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The Impact Of Staffing Level On Patient Care In Behavioral Health Care Settings, Sheuness Cuthbertson

Walden Dissertations and Doctoral Studies

AbstractIn many behavioral health care organizations, adequate staffing represents a key challenge that can compromise the workforce and cause detrimental outcomes for patients. The purpose of this qualitative study was to understand how inadequate staffing shapes the environment of one behavioral health care organization. A case study design was used, with the Baldrige Excellence Framework serving as the conceptual guide to understand how the organization's leadership performed and addressed important organizational challenges. The participant, a leader in the organization who oversaw program services, operations, policies, and procedures, answered interview questions about inadequate staffing and its impact on patient care and …

Health Education Practices For Middle Eastern Women With Polycystic Ovary Syndrome, Walaa Daffaalla

Walden Dissertations and Doctoral Studies

Polycystic ovarian syndrome (PCOS) is a complex women’s health condition that reduces women’s quality of life, leading to health complications, such as menstruation issues, infertility, insulin resistance, risk of type 2 diabetes, depression, anxiety, emotional stress, being overweight or obese, and more. Research on PCOS has focused on the etiology and complications in women from different ethnicities. But limited research has explored the experiences and perspectives of Middle Eastern (ME) women in the United States with PCOS related to PCOS health education. The purpose of this qualitative study was to explore the perspectives and experiences of ME women of reproductive …

Influences On Influenza Vaccine Uptake Among Older Lebanese Adults, Doha D'Agostini

Walden Dissertations and Doctoral Studies

Influenza is a viral infection that is globally transmitted and that increases the risk for infectious diseases, hospitalization, and morbidity and mortality, especially among the older adult population. Although influenza vaccines are recommended in several countries, influenza vaccine hesitancy remains a challenge. In Lebanon, there is minimal research related to older adults’ attitudes and perceptions associated with influenza vaccination. To explore older Lebanese adults’ vaccination experiences and perceptions of the factors that affect their influenza vaccine uptake, a qualitative investigation was conducted. The theory of planned behaviors served as the theoretical framework for the study. A thematic analysis was conducted …

Lived Experiences Of Job-Hopping Millennials During The Covid-19 Pandemic, Dottie Dancy

Walden Dissertations and Doctoral Studies

Millennials, also known as “the job-hopping generation,” are on the brink of becoming the largest generation in the workforce by 2025. In March 2020, a global pandemic was declared due to the spread of the virus known as COVID-19, which led to more than 5.3 million deaths globally. Prior research has been conducted concerning the job-hopping tendencies of Millennials, but previous studies have not incorporated the life-changing event of the global pandemic and how it may have changed the beliefs and attitudes of the Millennial generation. The purpose of this qualitative study was to explore the voluntary job-hopping beliefs and …

Risk Factors Of Human Papillomavirus Positive Oropharyngeal Cancer In Men, Kentress Davison

Walden Dissertations and Doctoral Studies

The human papillomavirus (HPV) is a leading domestic and global sexually transmitted disease. The purpose of this secondary quantitative, cross-sectional study is to investigate if there is an relationship between the rate of oral HPV-oropharyngeal squamous cell carcinoma (OPSCC) and race, exposure to smoking cigarettes (tobacco), risky sexual behavior, and participation in oral sex of male-to-male contact vs. male-to-female contact. The social cognitive theory grounded this study. The University of Alabama at Birmingham cancer database population supplied the study’s sample size of 337 males greater than 18 years of age with a diagnosis of OPSCC. I conducted descriptive analyses using …

Strategic Leadership Steps For New Certified Community Behavioral Health Clinics, Keisha Stacy-Ann Davis

Walden Dissertations and Doctoral Studies

States grapple with how to address the opioid epidemic and the growing need for behavioral health (BH) services. Certified Community Behavioral Health Centers (CCBHCs) are a new industry solution to address the need for integrated and coordinated physical and BH care. New CCBHCs are funded by the Federal 223 Substance Abuse and Mental Health Services Administration’s (SAMHSA) grant. However, they must be certified by states to meet the SAMHSA criteria for continued funding. This qualitative study presents a single-case study of a Southern state’s behavioral health department’s (SSBHD) leadership strategy for certifying the CCBHCs in its state and creating a …

Elementary Administrators' Perspectives And Experiences Of Supporting Students Through Nature-Based Learning, Amanda Marie Shelley Degoede

Walden Dissertations and Doctoral Studies

Although nature-based learning (NBL) contributes to the development of students, itsinclusion in elementary schools is inconsistent. Researchers have established the benefits of nature to learning and child development, yet there is a gap in the literature on elementary administrators’ perspectives of and experiences with NBL. The purpose of this qualitative study was to explore elementary administrators’ perspectives of and experiences with NBL, its support of elementary student development, and its inclusion in elementary schools’ curricula and design. The research questions addressed elementary administrators’ perspectives of and experiences with NBL, how NBL supports student development, and how NBL is included in …

A Leadership Perspective On Preventing Counselor Burnout In A Behavioral Health Setting During Covid-19, Claudia P. De La Torre

Walden Dissertations and Doctoral Studies

During the COVID-19 pandemic, there was a high need for mental health services, which resulted in a shortage of mental health clinicians. This shortage of mental health clinicians then resulted in a high burnout rate due to client intake. This doctoral case study was grounded in the Baldrige Excellence Framework and focused on how a behavioral health organization in South Texas managed burnout in clinicians during the COVID-19 pandemic. This study aimed to help behavioral health leaders find a solution to preventing burnout during a high demand pandemic. This doctoral study had several data sources, including semistructured interviews with three …

Long-Term Psychological Adaptation Of U.S. Human Resource Personnel In Response To The Covid-19 Pandemic, Samantha Ann Denson

Walden Dissertations and Doctoral Studies

Previous research indicated that the COVID-19 pandemic negatively impacted employee psychological outcomes in various workforce sectors. Although research showed that U.S. human resource (HR) employees experienced unique occupational challenges during the pandemic, the literature did not explore pandemic-related psychological outcomes in this population. This quantitative survey-based study included a purposive sample of 294 U.S. HR professionals to explore the pandemic’s impact on their psychological well-being. The transactional model of stress and coping served as the theoretical framework to understand the independent effects of appraisal, meaning-based coping, and coping efforts on psychological well-being. A mediation analysis was used to understand the …

Call Center Managers’ Strategies To Address Employee Turnover, Kimberly Dickens

Walden Dissertations and Doctoral Studies

Employee turnover is a threat to call center sustainability. Call center leaders who lack strategies to reduce employee turnover have an increased risk of business failure. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative multiple-case study was to explore strategies call center leaders use to reduce employee turnover in insurance call centers. The three participants were call center leaders from three different call centers in Raleigh, North Carolina, who implemented strategies to reduce employee turnover. Data were collected from semistructured interviews and reviews of public documents from participants’ company websites and analyzed using thematic analysis. Two themes emerged: …

Thematic Analysis Of Online Predatory Grooming Behavior Among Male Offenders, Ryan Christopher Dronek

Walden Dissertations and Doctoral Studies

Social media sites, gaming platforms, and online communication tools have been integrated into children’s everyday lives. This has created a new avenue for child predators to identify, communicate, and victimize children. Just as the internet and the ability to communicate online have evolved, predatory grooming behavior has evolved as well. This qualitative study aimed to identify predatory grooming themes and the thematic stage progression for online male offenders who target child victims using online chat rooms. O’Connell’s typology of cyber sexploitation and online grooming practices was used to explore online child predators’ grooming themes and stage progression. Nine male Wisconsin …

Disparate Access To Medical Coverage Associated With Type 2 Diabetes Care In Low-Income And Rural Communities In Georgia, Crystal Alexis Symone Edwards

Walden Dissertations and Doctoral Studies

Disparate access to diabetes care in rural and low-income communities among older adults has been an ongoing issue among Americans. Type 2 diabetes in low-income and rural communities has continuously burdened many residents due to age, costs of care, income, geographic location, and education levels. Researchers have demonstrated that providing resources and tools to rural and low-income communities would assist in decreasing type 2 diabetes and increase education and awareness. The purpose of this quantitative cross-sectional study using secondary data was to examine the relationship between health insurance status and lack of access to health care resources and delay of …

Clinical Social Workers’ Perceptions And Experiences Of Parental Alienation, Martinek Evans

Walden Dissertations and Doctoral Studies

This qualitative research study aimed to explore clinical social workers’ perceptions and experiences of parental alienation (PA). Using Bowen’s family system theory as the framework, the research questions examined the problem from multiple levels of practice, including individual, family, institutional, and systematic. The individual interview approach aligned with the study goal by allowing participants opportunities to share their perspectives and experiences working with PA. The study used a purposive and snowball sampling of eight participants who were licensed social workers in the United States. Individual interview responses were transcribed and coded. Thematic content analysis was also used to analyze the …

Probationer Officer Experiences: Dual Role Decision-Making For Probationers With Mental Illness, Myra A. Fields

Walden Dissertations and Doctoral Studies

Probation officers play a major role in maintaining public safety by balancing their dual roles of care and control. The number of individuals within the United States community corrections system is significantly growing. This has increased the need for probation officers to make decisions for probationers with mental illness. However, there is a gap in understanding how active-duty probation officers make decisions for probationers. This study examined how probation officers balance their dual roles while decision-making for probationers with mental illness. An interpretative phenomenological analysis design was used. Semi-structured interviews were conducted with six participants who met inclusion criteria to …

Teachers’ Perceptions Of Student Performance On The Advanced Placement English Language And Composition Exam In Department Of Defense Schools, Tracee Nichole Fisher

Walden Dissertations and Doctoral Studies

The problem that guided this study was the low proportion of students scoring 3 or more on the Advanced Placement English Language and Composition (APELC) exam at one Department of Defense (DoD) school. Moreover, the qualifying ratios were lower than students attending all DoD and U.S. schools. The need for teachers to examine the performance of military-connected students has become a critical element of high-stakes accountability in all schools, most importantly at military-connected schools. The aim of this research was to explore DoD teachers’ insights into the factors influencing military-connected students’ low scores on the APELC exam and the instructional …

Addressing Counterproductive Work Behaviors In A Behavioral Health Organization, Abigail Flores

Walden Dissertations and Doctoral Studies

Studies show that counterproductive workplace behaviors impact organizations financially and operationally. The focus of this case study was to explore reasons for counterproductive workplace behaviors and to determine the actions of leadership to address and mitigate them. The Baldrige framework was used to guide this case study of a nonprofit behavioral health organization in the northeastern United States. Data sources for this study included structured interviews with the organization’s executive director, personal communications via email with the executive director, the organization’s website, and a review of academic literature. Data were analyzed with NVivo qualitative analysis software. Findings indicated a lack …

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 …

Lived Experiences Of Stress And Burnout Among Pediatric Home Care Nurses, Johane Garcon-Paul

Walden Dissertations and Doctoral Studies

Abstract

Research shows that healthcare providers encounter stress in their workplaces whether in a home or a healthcare facility that results in reduced job satisfaction, burnout, and inadequate care of patients. There is a gap in the literature regarding the lived experiences of nurses caring for children in all work settings, including the home care setting, regarding stress and burnout. The lived experiences of pediatric nurses working in home care settings were explored to discover conditions that contribute to their occupational stress and burnout. The occupational stress model with a major focus on the job demands-resources occupational stress model was …

Stressors And Depression Among Adolescents With Co-Rumination As A Moderator, Angela Grosso-Burke

Walden Dissertations and Doctoral Studies

Stress, depression, and co-rumination have been a focus of scholars in recent years. Although studies have considered the relationship among stressors, depression, and co-rumination, little is known about the moderating effects of co-rumination. This study aimed to address the gap in the literature by examining moderating effects of co-rumination on relations between stressors and depression, along with further moderating effects of sex, race, and grade. The current study examined mean-level race, sex, and grade differences in the relation among stressors (total, family, peer, physical appearance, sport/physical activity, school) and depressive symptoms in adolescents. Analyses were conducted to determine the relationship …

Occupational Burnout Factors Among Correctional Mental Health Providers, Morgan Gruhot

Walden Dissertations and Doctoral Studies

Burnout rates of correctional employees are higher than employees in the general public. The purpose of this study was to identify how occupational factors impact burnout rates among correctional mental health workers. Grounded in the job-demands theoretical model, this study compared burnout rates among mental health staff within county jails and state prisons. Burnout was measured using the Maslach Burnout Inventory and Occupational factors were measured using the Areas of Work life Survey and Pandemic Experience and Perception Survey. Data was analyzed using IBM SSPS software to address multiple a priori directional research questions. Research questions considered how occupational factors …

Filipino Americans’ Attitudes And Experiences With Mental Health And Help-Seeking Behaviors, Kelsey Guerrero

Walden Dissertations and Doctoral Studies

Filipino Americans suffer from mental illness at an alarming rate and have a low rate of seeking mental health treatment. Because Filipino Americans are underrepresented in social science research, psychologists do not understand how to resolve this issue within the Filipino American population. The purpose of this generic qualitative study was to describe the experiences with mental health and treatment of Filipino Americans. Bronfenbrenner’s ecological model theory and Latane’s social impact theory served as the theoretical foundation for the study. A sample of 12 Filipino Americans was interviewed using a semistructured interview design. Participants were asked 10 questions addressing their …

Social Work's Unremitting Identity Crisis: Can The Dsw Provide Answers?, Debra Joyce Hall

Walden Dissertations and Doctoral Studies

AbstractThis study is centered on a long-standing professional identity dilemma that poses potential problems for the future of the field of social work. Current literature points to specific shortcomings in the field that threaten the future of the profession. Some researchers also suggest that the reemergence of the Doctorate of Social Work (DSW) may be used to solve some of the identity concerns with the profession. The study further asserts that practicing licensed clinical social workers (LCSW) have not been a part of the conversation regarding the identity issues or the remedies that the field is considering. Using both a …

Middle And High School Administrators’ Perceptions Of Retention Factors At Title I Campuses, Creseda Hawk

Walden Dissertations and Doctoral Studies

AbstractPrincipal turnover has a negative influence on the stability of a school’s culture and climate and on student achievement. Many U.S. principals leave their positions by the end of their 2nd year, and this number is disproportionately higher for low-income school districts. The purpose of this basic qualitative study was to investigate middle and high school principals’ perceptions of factors influencing administrator turnover at Title I schools across a southeastern U.S. state. Herzberg’s two-factor theory of motivation grounded this study. The research questions were focused on principals’ perceptions of motivation and hygiene factors. Semistructured interviews were conducted with 10 purposively …

The Correlation Of Adverse Childhood Experiences And Pornography Consumption In Adulthood, Branden Henry

Walden Dissertations and Doctoral Studies

Over the past 25 years, significant research has gone into understanding how adverse childhood experiences (ACEs) correlate with a variety of negative health and behavioral outcomes, while at the same time, pornography consumption has increased dramatically. However, limited research has been done to understand whether a relationship exists between ACEs and pornography consumption. Attachment theory, which was used as the theoretical framework for this study, includes the idea that childhood experiences play a major role in a person’s development of various behaviors throughout life, including coping mechanisms like pornography consumption. The purpose of this quantitative, cross-sectional, correlational study was to …

Stigma Associated With Invisible Disabilities And Its Effect On Intended Disclosure In The Workplace, Jessica Lynne Hicksted

Walden Dissertations and Doctoral Studies

Disability discrimination is a long-standing issue that, despite protections, continues to result in unemployment, underemployment, and lack of advancement for disabled persons. Visible stigma is researched substantially; however, less is known about the impact of stigma associated with identities that can be concealed. Although researchers have investigated this issue, currently there is no tool to measure this phenomenon. The purpose of this quantitative study was to create and validate a new tool to measure stigma associated with invisible disabilities. The study is grounded by Roberts’ conceptual model of professional image construction integrating social identity, impression management, and organizational behavior; Meisenbach’s …

Effect Of A Stress Management Module On First-Year Osteopathic Medical Students’ Stress Levels, Yasmine Mignon Hill

Walden Dissertations and Doctoral Studies

Medical students have consistently identified medical school as a stressful experience. Although studies show stress management to be beneficial for helping students alleviate stress, few studies have been conducted with osteopathic medicine (DO) students as participants. The purpose of the quasi-experimental study was to assess the effect of participation in a 4-week stress management module on first-year DO students’ stress levels. This study was grounded in Quick and Quick’s preventive stress management theory and Bandura’s self-efficacy theory, which together suggest that early recognition of stress and consistent stress management coping mechanisms are beneficial for altering and sustaining stress levels. For …

Single-Term Soldiers’ Job Satisfaction And Job Meaningfulness In Second Careers, Bethanie Hiramoto

Walden Dissertations and Doctoral Studies

Past researchers have informed future researchers of the challenges soldiers experience when transitioning to civilian life and the civilian workplace. This qualitative study aimed to understand the lived experiences of six single-term soldiers and their levels of job satisfaction through job meaningfulness in their second careers. Data for this study was collected using semi-structured interviews and interview protocols. The theoretical framework combined Herzberg’s two-factor theory, McClelland’s needs theory, and Organizational Socialization. The entire study was framed through this framework, and collected data were analyzed. The findings of this study indicated that job meaningfulness occurred while in their single term in …

Human Services Professionals' Perspectives On U.S. Homeless Veterans' Access To Social Services During The Covid-19 Pandemic, Kemnesia Hobbs

Walden Dissertations and Doctoral Studies

AbstractAmerican veterans who are homeless can face significant challenges accessing social services, and these challenges were further exacerbated during the COVID-19 pandemic. The purpose of this study was to explore the experiences of homeless veterans in seeking services during the COVID-19 pandemic through the perspectives of the human services professionals (HSPs) who provide support to veterans in the areas of mental health, housing, addiction, and food security. The first research question concerned HSPs' perceptions and interpretations of the strategies and barriers for homeless veterans in accessing services during COVID-19. The second research question addressed whether HSPs observed posttraumatic growth in …

Perceptions Of 9-1-1 Telecommunicators High-Stress Emergency Calls, Danielle Holland

Walden Dissertations and Doctoral Studies

Many research studies have been conducted on the effects of high-stress emergency calls on emergency personnel, such as police officers and firefighters. However, research was lacking on the effects of high stress calls on 9-1-1 telecommunicators. The purpose of this qualitative case study was to determine how 9-1-1 telecommunicators perceived and responded to high-stress emergency calls. The theoretical framework was based on Bandura’s self-efficacy theory and social cognitive theory. The study was guided by three research questions that focused on (a) the short- and long-term effects of stress experienced by 9-1-1 dispatchers, (b) the aspects of calls that telecommunicators perceived …

Developing Consensus On The Use Of Emotional Intelligence Training In Small Utility Companies, Nathaniel E. Holloway

Walden Dissertations and Doctoral Studies

Park and Shaw shared the impact on organizations from unmotivated and unsatisfied employees link to higher turnover ratios. The use of emotional intelligence in manager training lowered employee turnover by 13%. The problem address in this Delphi study was that small utility companies do not have an emotional intelligence plan in place for managerial training. Goleman and Mayer’s framework was used as the theorical lens for examining response of participants to the Delphi study. A panel of experts submitted data in the form of responses to three rounds of questions regarding the use of emotional intelligence training in small businesses. …