which was based on the socioecological model and involved analysis of weighted survey data from the 2016 to 2018 National Immunization Survey-Teen, was to better understand the multilevel factors influencing HPV vaccine use among Hispanic youth. The weighted sample was representative of the study population in terms of survey characteristics …

Disciplinary Teacher Perceptions And Challenges Of Literacy Instruction For English Language Learners, Scarlett Nicole Wetherington

Walden Dissertations and Doctoral Studies

Disciplinary teachers who teach mathematics, science, and social studies are challenged to embed literacy instruction into their disciplines for the growing population of English language learners (ELLs). In a rural middle school in the Southern region of the United States, disciplinary teachers are struggling to embed literacy instruction to support ELLs to meet grade-level achievement standards. The purpose of this basic qualitative study was to explore teachers’ perceptions about the challenges of using literacy strategies to teach ELLs in the disciplinary classroom. The conceptual framework for this study included Mezirow’s theory of transformative learning. The key research questions of this …

Involvement In Interscholastic High School Sports And Juvenile Delinquency, Emily Rene Wheeler

Walden Dissertations and Doctoral Studies

The primary research problem that prompted this study was to identify if involvement in interscholastic sports could be an option to alleviate financial burdens of delinquency and provoke a level of rehabilitation for youth. To provide context on this aforementioned financial burden, between 2018 and 2019, 5.56% or 696,620 youth in the United States aged 10-17 were arrested, (Puzzanchera, 2021). The cost of these arrests can be up to $407.58 per day per youth, and taxpayer dollars supplement this price tag. The purpose of this quantitative study was to examine the extent to which a relationship exists between juvenile involvement …

Perceived Diabetes Susceptibility Among African American Female College Students, Khaliah India Wilson

Walden Dissertations and Doctoral Studies

Type 2 diabetes is a leading cause of death among African American women ages 20-44 years, and African American female college students are at high risk. Research shows that college students tend to underestimate their susceptibility to Type 2 diabetes, despite their existing risk factors. There is a gap in knowledge concerning African American female college students and their perception of diabetes susceptibility, despite their increased risk. The purpose of this quantitative nonexperimental, correlational study was to identify the factors associated with perceived personal susceptibility to Type 2 diabetes and Type 2 diabetes-related health behavior among African American female college …

Treatment-Seeking Behaviors And Malaria Prevalence Among Under-5 Children In Niger, Aissa Yaye Habi

Walden Dissertations and Doctoral Studies

Malaria is a deadly vector-borne disease that mainly affects children in Africa, especially in Niger. Although public health efforts in malaria prevention have been successful in many parts of the world, malaria remains a significant public burden in sub-Saharan Africa, especially among children. Despite the numerous studies conducted on individual factors influencing the prevalence of malaria in sub-Saharan Africa and Niger, there is little knowledge about the collective influence of treatment-seeking behaviors and malaria prevalence among under-5 children in Niger. This study was a quantitative study with a cross-sectional design guided by the social-ecological model (SEM) that used secondary data …

Experiences With Addiction Transfer Among Weight Loss Surgery Recipients, Latoya Smalls

Walden Dissertations and Doctoral Studies

Obesity remains a significant problem linked to psychological, behavioral, metabolic, and environmental factors. Some individuals who struggle with obesity turn to weight loss surgery. Studies exploring the long-term effects of weight loss surgery and its connection with transfer addiction have reached conflicting findings. This phenomenological study was conducted according to procedures developed by Husserl and Giorgi. Data were collected for this qualitative study through semistructured interviews with 10 bariatric weight loss surgery recipients. Data were analyzed using the five stages of Giorgi’s descriptive phenomenological method process of data analysis. Analysis of the data led to five themes and eight subthemes. …

Gestational Weight Gain, Level Of Education, And Infant Mortality Among African American Women, George Lee Amanambu

Walden Dissertations and Doctoral Studies

Abstract

African American (AA) women in Mississippi have a higher burden of infant mortality, especially those with low income and educational levels, as compared to other regions of the country. However, it is unknown if abnormal gestation weight gain (GWG) is contributing to this increased burden. This quantitative cross-sectional study examined the association between GWG (25-35lbs), level of education, income, and infant mortality among AA women with normal prepregnancy body weight who were between 30 to 47 years old in the state of Mississippi from 2016 to 2018. Biopsychosocial and ecosocial models were used as the theoretical foundation to design …

Prison Medical Professionals’ Perspectives On Dignity In Death For End-Of-Life Inmates, Charlene Lupo

Walden Dissertations and Doctoral Studies

Health care requirements of older persons in prison are complicated, and many may require palliative care before their term is completed. The purpose of this qualitative interpretative phenomenological analysis was to explore perspectives on dignity in death for end-of-life inmates through the lens of nine prison medical professionals. Concepts of dignity provided the conceptual framework for the study. Data were collected from one-to-one audio-recorded Zoom interviews and reflective literature articles. Axial coding and thematic data analysis were used to identify five themes: committed to their vocation, lack of services in administering proper health care, institutional barriers prohibiting death with dignity, …

Early College High School, Dual Enrollment, Traditional College, And Time To Obtain A 2-Year Degree, Christopher D. Mccraw

Walden Dissertations and Doctoral Studies

Early college high school (ECHS) and dual enrollment programs offer opportunities for students to work toward their 2-year degree while still in high school. The problem for this study was that the ECHS and dual enrollment programs had not been compared to see if they facilitated 2-year college degree completion compared to one another and to a traditional college program. The problem was urgent because there was a need to evaluate two different ECHS screening methods, assuming significantly less time to degree completion for the ECHS students. The purpose of this quantitative project study was to determine if the time …

A Study Of Racialized Identity Among Single, White Mothers Of Biracial Children, Shonjala Moore

Walden Dissertations and Doctoral Studies

A limited amount of research addresses the challenges single, White, birth mothers of Black-White biracial children have experienced with racialized identity within their kinships and social networks. In this transcendental, descriptive, phenomenological study, the lived experiences of eight single, White, birth mothers of Black-White biracial children were investigated to address that research gap. The conceptual framework was Helms’s Black and White racial identity theory. After thematic analysis of semistructured interview data, five themes emerged to describe the experiences of the single, White, birth mothers of Black-White biracial children: (a) the mother’s insight, (b) racism, (c) attitude about a Black partner, …

Parents’ Perceptions Of Kinesthetic Learning And Academic Performance Among Students With Attention Deficit Hyperactivity Disorder, Beverly Mount

Walden Dissertations and Doctoral Studies

Students with attention deficit hyperactivity disorder (ADHD) struggle academically more than students without ADHD. Although kinesthetic learning, a motor and tactile style of experiential learning, has been found to benefit students generally, parents’ perceptions of it as an educational intervention for students with ADHD has not been examined. The purpose of this qualitative study was to explore parents’ perceptions of kinesthetic learning and academic performance among students with ADHD. The experiential learning theory, which posits that learning occurs through experience, was the theoretical framework for the study. Eleven parents participated in an open-ended question interview ranging from 7 to 22 …

Weight Change And Hyponatremia As Predictors Of Polydipsia Among Persons With Schizophrenia, Kingsley Okechukwu Nwachukwu

Walden Dissertations and Doctoral Studies

AbstractPolydipsia is found in 20% of inpatients with chronic severe mental disorders. Of this, 80% are diagnosed with chronic schizophrenia, hence polydipsia is strongly associated with chronic schizophrenia. Despite the prevalence and serious health complications of coexisting polydipsia in this population, its current method of detection is flawed. The purpose of this quantitative study was to accurately identify comorbid polydipsia in schizophrenia using periodic weight change and hyponatremia. The Wilson’s complexity theory and primary data were used to attempt to explain the relationship between weight change and hyponatremia and polydipsia, in a cross-sectional study design. The dependent variable was polydipsia, …

Juvenile Probation Officers' Perceptions Of Strategies To Reduce Juvenile Delinquency In Maryland, Ebenezer Nwaedozie Obonna

Walden Dissertations and Doctoral Studies

AbstractYoung offenders aged 10 to 17 years have increasingly become involved with the juvenile justice system, causing concerns about their future prospects and their role in positively contributing to the prosperity of society, particularly in Maryland. The purpose of this qualitative descriptive study was to provide detailed descriptions of the strategies that stakeholders in the juvenile criminal justice system and the offenders can use to reduce youth crime in Maryland. Cognitive-behavioral therapy theory provided the framework for the study. Data were collected from semistructured interviews with 11 probation officers from Maryland. Findings from thematic analysis demonstrated that some juvenile justice …

Depression, Drug Use, And Hsv-2 Among Women Who Have Sex With Women, Viani Picchetti

Walden Dissertations and Doctoral Studies

Herpes simplex virus type 2 (HSV-2), the main cause of genital herpes, is an incurable sexually transmitted infection responsible in 2018 for 18.6 million infections in the United States. HSV-2 is twice as frequent in women than in men. Women who have sex with women (WSW) have a higher prevalence of depression and drug use than women who have sex exclusively with men (WSM), which are each related to HSV-2 as they increase the likelihood of engaging in risky sexual behaviors. The purpose of this study was to assess the predictive relationship between depression status, nonprescription drug use status, and …

Perspectives Of Parents Of Black Head Start Graduates Regarding The Black-White Achievement Gap, Telisa Pitts

Walden Dissertations and Doctoral Studies

The problem of this study was the achievement gap that exists between Black and White children prior to kindergarten entrance. As children continue in school this gap grows substantially; therefore, it was important to understand perspectives of stakeholders regarding this gap. The purpose of this study was to explore perspectives of parents of Black Head Start graduates regarding the Black-White achievement gap, and how those perspectives shaped parents’ actions in promoting their children’s kindergarten readiness. The conceptual framework for this study was based on Bronfenbrenner’s ecological theory. The research questions focused on parents’ perspectives and how they believed those perspectives …

Grief Experiences Of Mothers After A Child’S Death From A Drug Overdose, Shonetesha L. Quail

Walden Dissertations and Doctoral Studies

AbstractResearch on young adult deaths primarily focuses on other causes of death such as homicide, suicide, and accidents. There is very little research surrounding maternal bereavement when the cause of death is from a drug overdose. The purpose of this phenomenological study was to explore the perceptions, attitudes, and lived experiences of grieving mothers who had a biological, adopted, or stepchild die from a drug overdose when the decease’s age was between 18 and 25. Guided by Le Poi Devin’s multidimensional grief theory, the study sought a better understanding to assist mental health and other healthcare providers in developing individualized …

Conceptualization Of Gender Variant Inclusive Healthcare Service Delivery, Tamesha Rhyne

Walden Dissertations and Doctoral Studies

Gender variant people experience a variety of health concerns for which they seek the assistance of healthcare providers. These concerns may range from chronic health conditions and psychological disorders to gender affirming concerns. Due to living in a heteronormative society, gender variant individuals are more susceptible to experiencing stigmatization, discrimination, and other forms of unfair treatment while accessing healthcare services, which contributes to poor health outcomes. This treatment may be attributed to the lack of knowledge, competency, and training of healthcare providers as it relates to trans-inclusive care. Grounded in minority stress theory and intersectionality theory, the purpose of this …

The Lived Experiences And Perceptions Of Young Adults Who Have Transitioned Out Of State Or Other Care, Linda Rose Ross

Walden Dissertations and Doctoral Studies

AbstractOver 20,000 young adults are released from state care annually and 100,000 young adults are released from justice centers. Past studies have revealed that young adults 18-24 years of age transitioning out of care are not prepared for independent living and may face many adversities. The problem is that young adults have difficulties finding permanent housing once emancipated from state care, their biological homes, or juvenile justice centers. The purpose of this study was to explore the perceptions and experiences of young adults 18-24 years of age and how their experiences and life skills helped on their journey to acquire …

Factors Impacting Vicarious Traumatization In Metropolitan Law Enforcement Officers, Falisa Asberry

Walden Dissertations and Doctoral Studies

AbstractThe exposure to work-related trauma and the relationship to gender, age, years of service, and education level and their impact on the development of vicarious traumatization (VT) on metropolitan law enforcement officers has been underexamined. This quantitative correlational study aimed to examine whether the mediating variable resilience, along with the independent variables gender, age, years of service, and level of education, impacted the dependent variable VT. The constructivist self-development theory and the resilience theory were used as the framework for the study. The professional quality of life scale was used to measure the independent variables and VT. The resilience scale …

Predictors Of Time Spent Counseling: Counselors’ Professional Identity, Counseling Competencies, And Principal Relationship, Lori P. Barthel

Walden Dissertations and Doctoral Studies

This quantitative study was an inquiry into whether Louisiana school counselors’ perceptions of their professional identity, quality of principal-school counselor relationships, and confidence level (self-efficacy) of providing school-based mental health services (SBMHS) including counseling skills, addressing student issues, and working with students who have a Diagnostic and Statistical Manual diagnosis influence the frequency of counseling services provided to K-12 students. The theoretical lenses were the leader-member exchange theory and social cognitive theory. The hypotheses were that Louisiana school counselors (N=147) who identify as mental health providers working in a K-12 school setting with higher ratings of relationship quality with their …

Low Income African American Parents Experiences Managing Obese Young Children Weight Loss, Angela Berry

Walden Dissertations and Doctoral Studies

February 2022 Abstract In the United States, 17% of children between the ages of two to 19 years are diagnosed with obesity more than any other chronic health condition. African American children living in the United States have an obesity rate of 22% compared to White children who have an obesity rate of 14.1%. These high obesity rates created situations in which these children are likely to experience significant lifelong health problems. The purpose of this descriptive qualitative phenomenological study was to describe the experiences of African American parents of low-income managing weight-loss in their young children with obesity between …

The Role Of Child And Adult Sexual Fantasies And Criminal Paraphilia Involving Serial Sexual Murderers, Heather Brown

Walden Dissertations and Doctoral Studies

Childhood trauma may be a reason a child develops maladaptive coping mechanisms such as sexual fantasies and paraphilia. These coping mechanisms increase in intensity, leading to sexual violence to gain a sense of power and control. Even though researchers have identified that serial sexual killers suffer from child and adult sexual fantasies and criminal paraphilia, details of the sexual fantasies and paraphilia have not been examined. The purpose of this qualitative exploratory case study was to explore the role of child and adult sexual fantasies and criminal paraphilia involving serial sexual murderers. Hickey’s trauma-control model and relational paraphilic attachment theory …