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Heart Attack Related Firefighter Fatalities And Compliance With Nfpa 1582, Ernest Lindqvist Jan 2023

Heart Attack Related Firefighter Fatalities And Compliance With Nfpa 1582, Ernest Lindqvist

Walden Dissertations and Doctoral Studies

Heart attacks have been the leading cause of on-duty firefighter fatalities for many years. Firefighters are subjected to health risks due to occupational practices and exposure to hazards. Firefighter fatality investigative reports suggest that comprehensive medical screenings consistent with the National Fire Protection Association (NFPA) 1582 standard would reduce deaths from heart attacks. The purpose of this study was to explore the extent to which fire departments comply with the NFPA 1582 standard. Using contextual interaction theory and a generic qualitative inquiry design, data were collected from fire departments that had a heart attack-related firefighter fatality incident. Semistructured interviews were …


Association Between Antidepressant Adherence And Major Depressive Disorder Complications, Philip Lisinge Jan 2023

Association Between Antidepressant Adherence And Major Depressive Disorder Complications, Philip Lisinge

Walden Dissertations and Doctoral Studies

Despite evidence that antidepressants are more effective at treating major depressive disorder (MDD) symptoms, there is growing evidence that MDD management is still hampered by nonadherence to antidepressant treatment regimens. Researchers have suggested that MDD, if untreated, might lead to MDD-related complications, but other researchers have argued that adherence to antidepressants can lead to these same MDD-related complications. This quantitative cross-sectional study used primary data collected from 298 volunteers to examine the association between MDD-related complications and antidepressant adherence to clarify these diverging opinions. The study’s objective was to provide evidence to accept or reject the premise that antidepressant adherence …


Stories Of Licensed Counseling Supervisors Who Identify As Wounded Healers, Carolyn Litteral Jan 2023

Stories Of Licensed Counseling Supervisors Who Identify As Wounded Healers, Carolyn Litteral

Walden Dissertations and Doctoral Studies

Although a large percentage of counselors who are wounded healers eventually become clinical counseling supervisors, little is known about the effects on clinical supervision. Counseling supervisors have the responsibility of gatekeeping, managing client care, and modeling counseling for counselors-in-training; the process is likely affected by woundedness as is the counseling process. The purpose of the current qualitative narrative study was to identify the stories of wounded healers as clinical counseling supervisors to recognize how supervision is affected and influenced by being a wounded healer. The data were analyzed using the theoretical lens of existentialism and the conceptual framework of the …


Digital Citizenship And Adolescents Online Risk Behaviors, Soushira Liverpool-Morrisa Jan 2023

Digital Citizenship And Adolescents Online Risk Behaviors, Soushira Liverpool-Morrisa

Walden Dissertations and Doctoral Studies

Adolescents now have greater access to digital resources and spaces and are more likely to engage in risky online behaviors for which they are unprepared. The study's purpose was to examine the little-understood online behaviors of adolescents to better educate and prepare them for safe online interactions. The study was framed by two theories: digital citizenship— the ability to engage in digital environments competently and responsibly, and problem behavior theory—an understanding of what encourages problem behavior. This research asked if there was a relationship between adolescents’ digital citizenship and online risk behaviors using a quantitative correlational design. Teachers from three …


Quality Improvement Initiatives And Interventions For Decreasing Falls In The Hospital Setting, Fredlyn Lolange Jan 2023

Quality Improvement Initiatives And Interventions For Decreasing Falls In The Hospital Setting, Fredlyn Lolange

Walden Dissertations and Doctoral Studies

Patient falls in health care settings are a widespread and severe problem, and they often happen as a result of a complex set of causes. In the United States, between 3.3 and 11.5 falls occur per 1,000 patient days. Reducing the incidence of falls in a health care setting would bring significant positive change and decrease the incidence of harm to patients in the hospital setting. This staff education project’s purpose is based on addressing falls, a safety concern and a health issue that continues to put patients at an increased risk. Theories used to inform the project include the …


Future-Oriented Strategies That Small 501(C)(3) Nonprofit Organizations May Use To Support Financial Sustainability, Justine Lownsbury Jan 2023

Future-Oriented Strategies That Small 501(C)(3) Nonprofit Organizations May Use To Support Financial Sustainability, Justine Lownsbury

Walden Dissertations and Doctoral Studies

The age of mortality for a nonprofit organization is between 6-15 years. The problem is that leaders of nonprofit organizations face challenges in financially sustaining nonprofit operations, which directly affects the ability to achieve and maintain the organizational mission. The purpose of this qualitative classical Delphi study was to explore how an expert panel of nine purposively selected U.S.-based stakeholders from small U.S.-based 501(c)(3) nonprofit organizations viewed the desirability, feasibility, and importance of future-oriented strategies to support financial sustainability. The research questions addressed this purpose. The conceptual framework was rooted in effective leadership, innovation, sustainability, and positive social change, as …


Fathers’ Perspectives And Challenges Regarding Their Child’S School Readiness, Ula Pretlow Lyons Jan 2023

Fathers’ Perspectives And Challenges Regarding Their Child’S School Readiness, Ula Pretlow Lyons

Walden Dissertations and Doctoral Studies

A key influence of children’s school readiness is parental engagement, yet less is known about father engagement. This paper explores fathers’ perspectives and challenges regarding their child’s school readiness. Data was collected from twelve fathers within a pool of community-based preschools in a large rural region in a southeastern state in the United States. A qualitative method was adopted using interviews to gather data. Findings revealed fathers perceived their engagement in supporting children’s social skills, approaches to learning, and grandparents’ influence attributed to preparing children for kindergarten. However, fathers were challenged with work obligations, feelings of inadequacy, and children’s attention …


Association Of Income, Education, Employment And Covid-19 Mortality In Brazil, Marcelina Machado Jan 2023

Association Of Income, Education, Employment And Covid-19 Mortality In Brazil, Marcelina Machado

Walden Dissertations and Doctoral Studies

The increased mortality rates from COVID-19 in Brazil have adversely affectedvulnerable populations and placed a severe burden on its public health system as compared to other nations. Focusing on socioeconomic status as a risk factor in this retrospective cohort study, I investigated the association between Brazilian COVID-19 mortality rate, income, school enrollment rate, and employment rate after controlling for the demographics and immunization rate. This is an important issue as an increase in incidence and mortality rates affects how governmental and public health leaders can effectively control and prevent disease spread. Using the fundamental causes of disease theory as the …


The Impact Of Economic Uncertainty On Nonprofit Leaders’ Decision To Expand Services, Shawndra Maine Jan 2023

The Impact Of Economic Uncertainty On Nonprofit Leaders’ Decision To Expand Services, Shawndra Maine

Walden Dissertations and Doctoral Studies

Nonprofit organizations (NPOs) play a pivotal role in lower socioeconomic communities. Leaders of nonprofits are frequently faced with multiple, complex, and often-competing objectives. This qualitative case study was conducted to explore and understand how economic uncertainties impact an NPO and, specifically, how economic uncertainty has affected nonprofit executives’ development of strategies and decision making regarding expanding services. Data were collected through interviews and review of secondary data and the organization’s website from the executive director, president/chief executive officer, and funders. The Baldrige Framework of Excellence was used to support the foundations of this study. The collected data were analyzed, and …


Locus Of Control, Mindfulness, And Perceived Caregiver Burden In Informal Caregivers Of People With Dementia, Tiffany Marinos-Sterge Jan 2023

Locus Of Control, Mindfulness, And Perceived Caregiver Burden In Informal Caregivers Of People With Dementia, Tiffany Marinos-Sterge

Walden Dissertations and Doctoral Studies

AbstractAdult informal caregivers play an essential role in the care of people with dementia living in the community. Adult informal caregivers may experience a host of negative psychological, emotional, and physical effects because of their roles as caregivers. The purpose of this quantitative correlational study was to investigate the influence of locus of control and mindfulness on the perceived caregiver burden experienced by adult informal caregivers of people with dementia, controlling for relevant sociodemographic characteristics. Social determination theory and social learning theory provided the theoretical foundation for this study. Variables were measured using the Caregiver Burden Inventory, Mindfulness Attention Awareness …


Well-Being Among Foster Parents Of Children With A History Of Sexual Abuse, Jelenny Marquez Jan 2023

Well-Being Among Foster Parents Of Children With A History Of Sexual Abuse, Jelenny Marquez

Walden Dissertations and Doctoral Studies

There are over half a million children and adolescents living in foster care in the United States, and many of them endure frequent disruptions to their placements. Disruptions are more common among children with a history of sexual abuse. The disruption of placement increases the likelihood of undesirable outcomes for both the children and their foster parents. Foster parents who are willing to offer a home that is safe and stable for a child in the foster care system are more important than ever. This qualitative study explored foster parents’ experiences of well-being after having fostered children with a history …


Emotional Intelligence Among Nigerian Construction Project Leaders During Periods Of Uncertainty, Ibrahim Hassan Mashi Jan 2023

Emotional Intelligence Among Nigerian Construction Project Leaders During Periods Of Uncertainty, Ibrahim Hassan Mashi

Walden Dissertations and Doctoral Studies

Some construction project leaders in Nigeria have exhibited leadership ineffectiveness during periods of uncertainty due to a lack of emotional intelligence (EI) engagement. This has led to poor performance of construction projects in Nigeria. The purpose of this qualitative exploratory case study was to explore the engagement of EI in enhancing leadership effectiveness among construction project leaders in Nigeria during periods of uncertainty. Fifteen participants involving construction project leaders were selected through purposeful sampling from five construction firms in Abuja, Nigeria. The target participants were specifically chosen for their expertise and experience to ensure that the information created is relevant …


A Quantitative Comparison Of Mass Shooting Offenders Who Preemptively Used Social Media, Heidi Mathis Jan 2023

A Quantitative Comparison Of Mass Shooting Offenders Who Preemptively Used Social Media, Heidi Mathis

Walden Dissertations and Doctoral Studies

The purpose of this quantitative study was to compare the characteristics of offenders who posted on social media for attention versus those who posted on social media for fame using discriminant factorial analysis (DFA). To date, there has been very little research done on social media usage with regards to mass shootings. The wealth of the research close to the study at hand has to do with not naming the offender and the media contingency effect. The current research helped close some of that gap. Researching social media usage and mass shootings showed how the variables: location, rejection, mental health …


Comparative Study Of Risky Sexual Behaviors In African American Adolescents Who Use Drugs And Alcohol, Angela Matthew Jan 2023

Comparative Study Of Risky Sexual Behaviors In African American Adolescents Who Use Drugs And Alcohol, Angela Matthew

Walden Dissertations and Doctoral Studies

Sexually transmitted infections (STIs) are a major public health problem in the United States. Adolescents are a high majority of these cases, with African American adolescents being affected disproportionally. Previous research has shown that risky sexual behaviors, such as non-condom use, multiple sexual partners, early initiation of sexual intercourse, and alcohol or marijuana use before sexual intercourse put adolescents at a higher risk of contracting an STI when they are sexually active. These behaviors can be observed through the theoretical framework of the problem behavior theory that describes the constructs of why individuals engage certain behaviors. How alcohol and drug …


Relationship Between Country Culture, Country Demographics, And Restaurant Electronic Word-Of-Mouth Valence Ratings, Cynthia Roberts Maubert Jan 2023

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 …


An Examination Of The Impact Of Police Chaplain Programs And Spirituality On Police Officers’ Mental Health, Samuel Protel Maxwell Jan 2023

An Examination Of The Impact Of Police Chaplain Programs And Spirituality On Police Officers’ Mental Health, Samuel Protel Maxwell

Walden Dissertations and Doctoral Studies

Spirituality has been a fundamental aspect of treating post-traumatic stress disorder (PTSD) in many officers. PTSD affects a high percentage of officers and many of whom live a highly stressful and traumatic life even outside of work. The purpose of this qualitative study was to examine the impact of police chaplain programs and spirituality on police officers' mental health. The research question asked how a police chaplain program and spirituality impacted police officers. This study's theoretical framework was Pargament's theory. Qualitative research with a narrative analysis design was chosen to collect data from semi-structured interviews. The 10 participants, including six …


Childhood Experiences Of Black Americans Growing Up With A Suicidal Sibling, Barbara Maulding Jan 2023

Childhood Experiences Of Black Americans Growing Up With A Suicidal Sibling, Barbara Maulding

Walden Dissertations and Doctoral Studies

Through this retrospective interpretative phenomenological analysis (IPA) qualitative research project, the childhood experience of growing up with a sibling who experienced a non-fatal suicide attempt was explored. The researcher used IPA as the conceptual foundation. This qualitative phenomenological study included interviewing eight siblings to retrospectively explore the childhood experience of growing up with a suicidal sibling (who had at least one incident of nonfatal suicidal behavior). The interview with each participant consisted of one interview and one follow-up review per Seidman’s semi-structured interviewing guide for phenomenological research. The results were analyzed using hand coding to explore the thematic elements. The …


Strategies For Improving Supply Chain Management In United Nations Peacekeeping Missions, Mirjana Mazar Jan 2023

Strategies For Improving Supply Chain Management In United Nations Peacekeeping Missions, Mirjana Mazar

Walden Dissertations and Doctoral Studies

Managers of the United Nation’s humanitarian operations are under rigid pressure to deliver their programs efficiently due to 75% of supply chains experiencing disruptions, accounting for 60 to 80% of the expenses due to limited funding and increasing scrutiny by member states. Humanitarian operations are inextricably linked to the performance of a supply chain. Therefore, if the supply chain managers in the United Nations (UN) fail to understand and adopt dynamic capabilities, they can experience operational underperformance, affecting trust from financial supporters. Grounded on dynamic capability theory, the purpose of this qualitative multiple-case study was to explore strategies that executive …


High School Teachers’ Perspectives On Formative Assessment In The Virtual Learning Environment, Tiffany Mcbean Jan 2023

High School Teachers’ Perspectives On Formative Assessment In The Virtual Learning Environment, Tiffany Mcbean

Walden Dissertations and Doctoral Studies

Formative assessment in the virtual learning environment is a beneficial complement to teacher pedagogy and student learning. But there is little research on high school teachers’ perspectives on the use of formative assessment in the virtual learning environment. The purpose of this basic qualitative study was to address this research gap. The conceptual framework was Black and Wiliam’s theory of formative assessment. Two research questions guided the study. The first addressed high school teachers’ perspectives on formative assessments in the virtual learning environment. The second addressed how teachers used formative assessment in the virtual learning environment. Semistructured interviews were conducted …


Challenges In Discharge Planning For Adults Transitioning From An Inpatient Psychiatric Level Of Care Experiencing Homelessness, Deanna` R. Mccaskill Jan 2023

Challenges In Discharge Planning For Adults Transitioning From An Inpatient Psychiatric Level Of Care Experiencing Homelessness, Deanna` R. Mccaskill

Walden Dissertations and Doctoral Studies

Mental illness and the homeless population are a growing concern in the United States. Homeless individuals utilize emergency rooms and acute inpatient stays more than those with housing. Social workers play a vital role in discharge planning, starting on the first day of admission. This action research study explored the challenges of social workers developing discharge plans for adults transitioning from an inpatient psychiatric level of care experiencing homeless. The theoretical framework implemented in this study was systems theory. Data were collected from 12 purposively selected master’s level social workers in the format of individual and focus group interviews. Eight …


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

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

Walden Dissertations and Doctoral Studies

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


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

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

Walden Dissertations and Doctoral Studies

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


Developing Postsecondary Education Programs For Individuals With Intellectual Disabilities, Jocelyn Rae Mcglynn Jan 2023

Developing Postsecondary Education Programs For Individuals With Intellectual Disabilities, Jocelyn Rae Mcglynn

Walden Dissertations and Doctoral Studies

Individuals with intellectual disabilities have higher rates of unemployment compared to other population groups. There is limited knowledge regarding the development of postsecondary education (PSE) programs that provide employment skills training and education to individuals with intellectual disabilities. The purpose of this basic qualitative study was to investigate the development of PSE programs for those with intellectual disabilities. Dewey’s experiential learning theory was the framework for this study. Invitations to participate were sent to directors and faculty of all PSE programs in one northeastern U.S. state. Ten directors and faculty agreed to be interviewed. The research question addressed the perceptions …


Correlates Of Mental Health Clinician Self-Awareness And Insight Of Attitudes Toward Older Adults, Susan L. Mcinvale Jan 2023

Correlates Of Mental Health Clinician Self-Awareness And Insight Of Attitudes Toward Older Adults, Susan L. Mcinvale

Walden Dissertations and Doctoral Studies

AbstractOlder adults (ages 65 and older) are expected to increase in the United States by over 70 million by the year 2030. The older adult population requires specialized medical and mental health services to address the needs related to aging. Mental health clinicians trained to address these needs may help older adults to utilize mental health counseling. Self-awareness of attitudes, insight, and knowledge may be skills that affect the attitudes of mental health clinicians toward older adults. Previous research has found that mental health clinicians who engage in self-awareness during a counseling session may improve counseling competency; however, little research …


Elementary Reading Teachers’ Perceptions Of Implementation Of Differentiated Reading Instruction, Elizabeth Curlee Mclemore Jan 2023

Elementary Reading Teachers’ Perceptions Of Implementation Of Differentiated Reading Instruction, Elizabeth Curlee Mclemore

Walden Dissertations and Doctoral Studies

Reading researchers have suggested that teachers struggle with implementing differentiated instruction (DI) in the reading classroom; however, researchers have found that differentiation improves student reading achievement. The purpose of this basic qualitative study was to examine reading teachers’ perceptions of implementing DI in the reading classroom and the support needed for the improved use of DI. The conceptual framework supporting this study comprised Tomlinson’s DI model and Vygotsky’s social learning theory. The research questions focused on the reading teachers’ perceptions of using DI and the support needed for the improved use of DI. Semistructured interviews were used to gather the …


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

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

Walden Dissertations and Doctoral Studies

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


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

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

Walden Dissertations and Doctoral Studies

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


Elementary Principals’ Perceptions Regarding Implementing A District-Mandated Educational Equity Policy, Glen Patrick Messier Jan 2023

Elementary Principals’ Perceptions Regarding Implementing A District-Mandated Educational Equity Policy, Glen Patrick Messier

Walden Dissertations and Doctoral Studies

The problem in the current basic qualitative study was that elementary principals were challenged to implement a district-mandated educational equity policy. The purpose of this qualitative study was to explore elementary principals’ experiences implementing a district-mandated educational equity policy. The conceptual framework for this study was transformational leadership theory. This leadership theory was often used by leaders who focused on a collective purpose and held themselves accountable for initiating and sustaining positive social change. Three research questions addressed principals’ experiences and perceptions in their attempt to implement a district-mandated educational equity policy, as well as principals’ suggestions for continuous improvement …


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

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

Walden Dissertations and Doctoral Studies

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


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

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

Walden Dissertations and Doctoral Studies

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