Social and Behavioral Sciences Commons^™

Public Health Care Policies And Their Impact On Patient Satisfaction, Bryan John Henderson, Ph.D.

Walden Dissertations and Doctoral Studies

Health care is a trillion-dollar industry, but without public policies in place to support a sustainable health care system, life would decline. For instance, health care providers now receive decreased payments from federal agencies if their health facility scores do not meet national benchmarks. The purpose of this retrospective, quantitative, comparative study was to examine the extent to which patient satisfaction was impacted by national public health policies in the United States and Canada. The research questions related to how health care reimbursement policies and patients’ financial responsibility of both the eastern United States and eastern Canada would predict country-specific …

Understanding Impostor Phenomena In Hispanic Students From Three Different Learning Environments, Marie Hernandez-Seltz

Walden Dissertations and Doctoral Studies

Hispanic college student retention and dropout rates are regarded as social and economic crises in the United States. Research studies with minority students suggest Hispanic students may feel out of place. Impostor phenomenon (IP) is a psychological pattern involving feeling like a fraud that may explain their experience. Several studies with minority students suggest IP and learning environment (LE) may be correlated. Other minority student studies indicate an association between ethnic identity (EI) and IP. The purpose of this quantitative correlational study was to examine the relationship between IP, EI, and LE in a Hispanic university student population. The theoretical …

Bachelor Of Social Work Students’ Experience Of Moral Reasoning At An Evangelical Christian University, David Scott King

Walden Dissertations and Doctoral Studies

Scholars have documented a lack of effective education and training for integrating faith and social work practice. Also, researchers have identified challenges regarding conflicting philosophical paradigms in social work and cultural changes among emerging adults affecting evangelical Christian universities teaching faith integration. However, little information is available regarding the experiences of students and conflicts between social work values and their religious beliefs. This study was an investigation of the experiences of social work students when considering value conflicts between their religious beliefs and social work practice. The research questions examined the moral reasoning of students at an evangelical university considering …

Veterans' Perceptions Of Behavioral Health Services For Posttraumatic Stress, Larence Kirby

Walden Dissertations and Doctoral Studies

Behavioral health services exist for Operation Enduring Freedom (OEF)/Operation Iraqi Freedom (OIF) veterans diagnosed with posttraumatic stress disorder (PTSD); yet, untreated diagnoses may lead to the risk of compromised behavioral health. The purpose of this hermeneutic phenomenological study was to understand the lived experiences of OEF/OIF veterans regarding their decision to seek and retain behavioral health services for addressing PTSD. The research focus and questions were employed through the theoretical concepts of Heidegger’s hermeneutic phenomenological theory, Heider’s attribution theory, and Beck’s cognitive behavioral theory. In-person interviews were conducted to collect data from 8 OEF/OIF veterans who had encounters with behavioral …

African American College Students’ Attitudes Toward Help Seeking For Mental Health Illness, Sylvia Krow

Walden Dissertations and Doctoral Studies

Past research has shown that African Americans are less likely to seek treatment for mental health illness compared to individuals in other ethnic groups. Research has also revealed that African American college students’ attitudes, perceptions, and stigmas against mental illness impacts their willingness to seek treatment for mental illness. The purpose of this quantitative, nonexperimental, correlational study was to investigate the predictive relationships between ethnic identity, perceptions of mental illness, stigma and attitudes toward seeking professional help for mental illness among African American college students attending Historically Black colleges and universities. The research question addressed the predictive relationships between ethnic …

Social Media Technologies In Policy Communication: A Case Study Of Ghana’S Information Services Department, Winnifred Nafisa Mahama

Walden Dissertations and Doctoral Studies

There is an informational gap in demand and supply of real-time policy information confronting Ghana’s Information Services Department. This problem of a gap in demand and supply impacts the productivity of individuals, groups, as well as public and private institutions. The aim of this qualitative case study was to explore how the government could integrate social media technologies in its policy communications to bridge the informational gap. The narrative policy framework provided the theoretical framework for the study. Research questions focused on how the government uses social media technologies in engaging citizens to generate input for policy decision making as …

Organizational Climate And Employee Engagement, Romie Mejalli

Walden Dissertations and Doctoral Studies

Although research shows that disengaged employees contribute to increased health and hiring costs in for-profit organizations, there is a gap in the literature concerning the relationship between organizational climate (OC) and employee engagement (EE) in nonprofit organizations (NPOs). In this study, it was hypothesized that employee answers to the Utrecht Work Engagement Scale-17 (UWES-17) and OC surveys (for example, of management styles and innovation) would predict EE in a NPO. The study further addressed the question of whether age or the division in which the employees worked influenced the relationship between OC and EE. Kahn’s engagement theory served as the …

Examining Barriers Impacting Women’S Promotion Into C-Suite Positions In Higher Education, Lynette Johnson Nelson

Walden Dissertations and Doctoral Studies

The United States Department of Labor indicated that women represent 46.8% and men represent 53.2% of the United States’ 16 years and older civilian labor force. An estimated 52% of adult women compared to 48% of men participating in the civilian labor force held a bachelor’s degree or higher, and women represented 47% of the management and professional sector’s positions. Women occupy 25% of C-suite positions in the Standard & Poor 500 companies. In higher education, 30% of college presidents are women. Women continue to face several barriers as they try to move into senior executive leadership positions. The specific …

Religious Tolerance And Government Collaboration With Faith-Based Organizations, Sheree Rose Nelson

Walden Dissertations and Doctoral Studies

Collaboration between faith-based organizations and local governments provides an opportunity for projects to be fulfilled when budgets fall short of meeting all of a community's demands. Concerns arise, however, regarding the working relationships of government entities and faith-based organizations, when cosponsoring organizations include participants of various belief systems. The purpose of this case study was to explore participants' perceptions of toleration levels regarding their spiritual beliefs while working within a collaborative setting of mixed faiths. The conceptual framework consisted of Gajda's collaboration theory that states that collaboration is an imperative; is known by many names; is a journey, not a …

Completing City Streets, Christopher Alan Phillips

Walden Dissertations and Doctoral Studies

As a city in Tennessee continues to expand and the population continues to grow, citizens are concerned with safety and accessibility for pedestrians and cyclists. In this study, citizen comments and concerns for the city planning department were collected. A case study design was used for this study because it allowed for a focus on one setting and gathering data from a specific set of key stakeholders in the community. Data represented the thoughts and experiences of community pedestrians and were collected through surveys and 1-on-1, semistructured interviews with select participants that reflect the citizens of this community. The survey …

Roles Of Nephrology Social Workers In Health Literacy, Tiffena Gail Pierce

Walden Dissertations and Doctoral Studies

Health literacy is vital for hemodialysis patients because they need to undergo routine treatments 3 days per week and adhere to medication regimens requiring them to understand complicated health information. The questions for this study focused on a social work practice of their roles when assessing and promoting health literacy in dialysis patients. Nephrology social workers are vital in helping dialysis patients understand their medical information so that they can make better-informed decisions about their healthcare. This study also includes an exploration of the strategies nephrology social workers use to increase health literacy in patients with chronic kidney disease. An …

Exploring The Use Of Familismo To Manage Depression Among Elderly Latino Women, Denise Ramos

Walden Dissertations and Doctoral Studies

As the elderly population continues to increase in the United States, so does the concern of major depressive disorder. Despite the need to forcefully recognize and address depression among this age group, efforts have been docile and passive; many elderly individuals continue to go undiagnosed. With the increase of Latino population within the past and upcoming decades and with studies showing that elderly Latinos appear to live longer than non-Latinos, it is critical that differences in treatment interventions be explored. This study aimed to explore the use of familismo (intense importance and attachment the Latino culture places on nuclear and …

Readiness Of Stakeholders To Adopt Community Paramedicine Programs In Tennessee, Roger Lloyd Ritchie

Walden Dissertations and Doctoral Studies

Abstract

Community paramedicine is an emerging model of care that promulgates EMS in a more community-based and integrated role within the broader health care system. A hallmark characteristic of community paramedicine is that programs are designed to meet the specific needs of a given community, rendering programs unique but perplexing. A need for research aimed at exploring possible barriers that may impede the adoption and implementation of community paramedicine programs has been identified by the National EMS Advisory Board, the North Central EMS Institute, and the Joint Committee on Rural Emergency Care. The purpose of this study was to explore …

Coalition Sustainability After Federal Funding Is Expended: A Case Study, Shawnee Marie Seese

Walden Dissertations and Doctoral Studies

Community coalition sustainability has been a focus of scholars as community coalitions deliver vital programs and services for communities in need. Despite the value coalitions bring to U.S. communities, they often become vulnerable after federal funding is expended. Researchers acknowledge the need to build understanding of coalition sustainability and have identified factors that contribute to the sustainability of programs, but studies on the topic remain quite limited. Federal funding requirements are more stringent than in previous years, requiring evidence of sustainability planning, which increases the urgency to identify those elements that ensure sustainability. The purpose of this study was to …

Treatment Interventions For Tobacco Cessation At An Inpatient Mental Health Facility, Stephanie Marie Stansell

Walden Dissertations and Doctoral Studies

Tobacco use is the leading cause of preventable death and disease in the United States. According to the Centers for Disease Control and Prevention, 36.5% of adults with any mental illness use tobacco compared to 25.3% of adults without a mental illness; however, there are limited data to determine the best approaches for tobacco cessation among the mentally ill. The purpose of this quantitative, quasi-experimental study was to investigate the differences among 1-on-1 counseling versus group counseling in tobacco cessation rates among psychiatric patients aged 18 years old and older who were identified as a tobacco user upon admission to …

Social Workers' Experiences With Pregnant And Parenting Teens In Alabama, Luanne Londria Washington-Woods

Walden Dissertations and Doctoral Studies

Among western industrialized countries, the United States has the highest teen birth rate; Alabama ranks 9th in the nation. Teen pregnancy and parenting often lead to financial, social, and health problems. The purpose of this action research project was to capture the experiences of social workers who work with pregnant or parenting teens in Alabama, including perceptions of Alabama’s opt-out policy for sexual education and strategies used to address teen’s beliefs, attitudes, and values about sexual behavior. Social learning theory was the theoretical framework. Data were collected through a focus group of 12 social workers with practice experience working with …

Offender Participation In Multiple Rehabilitation Programs To Reduce Recidivism, Jonathan Michael Yearwood

Walden Dissertations and Doctoral Studies

Rehabilitation programs are critical for reducing recidivism rates and reintegrating offenders into the community. Despite the recognition that offenders face many challenges, few scholars have investigated the relationship between prisoners who receive more than 1 rehabilitation program and recidivism. The purpose of this quantitative, correlational cross-sectional study using archival data from a correctional facility in Barbados was to assess the relationship between age, education, employment, and multiple rehabilitation programs on recidivism. The conceptual framework of this study was grounded in the lifecycle theory, the social learning theory, the social cognitive theory, and the social disintegration theory. The primary research question …

Successful Strategies To Address Disruptive Innovation Technologies In The Digital-Media Industry, Latronya M. Acevedo-Berry

Walden Dissertations and Doctoral Studies

Digital media executives lack strategic solutions for the preparation and response to changing media innovation technology. The lack of innovative technological strategies threatens digital-media corporations’ ability to maintain marketplace sustainability for addressing disruptive innovation technologies. Grounded in Christensen’s disruptive innovation theory and Roger’s diffusion of innovation theory, the purpose of this qualitative multiple case study was to explore innovative technological strategies some executives of digital-media corporations used to maintain marketplace sustainability for addressing disruptive innovation technologies. The participants were 7 digital-media executives in New York and California, who used effective strategies to innovate technology and maintain marketplace sustainability. Data were …

Skin Bleaching Among Female University Students, Adegboyega Abayomi Adewoyin

Walden Dissertations and Doctoral Studies

In Nigeria, skin bleaching, a practice that can create significant health problems, represents a persistent social issue. The behavior has become widespread due to unfettered access to various brands of bleaching creams. The purpose of this study was to gather data to (a) seek an understanding of the deeper motivations underlying the decision to engage in skin bleaching or skin whitening among female tertiary students and (b) examine the awareness among such students of public policy on skin bleaching creams. The case study qualitative research design was employed to enable skin bleaching cream users to share their motivations and experiences. …

Maternal Discrimination Stress And Negative Birth Outcomes Among Black Women, Quantrilla Y. Ard

Walden Dissertations and Doctoral Studies

Black women are more than twice as likely as White women to experience losing their infants in the first year of life. The purpose of this quantitative study was to examine relationships between maternal discriminatory stress and negative birth outcomes such as preterm delivery, low birth weight, very low birth weight, and infant death among Black women with varying levels of education. This study was grounded in critical race theory and Black feminist theory, positing that Black women are the sum of intersecting identities that shape their world view. A sample of 107 Black women were recruited by convenience and …

The Lived Experiences Of Caregivers Of Children With Reactive Attachment Disorder, Abby Baumgart

Walden Dissertations and Doctoral Studies

Parents of children with Reactive Attachment Disorder (RAD) encounter challenges in parenting and parent-child relationship development that are not typical to most parental situations. The purpose of the qualitative study was to explore the lived experiences of caregivers of children with RAD, to identify current met and unmet needs, to explore the experiences the caregivers of children with RAD have and the resources available to them. The study included a hermeneutic phenomenological foundation and incorporated the conceptual frameworks of family systems theory and attachment theory. A nonprobability, self-selection sampling strategy was utilized with recruitment through Facebook support groups. Methods included …

The Relationship Between Multifaceted Motivational Factors And Academic Achievement, Sandra Luann Beasley

Walden Dissertations and Doctoral Studies

The United States has yet to reach the White House’s 2020 goal of attaining the top international ranking in college degree attainment among young adults. Researchers have investigated the academic performance variables associated with timely degree attainment for first-year college students. Prior research has indicated that poorly motivated students are likely to struggle academically, experience academic stress, and drop out of school. However, it remains unknown which types of motivation significantly affect academic achievement. The purpose of this study was to better understand which Reiss basic desires of motivation predict undergraduate academic achievement. An additional purpose of this study was …

Strategies Small Business Owners Use To Access Working Capital To Fund Operations, Michael Patrick Belleman

Walden Dissertations and Doctoral Studies

Many small business owners encounter a lack of access to traditional bank funding that limits the owner’s ability to meet working capital shortages to sustain operations. Grounded in the resource-based view, the purpose of this qualitative multiple case study was to explore strategies that small, home health care agency owners use to access working capital lending sources to finance their operations. The participants comprised 3 owners of small home health agencies in Wayne County, Macomb County, and St. Clair County, Michigan, who developed and implemented successful strategies to obtain working capital. Data were collected through semistructured interviews using open-ended questions, …

Discrimination, Organizational Commitment, And The Impact Of Diversity Programs On Black Millennials, Brittany Boone

Walden Dissertations and Doctoral Studies

There is limited research on the impact of diversity and inclusion programs on the organizational commitment levels of Black Millennials. This quantitative study, which was guided by social identity theory, examined discrimination in the corporate workplace faced by Black Millennials, born between 1977 and 2000, and how it influences their organizational commitment. The purpose was to examine whether the presence of diversity and inclusion programs moderated the relationship between perceived discrimination and organizational commitment. In line with this purpose, 3 research questions were formulated. Data were collected from143 Black Millennials using the Organizational Commitment Questionnaire and the Perceived Discrimination Against …

Exploring Adversities Of Custodial Grandparents Transitioning From The Grandparent To Parent Role, Carmelita Dockery

Walden Dissertations and Doctoral Studies

There are many familial and social disparities, including drug addiction and use, incarceration, abandonment, and sometimes the death of a biological parent, that cause grandparents to acquire custody of their grandchildren. Current public welfare policies in some states, however, may not adequately address the needs of custodial grandparents caring for grandchildren and little academic literature exists that explores the unique experiences of custodial grandparents. Using role theory as a foundation, the purpose of this study was to explore the experiences of custodial grandparents in a large mid-western city as their role transitions from grandparent to parent in order to inform …

Impact Of Kentucky’S Prescription Drug Monitoring Program On Opioid Overdose Fatality Rates, Robert Neal Douglas

Walden Dissertations and Doctoral Studies

Over the last 7 years, there has been an alarming increase in the number of opioid overdose fatalities in Jefferson County, Kentucky. The increase has occurred despite Kentucky’s passage of a prescription drug monitoring program (PDMP) as defined by House Bill 1 (HB1) in 2012. Following the passage of Kentucky’s PDMP, heroin and fentanyl surpassed other prescription drugs as the most identified drugs in overdose deaths in Kentucky. Little is known about how the implementation of a PDMP influences the overall opioid overdose fatality rate. The purpose of this quantitative research, using a quasi-experimental design, was to evaluate the relationship …

Assessment Of The High Performance Cycle To Understand Work Motivation Among U.S. Workers, Eric J. Evans

Walden Dissertations and Doctoral Studies

The high performance cycle (HPC) is a multi-theoretical model of workplace motivation that is rooted in goal setting theory. While limited studies have empirically tested the HPC since its inception in 1990, early studies were limited in the lack of an instrument designed to assess HPC variables. Using an instrument developed by Borgogni and Dello Russo to empirically test the HPC, this study’s aim was to provide further examination of the HPC antecedents of performance with an increased sample size and by drawing from a diverse population of workers. Using a self-report measure of performance, a cross-sectional design was implemented …

Low-Income Household Adults Sustaining Affordable Housing In Affluent Neighborhoods, Edward Brian Flournoy

Walden Dissertations and Doctoral Studies

Public housing policy continues to exacerbate the concentration of poverty for low

income household adults (LIHA), preventing their mobility to achieve or sustain

affordable housing in low-poverty affluent neighborhoods. Successful design and

implementation of public housing policy for LIHA has been elusive for policymakers

seeking to address socioeconomic self-sufficiency problems in the United States.

Wilson’s spatial mismatch theory on social transformation of the inner city was the

theoretical framework for this study. This qualitative study utilized policy analysis and

key interviews to explore the importance of public policy design and implementation in

how the Moving to Opportunity (MTO) program influenced …

Exploring Young Opioid Users’ Motivation To Seek Treatment For Substance Use Disorder, Patricia Gianotti-Avella

Walden Dissertations and Doctoral Studies

In the past 15 years, the nonmedical use of opioids in the United States has reached epidemic proportions, resulting in a 21% increase in overdose fatalities. This surge in opioid use and dependence represents a shift in the demographic from inner-city populations over the age of 40 to young adults between the ages of 20 and 34 who dwell in primarily white suburban neighborhoods. Research has identified physicians’ liberal prescribing practices as one cause of this epidemic and has documented the ineffectiveness of current interventions with young addicts. The purpose of this narrative study was to gain insight into what …

The Impact Of Boko Haram Insurgency On The People Of Borno State, Chris Kaiser Granville

Walden Dissertations and Doctoral Studies

Although researchers have examined the causes and impacts of terrorism in Nigeria, there is no known research on the impact of Boko Haram’s insurgency on the people of Borno State based on their lived experiences. The purpose of this qualitative study was to examine the social, political, and economic consequences of the Boko Haram insurgency on the people of Borno State. The study’s theoretical framework was based on the relative deprivation theory; the theory was used to diagnose the problem of the Boko Haram insurgency and articulate possible alternative solutions. The central research question concerned the adverse effects of the …