Social and Behavioral Sciences Commons^™

Nursing Care Of Terminal Patients In Intensive Care Units, Pervell Velethia Dunbar

Walden Dissertations and Doctoral Studies

Nursing Care for Terminal Patients in Intensive Care Units

by

Pervell Dunbar

Project Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Nursing Practice

Walden University

August 2015

Although the goal of the ICU has always been to save lives, ICU now additionally provides end-of life (EOL) care. The objective of this project was to provide ICU nurses with a comprehensive awareness of physical, emotional, and spiritual EOL care issues of patients and their families in order to be better equipped to handle EOL care. The framework used was Jean Watson's Caring model (10 Caritas). A …

The Effects Of Stress And Burden On Caregivers Of Individuals With A Chronic Illness, Betty Wilborn-Lee

Walden Dissertations and Doctoral Studies

Informal caregivers have played a significant social and economic role in the care and treatment of individuals diagnosed with chronic illness. However, caregiving can have harmful effects on a caregiver's physical, psychological, and emotional well-being. Using caregiver stress theory as the theoretical framework, the purpose of this archival research was to determine the predictive relationship of stress in relation to caregiver quality of life for 309 selected cases. Correlational and hierarchical multiple linear regression analyses were used to examine the relationship between the independent variables and the dependent variable. The independent variables examined were environment and context, stressors related to …

The Effects Of Frequent Exposure To Violence And Trauma On Police Officers, Ternarian A. Warren

Walden Dissertations and Doctoral Studies

Police officers who maintain negative or traumatic information in long-term memory are vulnerable to mental illness, unstable emotional and behavioral responses, interpersonal problems, and impaired social relationships. The cognitive theory suggests that police officers externalize various negative or maladaptive behaviors as a result of frequent exposure to traumatic events. Researchers have found that police officers tend to either not seek mental health treatment, try to fix their own mental health problem, or if in treatment will not be forthcoming with internalized thoughts of psychological distress. The intention of this research was to examine the relationship between police officers' frequent exposure …

Racism Vs. Social Capital: A Case Study Of Two Majority Black Communities, Bruce W. Strouble

Walden Dissertations and Doctoral Studies

Several researchers have identified social capital as a means to improve the social sustainability of communities. While there have been many studies investigating the benefits of social capital in homogeneous White communities, few have examined it in Black homogeneous communities. Also, there has been limited research on the influence of racism on social capital in African American communities. In this dissertation a comparative case study was used within a critical race theory framework. The purpose was to explore the role of racial oppression in shaping social capital in majority African American communities. Data were collected from 2 majority Black communities …

Exploring The Lived Experiences Of Seniors Aging In Place, Magaly C. Dante

Walden Dissertations and Doctoral Studies

Baby boomers are living longer, and as they age, they will need more supportive services that may include housing, mobility, nutrition, personal care, or health care. Despite the studies that have been conducted on baby boomers aging in place (choosing to stay in their home versus move to an institution), the focus has been on the old and frail and very little has been done to address the lifestyle of active (physically functioning) baby boomers. The purpose of this phenomenological study was to understand the lived, shared experiences of active baby boomers regarding their beliefs and attitudes about aging in …

Benefits And Barriers Of Hud Neighborhood Stabilization Program As Perceived By Stakeholders, L. Diane Bennett

Walden Dissertations and Doctoral Studies

Devalued homes and weakened economic conditions of 2008 led to lost property tax revenues, more vacant and abandoned properties, and destabilized neighborhoods. The first Neighborhood Stabilization Program (NSP1) was a federal intervention designed to mitigate the damage of the recession, but there is scant evidence of program effectiveness. A phenomenological study, using a method outlined by Moustakas,

answered questions on the benefits and barriers of NSP1 as perceived by stakeholders in a Mid-Atlantic city. Stakeholders included nonprofit housing advocates, residents, business partners, and government officials. Theories of collaborative governance and community stakeholders were used to guide the investigation of NSP1 …

Exploring Protégé Perceptions Of Success And Failure In Formal, Jeffrey Wayne Strickland

Walden Dissertations and Doctoral Studies

Since the 1993 inception of the mentoring program in the U.S. Navy, little evidence has been collected on its effectiveness, primarily because of difficulties with instrumentation and conceptualization in conducting such assessments. The purpose of this correlational study was to identify external factors affecting military protégés' satisfaction with their mentoring experience. The conceptual framework of this study was based on Kram's mentor model theory, which includes career and psychosocial support functions. A 5-item Likert survey instrument was designed to measure the dependent variables of satisfaction with career mentoring and satisfaction with personal mentoring against 10 independent variables: dyad compatibility, mentor …

The Emotional Impact On Elderly Spouses Who Placed Their Loved Ones In Long-Term, Barbara Hunt

Walden Dissertations and Doctoral Studies

Aging may bring mental and/or physical decline. There may come a point when a loved

one needs long-term care in a nursing home. The purpose of this phenomenological study

was to examine the community dwelling spouses' emotional state. A study was

conducted with 10 individuals (5 men and 5 women) who had a spouse in long-term

nursing care. Inclusion criteria was to be at least 65-years old, have been married at least

30 years, and reside alone in his or her own home. The social emotional selectivity theory

and the construct of boundary ambiguity were applied to view the epoch. …

Determinants Of Social Disorganization As Predictors Of Illicit Drug Use During Recessionary Years, Daniel Kirk Westmoreland

Walden Dissertations and Doctoral Studies

Research suggests evidence of an association between sociodemographic determinants and illicit drug use. However, these data do not take into consideration the effect an economic obstacle, such as a recession, could have on an individual's urge to cope with this stressful period with illicit drugs. Furthermore, there is no research to suggest how clinicians and/or treatment institutions can forecast whether the use of monetary resources will be sustainable due to private and/or governmental fund reductions during an economic recession. Based on theories of social learning and social disorganization within an ecological framework, this study employed a quantitative trend analysis to …

The Effect Of Pay Banding On Generational Cohort Perceptions Of Job Satisfaction, Charles Terence Polk

Walden Dissertations and Doctoral Studies

For over 3 decades, the federal government has attempted to introduce pay-for-performance into the federal workforce. It is important for federal agencies to understand the impact of pay-for-performance, specifically pay banding, on job satisfaction and retention of frontline managers as agencies face the exodus of the retiring Baby Boomer generation. The purpose of this study was to explore the effect of pay banding on job satisfaction and intention of frontline managers to leave the Internal Revenue Service (IRS). The theoretical foundation for this study was Adams's equity theory as viewed through the lens of Mannheim's generational theory. The overarching research …

A Study Of Nurses' Attitudes Toward Medical Ageism, Stephanie Cameron

Walden Dissertations and Doctoral Studies

Medical ageism in the United States affects senior citizens' activities of daily living (ADL) and the quality of their medical care. Medical ageism refers to discrimination against, abuse of, stereotyping of, contempt for, and avoidance of older people. Nurses who take care of the elderly are responsible for ensuring that older patients are treated fairly and in a timely manner, so it is important to know whether or not nurses have any bias regarding the elderly. The research questions addressed in this quantitative study explored whether or not there were differences in nurses' perceptions of ageism as moderated by the …

Use Of Flexible Work Arrangements By Race And Ethnicity: Examining The Mediating Role Of Organizational Diversity Climate Perceptions, Imani S. Owens

Walden Dissertations and Doctoral Studies

This study investigated whether women of color faced additional challenges in using flexible work arrangements (FWAs) when workplaces lacked an affirming diversity climate. Researchers found that use of FWAs was associated with organizational climate, race was correlated with diversity climate perception, and diversity climate perceptions were associated with organizational outcomes such as job satisfaction and retention. Limited empirical evidence existed that demonstrated that race/ethnicity predicted use of FWAs or that diversity climate mediated this relationship. This quasi-experimental study examined the hypotheses that (a) race/ethnicity predicted diversity climate perceptions, (b) race/ethnicity predicted use of FWAs, and (c) diversity climate mediated the …

Depression And Psychotherapy For Adults In Long-Term Care Facilities, Jasper Joseph Watts

Walden Dissertations and Doctoral Studies

The purpose of this study was to investigate depression and psychotherapy for adults who are in long-term care facilities. Depression is a serious problem for the elderly in general and for residents of nursing homes in particular. The current study drew on the dynamic stress vulnerability approach to explain how illness occurs in older people, using evidence obtained from the biological, social, and psychological domains with respect to depression. The research question addressed the difference in posttreatment depressive symptoms among 6 types of psychotherapy as measured by the Hamilton rating scale for depression (HRSD)? The 6 therapy techniques were (a) …

Critical Factors In Police Use-Of-Force Decisions, Orville Nickel

Walden Dissertations and Doctoral Studies

This study investigated law enforcement officers' perceptions of the legal, normative, and practical considerations that are implicit in their decisions when faced with using physical force. Law enforcement officers observe and protect fundamental human rights. A significant problem, however, is that physical force is sometimes misused, impacting public confidence in police services. The study was framed by Durkheim's conflict theory and Beirie's concepts of police corporate culture and social control. It used a grounded theory method and predeveloped case scenarios presented to 2 male focus groups of 7 and 6 participants respectively, and 2 female focus groups of 5 and …

Business Strategies To Improve On-Time Deliveries And Profits In Southcentral Alaska, Donald Richard Leaver Ii

Walden Dissertations and Doctoral Studies

Traffic congestion can cause late deliveries, decreased profits from vehicle fuel idling in traffic, and delayed distribution in tight delivery windows. The focus of this study was on developing strategies that business leaders could use to increase on-time deliveries. The conceptual frameworks for this case study were systems theory, traffic equilibrium theory, bathtub theory, and kinematic wave theory. Data were collected from semistructured interviews with 6 delivery service leaders from 3 delivery businesses in Southcentral Alaska. In addition, secondary data were collected from government information. Interview responses were coded to identify trends including delivery time, business activity, and amount of …

Bereavement And Parents Who Have Experienced The Sudden Death Of A Child, Thomas Brian Fulbrook

Walden Dissertations and Doctoral Studies

In studies, grief due to the loss of a child is recognized as a complex process, one whose trajectory is influenced by a variety of factors. One factor, the age of the child at the time of death, may be an important influence in the trajectory of grief. The purpose of this interpretive phenomenological study was to explore the experiences of loss for 15 bereaved mothers and fathers whose children suddenly died between the ages of 2 and 12 years. This age range was selected to explore bereavement in parents of young and preteen children because they may feel a …

Social Determinants Of Health Inequality And Life Expectancy Among Women Of Edo State, Nigeria, Daniel Aromeh Odekina

Walden Dissertations and Doctoral Studies

Health inequality conflates a huge number of economic, social, and political issues. These issues, together described as social determinants, determine a population's health through influencing health status and life expectancy. The research purpose of this study was to examine how social determinants affected the life expectancy of the women of Edo State, based on secondary data from Nigeria's 2008 demographic and health survey (NDHS). The theories that guided the study were self-efficacy beliefs of the social cognitive theory and physical self-concept of the health belief model. This quantitative cross-sectional study examined the associations between socioeconomic status, nutritional status, literacy/educational attainment, …

Abstract Uneducated Injustice: A Social Cognitive Approach To Understanding Juror Misconduct And Verdict Errors, Melinee Melissa Marie Calhoun

Walden Dissertations and Doctoral Studies

A continual problem in the adjudication of crime in the United States is the continued occurrence of erroneous convictions and acquittals. This problem impacts the victims of crimes as they endure emotional and mental distress of additional investigations and new trials. Defendants are impacted by errors in verdicts because of the loss of freedom while being factually innocent. These errors may occur because jurors may not be knowledgeable of their role, right and responsibilities. Without regard to the judge's minimum instruction, the jury is not provided direction on the purpose and limitations of their roles. Guided by the social cognitive …

Career Goals For Joining Law Enforcement And Subsequent Stress, Earl Riggins

Walden Dissertations and Doctoral Studies

Police officers experience stress from operational and organizational demands which are extrinsic in nature. Officers may also experience stress from not being able to attain their personal goals for becoming a police officer, which is referred to as goal negation. The purpose of this mixed model, exploratory study was to examine if stress from goal negation is an intrinsic moderating factor of police officers' overall experience of career-related stress that may be adding to the health risks of the profession. The framework for the study included the concept of goal negation and the theory of operational and organizational or intrinsic …

The Impact Of Supply Chain Logistics Performance Index On The Control Of Neglected Tropical Diseases In Low- And Middle-Income Countries, Farouk Adams Umaru

Walden Dissertations and Doctoral Studies

Neglected tropical diseases (NTD) in low- and middle-income countries are still not on target per the World Health Organization's (WHO) elimination goal of 2020. Mass drug administration (MDA) is one of the effective strategies supported by the WHO for the control and subsequent elimination of NTD. This quantitative study explored how supply chain logistic capacity may be hampering MDA coverage in countries in which the diseases are endemic. The study examined secondary data from WHO data bank for MDA coverage, to quantify the relationship between supply chain logistics capacity, as measured by the World Bank's logistics performance index (LPIs), and …

Autonomy In The California Disability Services System, Lisa Ann S. Carbone

Walden Dissertations and Doctoral Studies

Legislation concerning California residents with intellectual and developmental disabilities (ID/DD) requires recipients of services to be treated as independent individuals while emphasizing self-determination. At the same time, under regulatory procedures, recipients are considered dependent on the delivered services and not self-determinant. Neither the California Department of Developmental Services nor the trade associations representing community service providers have established a unified, systematic practice to support self-determination. This phenomenological study explored the experience of adults with ID/DD working toward self-determination.

Specifically, it explored how medical and social models contribute to shaping and actualizing the independence of this population. Interviews with eight adults …

The Psychological Resilience Of Spousal Caregivers Of Multiple Sclerosis Family, Marisa Diane Diaz

Walden Dissertations and Doctoral Studies

The purpose of this quantitative study was to examine an under-researched topic: the relationship between psychological resilience and personal growth with spousal caregivers of patients diagnosed with Multiple Sclerosis (MS). Chronic illnesses contribute to potentially stressful changes (i.e., lifestyle, quality of life, financial wellbeing, and interpersonal relationships) for the caregiver. The theoretical foundation for this study was Walsh's family resilience theory, which contends that resilience is vital for coping with stressful life experiences and leading a more successful life. Three separate analyses were conducted to examine the relationship between the total scores of the RS and the PGIS, the SWLS, …

The Deterrent Effect Of Disciplinary Segregation On Prison Inmate Misconduct, Joseph William Lucas

Walden Dissertations and Doctoral Studies

Although a widely used practice, it was previously unknown whether disciplinary segregation is actually effective at modifying prison behavior. This quantitative, retrospective observational study tested deterrence theory and explored the effectiveness of disciplinary segregation in deterring subsequent prison inmate misconduct among those subjected to it (N = 228). It compared a cohort of male inmates incarcerated by the Oregon Department of Corrections who had spent time in disciplinary segregation in 2011 and/or 2012 with a comparison cohort who had not spent any time in disciplinary segregation. Three models were tested, each with the outcome variable operationalized in a different way: …

Lived Experiences Of Attorneys Who Represent Transgender Clients In Prison Placement, Heidi Jo Green

Walden Dissertations and Doctoral Studies

Researchers have indicated that there are no formal guidelines for placing convicted transgender felons in the United States in correctional facilities and addressing their post-placement medical care and treatment. The problem is that inappropriate placement may lead to the discrimination of transgender offenders; it may also put them in situations that threaten their safety. Attorneys are legal advocates assigned to defend and protect the rights of their clients during the trial and sentencing phase when correctional placement is determined. The purpose of this hermeneutic, phenomenological study was to explore the lived experiences of attorneys who represent transgender clients during the …

Public Safety Impact Of Electronic Monitoring Of Texas High-Risk Offenders, Paul Utu Aliu

Walden Dissertations and Doctoral Studies

The use of electronic monitoring (EM) as a tool to supervise high-risk offenders has increased in the field of criminal justice in the state of Texas. Although EM is now widely used to supervise high-risk offenders to prevent them from committing further crimes, it is unclear whether EM has achieved the purpose of reducing reoffenses during parole supervision. Hirschi's social bond theory, which was later developed into social control theory, was used as the framework for this general qualitative study to explore retired parole officers' perceptions concerning whether EM is successful in preventing high-risk offenders from committing additional crimes. Interview …

Alleviating Risks Of Parental Incarceration Through Mentorship, Sonia Murrey

Walden Dissertations and Doctoral Studies

The focus of the present study was on the lack of positive socialization of children affected by parental incarceration. Researchers have indicated the need to broaden the examination of the effects of parental incarceration on children. Mentorship has demonstrated a positive influence for youth who display at-risk behaviors. However, there is little research regarding the effectiveness of mentorship programs for youth who have experienced the negative effects of parental incarceration. The purpose of this transcendental phenomenological study was to describe the experiences of youth who have completed an individualized mentorship program following parental imprisonment. Flyers were distributed to case managers …

Perceptions Of Empty Nest Mothers From Diverse Socioeconomic Backgrounds With Boomerang Kids, Banning Kent Lary

Walden Dissertations and Doctoral Studies

In the United States, a growing number of young people are failing to launch into self-sufficiency, a characteristic of adulthood recognized by most cultural groups. These "boomerang children" return home and interrupt the life course development of their "empty nest" mothers who must suspend plans for self-development. How mothers from different socioeconomic backgrounds cope with this countertransitional phenomenon while preparing their children for successful relaunch is not well known. Elder's life course paradigm provided the theoretical framework for this phenomenological study. Perceptions were collected from an ethnically diverse group of 23 empty nest mothers with 30 boomerang children and seven …

Lived Experiences Of Women Over 50 Who Have Experienced Involuntary Job Loss, Roxine Denise Phillips

Walden Dissertations and Doctoral Studies

Both the short-term and long-term unemployment rates for older workers in the United States have increased significantly since the 2007 recession. Researchers who examine the impact of involuntary job loss have predominantly focused on the experiences of men. Limited prior research exists on the job loss experiences of women over 50 years of age compared to men. The goal of this study was to address this gap in knowledge by examining the lived experiences of women over 50 who had experienced involuntary job loss, the barriers faced to reemployment, and the ways women overcame the barriers to reemployment. A phenomenological …

School Climate, Developmental Assets, And Academic Success In Kipp Hispanic Students, Rebecca Elaine Lopez

Walden Dissertations and Doctoral Studies

Hispanic students residing in the United States have historically been the lowest-achieving ethnic group in public schools and have a high dropout rate. A stark comparison to those statistics can be found within the Knowledge is Power Program (KIPP) charter schools in San Antonio, Texas, which have a majority Hispanic student population that is thriving academically and advancing to college. Using the Search Institute's positive youth development theory, the purpose of this study was to (a) quantitatively explore how school climate moderates the relationship between Hispanic student acquisition of developmental assets and academic success at KIPP charter schools from the …

General Strain Theory As A Predictor Of Occupational Fraud, Timothy Bergsma

Walden Dissertations and Doctoral Studies

The world economy loses an estimated $3.5 trillion annually due to fraud. A weakened economy leads to additional hardships for individuals, families, and organizations. General strain theory (GST) posits that certain strains lead to negative emotional responses, and the result is delinquent behavior. The purpose of this research was to analyze the relationship between strain and occupational fraud through the theoretical framework of GST. The research questions addressed (a) occupational frauds as measured by strain levels of perpetrators, (b) the relationship between strain scores and the different occupational fraud types, and (c) the significance of the relationship between fraud motivation …