Social and Behavioral Sciences Commons^™

Undergraduate Education Value: A Comparative Analysis Of China And The United States, Alexandra Allman

Walden Dissertations and Doctoral Studies

Within the international higher education community there is not a system nor gold standard to identify the value of higher education institutions (HEIs). For the current research, the definition of value was determined through quantitative methods considering utility and cost. The research problem underscored the importance of valuing undergraduate education in the United States and China, from a comparative perspective. A credible link was established that provided evidence to preserve the value indicator as an international standard within the HEI community. The study's purpose was to define the value of undergraduate education and create an international standard through a comparative …

Operation Enduring Freedom And Operation Iraqi Freedom Veterans In The Veterans Health Administration, Exekiel Montoya Aranez

Walden Dissertations and Doctoral Studies

The Veterans’ Health Administration (VHA) has faced critical issues regarding the deaths of war veterans, the result of which stakeholders raised questions about the quality of health care given within the VHA. Through patient-centered care standards of health care, the VHA worked diligently to end such horrific events that more than 300,000 veterans may have died while waiting for health care service. This study examined five core concepts of the health care system and whether VHA has utilized its five core concepts of patient-centered care to deliver proper health care to war veterans. This study used qualitative research in the …

The Obligation Of Law Enforcement Agencies To The Mental Health Of Their Officers, Michael Ballard

Walden Dissertations and Doctoral Studies

The extent of law enforcement agencies’ responsibility to address their officers’ mental health needs is unclear, despite the availability of resources and suggested guidelines. This research applied the theory of planned behavior to police officers’ willingness to seek mental health assistance from their agencies, examining the responses of 104 law enforcement officers in Utah and Idaho from four agencies. The results of this quantitative study provide evidence that law enforcement agencies have a responsibility to the mental health of their officers. Officers in general recognized the value of mental health services for others; however, they were not likely to seek …

An Educational Program For Nursing Home Nurses On Sepsis In Older Adults, Wendy Belden

Walden Dissertations and Doctoral Studies

Elderly nursing home patients’ high rates of hospitalization due to sepsis impact their morbidity and mortality and significantly cost the U.S. healthcare system. Skilled nursing facility (SNF) nurses who have the knowledge to assess older adults for signs and symptoms of sepsis and communicate findings to providers are instrumental in providing improved care for patients. The purpose of this doctoral project was to provide a group evidence-based educational intervention on sepsis care of older adults geared toward nurses working in SNFs. The practice-focused question asked whether an educational intervention focused on the signs and symptoms of sepsis in the elderly …

The Pertinence Of Risk Management In Behavioral Healthcare Organizations, Mary Darden-Robinson

Walden Dissertations and Doctoral Studies

The role of risk management in healthcare settings addressing physical issues has been a focus for scholars since the 1950s. Researchers have demonstrated that effective risk mitigation in physical healthcare settings can decrease medical errors, poor patient care, and litigation. Although there has been a significant focus on the implications of risk management in these settings, there is less research related to this relationship within the context of behavioral healthcare. The purpose of this study was to explore risk-management processes in the setting of a midsized for-profit behavioral health organization on the East Coast of the United States. The Baldrige …

Strategies Worker-Owned Cooperatives Use To Remain Profitable During Economic Downturns, Termaine Davis

Walden Dissertations and Doctoral Studies

New managers of worker-owned cooperatives who fail to adapt to changing conditions can threaten the organization’s viability. Some new managers of worker-owned cooperatives may lack the strategies they need to maintain consistent employment levels during economic downturns. Grounded in the expected utility theory, the purpose of this qualitative multiple case study was to explore the strategies used by managers of worker-owned cooperatives to maintain consistent employment levels during sustained periods of low revenue. Participants comprised seven managers of worker-owned cooperatives with a minimum of 5 years’ experience in the Midwest of the United States managing cooperatives during sustained periods of …

Effect Of Human-Animal Interactions On Retail Employees’ Job Satisfaction And Job Performance, Michelle Elizabeth Davis

Walden Dissertations and Doctoral Studies

Research has shown that companion animals can have a positive effect on people who suffer from mental and physical illnesses; however, few studies have considered the impact of human-animal interactions (HAIs) on employees in the work environment. This quantitative study investigated the effect of HAIs on 146 employees’ job satisfaction and job performance in three retail environments with a range of potential animal interactions: retail store with no animal presence (none), retail store with occasional animal presence (occasional), and retail store with persistent animal presence (constant). Retail employees’ job satisfaction and performance in each retail setting were assessed using the …

Impact Of Counselor Gender On Burnout After Controlling For Counselor Years Of Experience, Lara De Bono

Walden Dissertations and Doctoral Studies

Burnout is an individual reaction to high levels of emotional demands in different social fields, such as counseling. Counselors who experience constant stress are more vulnerable to professional impairment, such as burnout. Understanding factors that impact burnout can aid in developing interventions to support and educate counselors. Grounded in the gender role theory, the purpose of this quantitative correlational study was to examine the impact of counselor gender on three measures of burnout (depersonalization, emotional exhaustion, and personal accomplishment) after controlling for counselor’s years of experience. Secondary data records (N = 123) were collected from a national survey of Thai …

Helping In The Home: Counselors’ Experiences Providing Clients With In-Home Services, Melissa Jane Franzen

Walden Dissertations and Doctoral Studies

Counseling is an essential service that helps individuals work through struggles and live their best lives. Such service now includes providing counseling in clients’ homes. Counselors may require specific training or education to prepare for counseling in a home environment. This need for training and education is due to a lack of knowledge of the lived experiences of counselors providing services in the home. Transcendental phenomenology was used to guide a qualitative exploration into the lived experiences of counselors providing services in clients’ homes. Participants were 7 professional counselors, 5 female and 2 male, having met minimum state licensure requirements …

Policy Expectations And Care-Provider Perceptions For Hospital Emergency Preparedness, Kathleen Joy Hirsch-Lanute

Walden Dissertations and Doctoral Studies

AbstractMaintaining preparedness for a disaster is a patient and provider safety issue that is often not a priority for hospital planning; however, the inability to implement and evaluate disaster/emergency preparedness programs may render hospitals and the overall healthcare system fragile and dysfunctional amidst such crises. Priorities such as emergency-department overcrowding and lack of funding emerge daily and contribute to the inability of hospitals to respond appropriately to unexpected events. This study was conducted with the aim to assess the correlation between disaster/emergency preparedness and related problems, policy, and politics. A cross-sectional survey design was used to determine whether problems, policy, …

Diversifying Funding Streams For A Nonprofit Behavioral Health Organization, Danielle Hurt

Walden Dissertations and Doctoral Studies

Business sustainability is essential for any nonprofit organization. Revenue diversification can play a key role in business sustainability. In this case study, the revenue diversification practices and challenges of an international, behavioral health, nonprofit organization based out of the western United States were examined. The organization provides training, support, and resources in an experiential modality of behavioral health treatment for clients worldwide. Data collection processes consisted of a review of current revenue diversification literature, semistructured interviews with three senior-level leaders in the organization, and a review of select organizational documents. The Baldrige Excellence Framework for Healthcare provided a proven framework …

A Phenomenological Inquiry Into Familial Contact For Releasees On The Route To Desisting From Crime, Whitney N. Johnson

Walden Dissertations and Doctoral Studies

High levels of imprisonment in the United States have surpassed historical records, with the United States having the highest per capita incarceration levels in the world. Criminal desistance research has been conducted to create reentry programs and to reduce recidivism. To contribute to previous studies and promote social change and future research opportunities, this study was designed to explore familial contact during incarceration and how it helps releasees desist from crime. Familial contact, as a component of desistance, relates to social relationships, decision making, positive behaviors, and self-concept; as such, it may be critical to successful reintegration into society. Social …

Depression And Time Spent On Facebook Predicting Facebook Usage And Social Support, Donald W. Kincaid

Walden Dissertations and Doctoral Studies

Social media is a medium of communication worldwide, but it is not clear whether there is a relationship between depression and the use of social media. The purpose of this research was to explore this possible relationship. The stress generation hypothesis of depression (SGHD) states that people with depression encounter higher rates of stress than their nondepressed counterparts. In the context of social media, people with depressive symptoms may use social media in ways that increase their stress and worsen their depressive symptoms. To test this hypothesis, this study was designed to determine whether a higher level of maladaptive Facebook …

An Analysis Of Liquefied Petroleum Gas Adoption For Household Cooking In Nigeria, Saheed Olanrewaju Lasisi

Walden Dissertations and Doctoral Studies

The Nigerian government established a domestic liquefied petroleum gas penetration program (DLPGPP) to support Nigerian households that still use traditional fuels, which are inefficient and hazardous for users while polluting and degrading the environment. Little is known about the relationships that exist among liquefied petroleum gas (LPG) accessibility, LPG affordability, and LPG adoption to guide DLPGPP implementation. Narrowing this gap was the purpose of this study using the general framework of consumer theory. The study's research questions addressed the effects of LPG affordability and LPG accessibility on LPG adoption for cooking in Nigeria’s households. A cross-sectional, correlational survey was employed …

Striving For Homeostasis: Balancing The Inclusion Of Students With An Emotional/Behavioral Disorder, Rob Mcgarva

Walden Dissertations and Doctoral Studies

Social justice advocates have championed inclusive education, leading to its adoption in many jurisdictions. Despite policy changes designed to support learners with disabilities and research on inclusive education, students with an emotional/behavioral disorder (EBD) experience significantly poorer outcomes than their peers. Teachers often describe including this group of students as impossible and attempts to achieve inclusion often result in extreme stress. Research has identified proven inclusion strategies, but there are often problems with implementation in real-world settings. There is a research gap concerning how teachers understand and select interventions. Classic grounded theory methodology was used to identify the primary concern …

Impact Of Single Motherhood On Child Nutrition And Health In Kgatleng District, Botswana, Mulume Seya Franklin Mwamba

Walden Dissertations and Doctoral Studies

AbstractMalnutrition affects sub-Saharan African countries with increased stunting among under-5 children. The short-and long-term effects of this stunting include the potential for slow growth in early life, impaired health, and educational and economic disadvantages in adolescent and adult years. The purpose of this quantitative cross-sectional study was to analyze the relationship between single-mother families and the occurrence of malnutrition (stunting) among under-5 children in the Kgatleng district of Botswana. Bronfenbrenner’s ecological model was applied to investigate factors that lead to stunting among these children. Primary data were collected from 196 mothers and their children who visited selected clinics in Kgatleng. …

Young Adults' Perceptions Of Recreational Marijuana Usage: A Phenomenological Investigation, Dr. Eric Franklin Prince

Walden Dissertations and Doctoral Studies

AbstractYoung adults as a whole are not making informed decisions about recreational marijuana usage. A lack of information about recreational marijuana usage is being circulated through advertising causing young adults to have false perceptions on the subject matter. Many young adults perceive marijuana as non-harmful in its totality, which contributes adverse side effects to their health. Young adult lived experiences were explored in the current study to discover, if they currently have a comprehensive understanding on the psychological and physiological outcomes associated with recreational marijuana use. The purpose of this study is to provide a better understanding of young adults …

Workplace Stress And Workplace Well-Being Among African American Corporate Men And Women, Scott Rose-Smith

Walden Dissertations and Doctoral Studies

Many African Americans experience high levels of stress in their work environment, which can result in job dissatisfaction, intentions to leave, and greater levels of stress-related consequences. The purpose of this correlational quantitative research study was to examine the relationship between workplace stress and workplace well-being among African American corporate employees in the United States as well as whether gender moderated the relationship between workplace stress and workplace well-being within this population. Michie’s model of stress at work guided this study. Data were collected using the Health and Safety Executive Management Standards Indicator Tool, Cox, Thirlaway, Gotts, and Cox’s General …

Assisted Living Transitions: Experiences Of Family Members Of Older African American Women, Carol A. Shaw Burns

Walden Dissertations and Doctoral Studies

AbstractLong-term care, also known as aging services, is evolving to meet the needs of the aging population in the United States, which is increasingly ethnically and racially diverse. The objective of this qualitative multiple case study was to understand how immediate family members experienced the transition of older African American women as they moved into assisted living facilities. Black feminist theory provided a theoretical framework. Narrative interview data were collected from four adult children family caregivers who facilitated the move. Three themes emerged from the content analysis: (a) Transition is not planned in advance and does not happen until a …

Experiences Of Social Workers In Outpatient Treatment With Young Mothers, Carla Rae Stewart

Walden Dissertations and Doctoral Studies

Young mothers suffering with opioid addiction are not a central emphasis of present-day treatment approaches. This research project explored perspectives of social workers who counsel young mothers suffering with opioid addiction. A qualitative research approach focused on systems theory and was designed to tell the story of individual experiences. Semi-structured questions were asked to a focus group consisting of six master’s level social workers to develop explanations and a better understanding of the problem. Systems Theory was the constant premise discussed throughout the focus group. Themes identified by the focus groups that directly impact this group of women were services, …

Counselors’ Experience Implementing The Multicultural Orientation Framework With Interpersonal Trauma Clients, Dalad Srisuppak

Walden Dissertations and Doctoral Studies

Counselors are integrating the Multicultural Orientation (MCO) framework and cultural humility practices to address limitations of cultural competency models for cross-cultural counseling. This hermeneutic phenomenological qualitative study explored the lived experiences of counselors using the MCO framework with clients with interpersonal trauma. The MCO conceptual framework guided the study. Seven licensed mental health counselors from community-based agencies in South Florida shared their experience through individual videoconference semi-structured interviews. Data were collected, transcribed, and analyzed using the hermeneutic circle to identify seven themes: (a) counselors’ identity as a guide, (b) counselors’ culture and background influence whether White or minority/multicultural, (c) being …

Challenges To Successful Health Care Transition Among Hiv Positive Youth With Perinatal Acquisition, Tyler Andrew Termeer

Walden Dissertations and Doctoral Studies

To ensure stability in the continuum of health care for HIV-positive youth with perinatal acquisition, there is a need for a successful transition from pediatric to adult primary care. However, there are a growing number of perinatally infected HIV-positive young persons remaining in pediatric care beyond the age of 21. Using Mohr’s program theory and a phenomenological approach, the lived experiences of Ohio HIV clinicians were examined to determine why many perinatally infected HIV-positive youths are remaining in pediatric care beyond the age of 21. Audio recorded video interviews via SKYPE were conducted with 12 participants, transcribed, underwent thematic analysis, …

Prosecutors’ Perceptions Of Wrongful Convictions Of African American Men, Teaonna L. Watson

Walden Dissertations and Doctoral Studies

African American men are number one in the United States for wrongful convictions, despite being only 13% of the country’s population. Many wrongful convictions involve a prosecutorial error or Brady violations, which occur when evidence is withheld from the defense. Although wrongful convictions are caused due to several factors, prosecutorial involvement is one reason for false convictions. There is substantial research on wrongful convictions and the causes; however, the scholarly community does not know the perceptions prosecutors have of African American men’s wrongful convictions. The purpose of this qualitative study is to explore eight prosecutors’ perceptions, decision-making strategies, and what …

Challenges, Practices, And Preferences Of Postsecondary Accessibility Service Providers In Alberta When Implementing Accommodations For Invisible Disabilities, Tara-Jean M. Wenc

Walden Dissertations and Doctoral Studies

Although the last few decades have seen an improvement in postsecondary opportunities for students with invisible disabilities in Alberta, service providers at postsecondary institutions continue to struggle to ensure they provide reasonable accommodations in a timely manner. Research questions explored the current practices and challenges of postsecondary accessibility services providers in Alberta, Canada, and their preferences for verification documentation for students requesting accommodations for invisible disabilities. The conceptual framework was based upon the medical and social models of disability, as well as the emerging justice theory of disability. Data were collected via semistructured interviews with 13 participants. A constant comparative …

Witnessed Intimate Partner Abuse And Later Perpetration: The Maternal Attachment Influence, Kendra Lee Wiechart

Walden Dissertations and Doctoral Studies

Witnessing intimate partner abuse (IPA) as a child is linked to later perpetration as an adult. Questions remain regarding why some men who witnessed abuse go on to perpetrate, while others do not. The influence maternal attachment has on IPA perpetration after witnessed IPA has not been thoroughly researched. Maternal attachment is a complex variable grounded in attachment theory and may explain why some men fail to relate to their victimized mothers. The purpose of this study was to assess the influence maternal attachment has on men who witnessed IPA as a child and later perpetrated IPA as an adult. …

Multiple Case Analysis Exploration Of Prenatal Substance Exposure On Juvenile Adjudicative Competence, Danielle Leigh Williams

Walden Dissertations and Doctoral Studies

Research into the neurological and cognitive factors influencing juveniles’ adjudicative competence psycholegal abilities is needed to ensure their due process rights and help inform qualified forensic mental health examiners offering their opinions on adjudicative competence in courts. The purpose of this study was to explore the impact of prenatal substance exposure on neurological factors related to juveniles’ abilities to understand the charges against them and participate in legal proceedings. Jean Piaget’s cognitive developmental theory was the theoretical framework for this study. Concrete operational and formal operational stages of cognitive development were addressed to help frame juveniles’ factual and rational understanding …

The Thoughts And Feelings Of African Americans Toward The Use Of The Word Nigger By African Americans And By Caucasians, Sylvester Earl Baker

Walden Dissertations and Doctoral Studies

AbstractThe word nigger has a troublesome history in America for many African Americans. It represents a strong connection to centuries of slavery, the Jim Crow era, discrimination, racism, and oppression. The purpose of this qualitative study was to examine the specific thoughts and feelings of African Americans toward the use of the word nigger by African Americans and by Caucasians. Although credible research in the area of racial images and racial slurs has been conducted, research has yet to specifically explore the thoughts and feelings African Americans have about the use of the word nigger by African Americans and Caucasians. …

How Federal Mortgage Programs Affect Homeownership Outcomes Of Low-Income Households, Lawanda Alexia Brown

Walden Dissertations and Doctoral Studies

Numerous laws and policies have been enacted to aid economic recovery and housing growth after the 2008 housing

crisis in the United States; however, concern remains that low-income families interested in homeownership are in poor

housing situations due to inadequate access to federal homeownership policies and program information. The purpose of

this quantitative study was to analyze the relationship between the variables of income, race, and access to federal

mortgage program policy information and dependent variable HEC on homeownership outcomes for aggregate years

2007 to 2018. Using a quasi-experimental design, the chi-square test of independence was used to test N …

Relationships Among Residential Instability, Poverty, And Index Crimes In Rural New York, Justine Case-Fitzgerald

Walden Dissertations and Doctoral Studies

The lack of empirical literature on rural crime limits the ability to fully understand the driving force behind criminality in nonmetropolitan areas. Predominantly urban theories such as social disorganization theory have been used as a general description for crime causation; however, most social disorganization research has been conducted in urban settings without reference to the mediating rural characteristics present. This simplified view of crime, which does not reflect existing variables within the areas studied, has weakened the ability to identify the most efficient and effective crime-control strategies. The research questions in this study addressed the need to understand how unique …

Canadian Policymaker Experiences On Reducing Syndemic Stigma For Hiv And Substance Use Disorder, Nickolas James Cherwinski

Walden Dissertations and Doctoral Studies

People living with HIV (PLWH) and substance use disorder (SUD) experience highly stigmatized lives fraught by influences such as criminal law and stigmatizing public policies. Despite free access to antiretroviral therapy (ART) and mental health services for all Canadian citizens, suboptimal adherence to ART and administratively cumbersome mental health interventions still exist. Many researchers have found the health services for both HIV and SUD to be dynamic, costly, and difficult to maintain; as such, the purpose of this study was to explore the knowledge gap related to the policy implications of syndemic stigma experienced by PLWH and SUD in Canada. …