Social and Behavioral Sciences Commons^™

Differences Between For-Profit And Nonprofit Hospitals: Perceived Quality And Access, Michael Ray Eiland

Walden Dissertations and Doctoral Studies

Despite a large body of literature addressing the issue, questions remain about whether nonprofit hospitals provide more community benefit than do for-profit hospitals. This lack of information impacts governments, hospitals, and the healthcare industry, as stakeholders attempt to generate requirements to which hospitals should adhere to maintain nonprofit status, and thus tax exemption. This study addressed this lack of information by examining U.S. hospitals through the lens of stewardship theory to determine whether nonprofits are better stewards of the public good than for-profits, and thus likely to provide higher quality and access. The study applied logistic regression to Centers for …

Psychosocial Predictors Of Successful Bariatric Surgery, Rodney D. Grim

Walden Dissertations and Doctoral Studies

Obesity is an epidemic that can lead to a wide range of physical and mental problems. When traditional weight-loss methods are not effective, bariatric surgery is a viable weight-loss option. While previous researchers have investigated the role of psychological factors in relation to obesity, few have investigated psychological factors as predictors of weight loss and complications after bariatric surgery. The purpose of this study was to determine the prevalence of psychological disorders/conditions (e.g., depression and abuse) in the study population, evaluate weight and psychosocial variables before and 6 months after weight-loss surgery, and identify psychosocial factors that are predictors of …

The Critical Success Factors Of Public Private Partnerships In Lagos State, Franca Igboka

Walden Dissertations and Doctoral Studies

In recent years, the Lagos State Government has attempted to adopt public private

partnerships (PPP) with little success, largely as a result of implementation barriers. The

purpose of this quantitative, ex-post facto design study was to evaluate which factors are

considered most predictive of success of PPP implementation in the state, whereby the

prescribed quality of products/services is achieved within a specified time frame and at

the agreed cost. Wood and Gray's theory of collaboration and the network and

collaborations theory by Kamensky and Burlin guided this study. A self-constructed and

validated structured questionnaire was utilized in the collection of …

Challenges Of Child Trauma On Adoptive Families' Social And Emotional System, Jacqueline Yvonne Ford

Walden Dissertations and Doctoral Studies

Adoption-focused psychoeducation is deemed essential in maintaining the permanency of traumatized children within a new family unit. However, adoptive parents of traumatized children struggle to find training to address their unique concerns. Guided by the lens of psychodynamic theory, the purpose of this study was to investigate the challenges faced by adoptive families of traumatized children. Special focus was placed on the social and emotional relationships of the adoptive parents of traumatized children, to identify the realistic expectations towards attachment from the families' perspectives. Fifteen families were randomly selected to participate in this study from a group of 30 parents …

Creating Professional Learning Programs That Recognize Teachers As Adult Learners, Nicole Marie Lowe

Walden Dissertations and Doctoral Studies

According to recent research, approximately 40-50% of teachers leave the profession within the first 5 years, creating a constant need for teachers. There is evidence that creating a supportive working environment through effective professional learning, drawing on adult learning theory, may reduce teacher turnover and increase student performance. This study explored teachers' perceptions about the professional development offerings available to them, how these perceptions influence their decisions to remain at the school, and what types of professional learning experiences teachers want to experience. Fourteen high school teachers participated in individual interviews and 2 focus groups, which were analyzed inductively for …

An Offender's Perspective Of Correctional Education Programs In A Southeastern State, Boderick Bennett

Walden Dissertations and Doctoral Studies

Many offenders are incarcerated in U.S prisons with the intent of rehabilitation; however, a majority of these offenders will be released with limited options for employment. Recidivism has been linked to unemployment. The purpose of this multiple case study was to examine the lived experiences of 20 offenders involved in correctional education programs while incarcerated to explore their correctional education experience within the context of postincarceration employment. The theoretical foundation of this study was based on Bandura's self-efficacy theory. Narrative data were elicited pertaining to offenders' perceptions of past education experience, correctional education experience, and their perceived impact of the …

Knowledge Of Overdiagnosis And The Decision To Participate In Breast Cancer Screening, Kimberly T. Nembhard

Walden Dissertations and Doctoral Studies

In 2014, breast cancer was the second leading cause of death among Canadian women, with women over age 50 years making up 82% of the identified cases. To address this issue, the Ontario Breast Screening Program developed a media campaign that promoted the benefits of mammogram screening, but not the associated risks (i.e., false-positive, false-negative, radiation exposure, and overdiagnosis). This study was designed to determine whether there was a statistically significant relationship between knowledge of overdiagnosis and participation in mammogram screening. This cross-sectional, correlational study used schema theory supported by the effective health communication model. Forty-one women were invited to …

Mental Health Worker Retention At African American And Caucasian-Owned Mental Health Agencies, Natikca Oliver

Walden Dissertations and Doctoral Studies

The purpose of this study was to determine which factor(s), including job satisfaction, employee-employer relationship, organizational climate, and ethnicity predict retention of mental health professionals employed by African American and Caucasian privately owned mental health agencies. Due to high turnover in the private sector in mental health in central Virginia, many agencies are closing after 5 years of business. The importance of this study was to determine which factor(s) can assist in reducing turnover in the mental health field and to determine which factor(s) assist in maintaining mental health professionals in order for the agency to remain operable. The variables …

Borderline Personality Disorder: The Frequency Of Disclosure And The Choice To Disclose, Laci Marie Rumpza

Walden Dissertations and Doctoral Studies

The goals of this study were threefold: (1) to identify what percentage of psychologists and clinical social workers disclose the diagnostic label BPD to their patients, (2) to identify factors that influence disclosure, and (3) to gather data about the choice to disclose or not to disclose. The MUM effect was used as the theoretical framework. A sequential explanatory mixed methods design including an online survey was used during the first phase. A total of 125 psychologists and 45 social workers participated in the Phase 1 of the study. The majority of participants stated that they either always or usually …

The Effect Of Evaluating A Quality Improvement Initiative On Reducing Hospital Transfers Of Nursing Home Residents, Denise Eileen Jarboe

Walden Dissertations and Doctoral Studies

The Effect of a Quality Improvement Initiative on Reducing Hospital Transfers of Nursing Home Residents

by

Denise Eileen Jarboe

MSN, Walden University, 2010

BS, University of Maryland, 1981

Project Study Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Nursing Practice

Walden University

February 2015

Nursing homes (NH) in the 21st century provide skilled healthcare services for resident populations who are older, frailer, and often suffering from multiple incurable chronic medical conditions. Nurses practicing in this setting must be keen observers and effective communicators with the ability to recognize and report subtle changes in health status …

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 …

Student Visa Control And Information Exchange, Lisa Bellamy

Walden Dissertations and Doctoral Studies

Expired student visas can contribute to illegal residence in the U.S. and may also be a valuable source of information for Homeland Security. Although the reason for remaining in the U.S. might be for nonthreatening purposes, threatening actions could occur as an individual gets lost in the country. The purpose of this study was to determine how visas were issued, the reasons an individual may remain beyond the approved visa date, and the mechanisms intelligence and law enforcement agencies use to exchange information with each other. This research was based on the new war theory and the Lockwood Analytical Method …

Utilizing The Rorschach In Analyzing Characteristics Of Women Who Have Experienced Domestic Violence, Mary Aleksandra Iwanski

Walden Dissertations and Doctoral Studies

Intimate partner violence (IPV) affects millions of women, men, and families throughout the world each year, with more than a million incidents of domestic partner abuse reported to law enforcement officials each year in the United States. Being able to accurately assess and help a woman who is experiencing this type of violence can be difficult for even a seasoned mental health or medical professional. The purpose of this study was to determine whether clinicians can gain insight into the personality structure of women who have experienced IPV by clinical interview and administration of the Rorschach alone. This study analyzed …

A Comparison Study Of Gender Role Differences Between Funeral Professionals And Nurses, David Rocco Penepent

Walden Dissertations and Doctoral Studies

Women comprise over 57% of all U.S. mortuary school students, yet less than 20% of all funeral directors employed in this country are women. As such, women are underrepresented as funeral directors in the funeral industry. Research to date has not established clear differences between perceived gender roles and occupations in the funeral service industry. The research questions examined the perceived differences of gender role characteristics of masculine, feminine, and androgyny between the occupations of funeral service providers and nursing. Bem's gender role theory was the theoretical framework of this study. The research compared the mean scores of male and …

Maternal Depression: The Impact Of Perceived Social Support And Behavioral Health Rehabilitation Provider 50 Services, Tammy Lynn Gregorowicz

Walden Dissertations and Doctoral Studies

The purpose of this study was to identify if the rate of behavioral health rehabilitation services (BHRS) impacts depressive symptoms of mothers with children receiving these services and if the perception of social support moderates the severity of depression. The stress-buffering hypothesis and Bowen's family systems theory were used for the theoretical framework. A quantitative, cross-sectional survey design was used to collect data from mothers of children receiving BHRS Provider 50 services in northeast Pennsylvania. The Beck Depression Inventory, Second Edition and Multidimensional Scale of Perceived Social Support were used to assess depression and perceived social support. A self-made demographic …

Differences In Body Satisfaction Between Black And White Heterosexual College-Aged Men, Darrell L. Renfro

Walden Dissertations and Doctoral Studies

Although there is an increasing amount of research concerning body satisfaction among heterosexual White men, few of these studies have adequately represented heterosexual Black men. This was a quantitative survey study aimed to illuminate gaps in the literature regarding Black men's body satisfaction experiences. The study used surveys and tested research questions to determine whether college-aged heterosexual Black (n = 220, 55%) and White (n = 180, 45%) men differed in their body satisfaction experiences and whether race significantly moderated the relation between sociocultural influences and body satisfaction in the two groups. This study was based on the social comparison …

Satisfaction And Use: Comparing First-Time Victims And Victims Of Multiple Sexual Assaults, Julie Lindahl

Walden Dissertations and Doctoral Studies

Sexual assault advocacy services are intended to support and empower victims during the aftermath of an assault. This study's purpose was to identify sexual assault victims' use and satisfaction with victim advocacy services, and to compare those outcomes in first-time victims and victims of multiple sexual assaults. The goal was to determine if victims of multiple sexual assaults would seek services again due to satisfaction after receiving prior sexual assault advocacy services. Guided by empowerment theory, this study purported that victim satisfaction and seeking additional services would promote coping and empowerment for the victims and result in positive social change. …

School District Stress Prevention Practices In A Southern U.S. State, Stephen Field Keohane

Walden Dissertations and Doctoral Studies

The growing recognition that stress is a risk factor for youth health problems has spawned research on school-based stress prevention programs and services. While such programs and services are now available for adoption by schools, there is an absence of data on their use in U.S. schools systems. In the current study, Everett Rogers's diffusion of innovations model provided the theoretical framework for the investigation of school district stress prevention practices in one southern U.S. state. The sample for this quantitative descriptive study consisted of 135 out of 136 active public districts, and 72% of school systems completed and returned …

Relationships Between Specific Health-Related Fitness Components And Standardized Academic Achievement Tests, Tona Wilson

Walden Dissertations and Doctoral Studies

In an attempt to meet monetary-driven mandates to improve student achievement test scores, administrators are replacing physical education activities with subject matter classes in many American schools. This practice negates the positive contributions of physical activity to academic performance and student fitness. Guided by self-efficacy theory, this study assessed the impact of optimal versus minimal physical fitness state on student academic achievement. The study sample included 5,416 9th grade students from the same school district who completed a minimum of 5 of the 6 components of the FITNESSGRAM tests, and who also completed the math and English language arts (ELA) …

Parents' Perceptions Of And Experiences With School Counselors, Robyn Jean Emde

Walden Dissertations and Doctoral Studies

Research has found that parents may feel isolated from their children's schools due to their own problematic educational experiences or their lack of understanding their children's school experiences. Current literature explores stakeholders' perceptions of school counselors but lacks specific context from a parental perspective. Validating parents' perceptions of and experiences with school counselors enhances students' academic success by providing insight about what motivates parents to invest in their children's schools and how school counselors influence parental involvement. Utilizing key concepts related to the importance of parental involvement for student success, this qualitative study focused on the experiences and perceptions of …

The Role Of Childhood Trauma And Methamphetamine-Induced Violence In Women, Ashley Kennedy Ibbotson

Walden Dissertations and Doctoral Studies

Victims of childhood trauma are vulnerable to substance abuse due to their inability to develop coping skills following trauma, which can lead to criminal and violent behavior. Guided by the ecodevelopmental theory, this phenomenological study attempted to relate the perceived experiences of violent behaviors as a result of methamphetamine use in women to the types of childhood trauma the women experienced. Fourteen women were recruited using purposive sampling in collaboration with the South Brunswick Counseling Center, based on inclusion criteria that included being over the age of 18; having abstained from methamphetamine use for at least a year; having experienced …

Employment Outcomes For Participants In The Workforce Investment Act Youth Program, Angie Gail Stout

Walden Dissertations and Doctoral Studies

The Workforce Investment Act (WIA) of 1998 created programs to promote gainful employment across the United States. Extant studies on WIA's effectiveness have not examined youth workers, however, and youths are excluded from federal and Texas employment measures. This study was designed to address a research gap regarding postprogram employment outcomes for WIA youths and the types of services received: remedial or remedial plus job training. The study was guided by the theory of experiential learning and examined prior work experience as a variable, using a quasi-experimental design and secondary data. Data were obtained from the Texas Workforce Commission's database …

The Association Between Asthma Management And Routine Posture Exercise, Anne-Marie Lydie Coleman

Walden Dissertations and Doctoral Studies

Asthma cannot be cured, but it can be managed. Asthma management is a public health issue that is complex. Medication, asthma triggers, age, and the environment are all factors that impact asthma management. There is a gap in research in terms of what lifestyle characteristics need to be in place in order for adults to manage asthma. Shaw found that posture care is a lifestyle variable that should be explored as it relates to asthma management in older adults. The Life University Clinic (Marietta, GA) sees asthmatic patients daily and teaches them about a posture care routine through a program …

Stress Among Undergraduate Distance Learners: A Cross-Sectional Study, Susan Hoang

Walden Dissertations and Doctoral Studies

There are many changes undergraduate students face when they transition to the college environment, including vacations and an increase in academic workload. Past research has found that both gender and year of study impact level and sources of stress in undergraduate students who attend traditional brick and mortar institutions. However, the relationship between gender, year of study, and stress levels in undergraduate distance learners has not been well studied. Based on the cognitive theory of emotions, this quantitative study examined what undergraduate distance learners perceive as stressful, whether or not gender and year of study impacted these stressors and whether …

The Relationship Of Managers' Power Motivations To Personality Pathology, Jewel Darlene Adams

Walden Dissertations and Doctoral Studies

Research has shown that managerial leaders have a higher motivational need for power than those in other positions. A leader's personality traits have been shown to affect organizational performance. Leaders who score high in dark traits (undesirable personality attributes shown to predict career derailment across organizations, levels, and positions) could also be more likely to use company resources for personal gain. There is a paucity of research examining the correlation between managerial dark traits and the need for power. The purpose of this study was to examine the relationship between managers' dark trait scores as measured by the Hogan Development …

Women And Thyroid Disease: Treatment Experiences And The Doctor-Patient Relationship, Laura J. Mccormick

Walden Dissertations and Doctoral Studies

Thyroid disease, a chronic illness, affects nearly 200 million people worldwide and is more common among women than in men. Numerous factors make diagnosing and treating thyroid disease in women challenging. The standard blood test for diagnosing thyroid disease and determining treatment effectiveness is inconsistent in its accuracy. Many women with thyroid disease are misdiagnosed or struggle with symptoms even once receiving treatment. Although thyroid disease is highly prevalent among women and the doctor-patient relationship is known to influence treatment outcomes, there is a gap in the literature regarding the treatment experiences of women with thyroid disease and the doctor-patient …

Evaluation Of Post-Deployment Ptsd Screening Of Marines Returning From A Combat Deployment, Erika L. Hall

Walden Dissertations and Doctoral Studies

The purpose of this quantitative study was to examine whether the post-deployment screening instrument currently utilized to assess active-duty Marines for symptoms of PTSD upon their return from a combat deployment can be solely relied upon to accurately assess for PTSD. Additionally, this study sought to compare the number of Marines who have sought trauma-related mental health treatment based on their answers on the Post-Deployment Health Assessment (PDHA) to the number who have sought trauma-related mental health treatment based on their answers on their PTSD Checklist - Military Version (PCL-M). The participants in this study were comprised of a sample …

Perceived Academic Needs Of Military Veterans Within A For-Profit, Yvonne Rose Ross

Walden Dissertations and Doctoral Studies

The number of recent U.S. military veterans attending college has increased due to the Veterans Education Assistance Act; however, retention and graduation rates for this population have declined. The purpose of this qualitative study was to identify the experiences and academic needs of recent military veterans as they transition from the military to academic life at a for-profit, proprietary college. In addition, this study identified differences in the problems faced by male and female veterans and explored whether veterans understood the resources available to them as they enrolled in higher education. Schlossberg's transitional theory was the conceptual framework used in …

Health Behaviors, Hardiness, And Burnout In Mental Health Workers, Jeremiah Brian Schimp

Walden Dissertations and Doctoral Studies

Burnout has emerged as a significant and costly issue in the modern workforce. Researchers have not fully explored the role of individual health behaviors and personality in burnout among mental health workers. The knowledge gap addressed in this study was the connection between health behaviors, what mental health workers do to take care of themselves, and hardiness, the characteristic way they perceive and interpret environmental challenges. The purpose of this study was to examine the influence of health behaviors and hardiness among mental health workers on the 3 dimensions of burnout as measured by the MBI-HSS: emotional exhaustion, depersonalization, and …

Attitudes And Behaviors Of South African Women And Psychosocial Determinants Of Gonorrhea, Takiyah White Ndwanya

Walden Dissertations and Doctoral Studies

The incidence of gonorrhea had declined since the HIV epidemic in the late 1980s, but is now increasing globally due to the emergence of antibiotic-resistant forms of this disease. In South Africa, the incidence of gonorrhea is highest among Black women due to their high co-infection rates with HIV and other sexually transmitted infections (STIs). This study examined the psychosocial determinants of gonorrhea among Black women aged 18 - 35 in the Langa township in Cape Town, South Africa. All participants had reported at least one sexual experience and at least one positive test for gonorrhea in the past two …