Social and Behavioral Sciences Commons^™

The Influence Of Obstetrician And Gynecologists' Avoidance Behaviors On Maternal Morbidities, Nakisha Rene'e Boulware

Walden Dissertations and Doctoral Studies

The prevalence of maternal morbidities continues to increase in U.S. women of lower socioeconomic status and non-Hispanic Black women despite the efforts of health care practitioners to reduce the disparities. Two decades of research has shown that physicians avoid patients based on insurance and socioeconomic status or their malpractice history. Reducing maternal illness and complications is one of the federal government's top 10 maternal health indicators in the Healthy People 2020 initiative. The purpose of this study was to evaluate the influence of malpractice allegations on patients at high-risk for maternal morbidity. Supported by the theoretical foundation of human factor …

The Influence Of Spiritual And Emotional Intelligence On Romantic Relationships Of African Americans, Wanda Raquel Harris

Walden Dissertations and Doctoral Studies

The use of religion-based spirituality was examined as a factor in strengthening and increasing emotional intelligence and regulation, facilitating relationship choices and maintenance, and as a key factor in the decision-making process of dating and partner selection among African Americans. The theoretical framework for this study included Gardner's theory of multiple intelligences, on which both theories of spiritual and emotional intelligence stand, and Bowlby's theory of attachment. A multiple regression analysis was conducted to analyze relationships between spiritual and emotional intelligences and attachment styles among African American adults. In a criterion-based purposeful sample of 98 African American participants aged 27 …

Fire Training Fatalities And Firefighter Adherence To National Fire Protection Association Standards, Lucas Aaron Garcia

Walden Dissertations and Doctoral Studies

Sudden cardiac arrest continues to be a major cause of firefighter deaths during training due to a lack of individual firefighter adherence to National Fire Protection Association (NFPA) standards. These standards identify requirements for fire departments to create and maintain fitness programs. Existing research has not identified any relationships between training fatalities and individual firefighter adherence to NFPA 1583, Standard on Health-Related Fitness Programs for Fire Department Members. Using self-determination theory as the foundation, the purpose of this cross-sectional correlation study was to investigate whether individual firefighter adherence to NFPA 1583 has a measurable effect on training fatalities. Survey data …

A Quantitative Analysis Of Re-Offense Among Delinquent Foster Care Youth In Georgia, Brian Keith Jones

Walden Dissertations and Doctoral Studies

Nationwide more than 2 million youth are placed in custody annually, approximately 80,000 children return home, and more than 70% have a diagnosable mental disorder. The purpose of this quantitative study was to examine the outcomes of 311 youth released from secure residential facilities in Georgia between January 2012 thru May 2017. In the dataset, 136 youth returned to regular homes, 128 returned to group homes (GC), and 47 returned to traditional foster homes (TFC). The goal of the study was to examine the differences in probation outcomes based on the type of placement. For the purpose of the study, …

Nudge Theory's Perceived Influence On Fmla Among Midwestern Metropolitan Nonprofit Arts Organizations, Eliza Gordner

Walden Dissertations and Doctoral Studies

The Family and Medical Leave Act (FMLA) has had significant influence on both for-profit and nonprofit employers since it was enacted in 1993. Because nonprofit organizations often have more limited resources than for-profit organizations, implementing family and medical leave policy mandates can be problematic. Arts-related nonprofit organizations often have even fewer resources available yet must still ensure legal compliance and market competitiveness while continuing to focus on meeting their missions. Even if a smaller nonprofit organization is not subject to the FMLA, it is subject to other federal, state, and local employment laws, and the organization must decide whether to …

Exploring The Factors Responsible For Occupational Stress Among Police Officers In Nigeria, Ahmed Lateef

Walden Dissertations and Doctoral Studies

Over 90 percent of police officers in Nigeria are confronted with psychological illness and injuries as a result of occupational stress, which is compounded by a lack of attention to police officer welfare by government, insufficient annual leave, and poor salaries that contribute to poor performance. Using Karasek's demands on decision and control model as the foundation, the purpose of this phenomenological study was to explore the impact of occupational stress on police officers in a metropolitan police agency in Nigeria. Data were collected through semi-structured interviews with 15 senior police officers who had at least 20 years experience in …

Perceptions Of Failed Foster Care, Nathaniel Mitchell

Walden Dissertations and Doctoral Studies

Abstract

The purpose of this action research study was to investigate social workers' perceptions of the problems that prevent successful family reunifications after foster care. The study explored social workers' perceptions of barriers that prevent family reunifications in central Mississippi. Using Bronfenbrenner's ecological theory as the framework, the research question explored the problem from multiple levels of practice including family, individual, institutional, and community. The focus group approach aligned with the project goal by allowing participants opportunities to share experiences and perspectives regarding family reunifications. The study used a purposive sample of 10 participants who were practicing licensed social workers …

Awareness, Stress, And Income As Contributors In Medicare Part B Late Enrollment, Bishnu Hari Dhaurali

Walden Dissertations and Doctoral Studies

Medicare Part B is one of the federal health insurance programs available to senior citizens in the United States. Unlike Medicare Part A, Part B enrollment is not automatic, and those missing their initial enrollment period are assessed a 10% or more penalty in addition to their monthly premium rate for the rest of their lives. This problematic enrollment policy has impacted senior citizens who have missed Part B enrollment windows, creating for them an added financial burden when many are transitioning to fixed incomes. Guided by social construction theory and using a nonprobability, convenience sampling approach, the likelihood coefficient …

African Americans' Perceptions Of The Impact Of The War On Drugs, Tammy Drayton

Walden Dissertations and Doctoral Studies

The War on Drugs has been a contested issue in the United States for decades. Many believe that African Americans are targeted by the government and become victims of the penal system as a result of anti-drug policies. The purpose of this ethnographic study was to explore the impact of the war on drugs on African American men, women, and young adults from their perspectives. Racial threat theory provided the framework for the study. Data were collected through interviews with and observations of 30 African American participants who had experiences directly and indirectly with the War on Drugs. Participant were …

Job Satisfaction, Organizational Commitment, And Perceived Social Support Among Virtual Workers, Shanna Csikortos

Walden Dissertations and Doctoral Studies

This study investigated whether the percentage of time that weekly employees spend in virtual workspaces is related to job satisfaction (JS), organizational commitment (OC), perceived supervisor support (PSS) and perceived coworker support (PCS). One hundred thirty-five virtual workers employed by 1 of 5 large, privately owned companies reported the percentage of their work time spent performing virtual work and completed 4 instruments to measure JS, OC, PSS, and PCS. Data were analyzed using multivariate linear regression, multivariate multiple regression, and multivariate analysis of variance. Results showed that virtual workers who spent 75% or more of their time engaged in virtual …

Lived Experiences Of African American Involved With An Incarcerated Intimate Partner, Sharon V. Alston

Walden Dissertations and Doctoral Studies

The Bureau of Justice Statistics (BJS) accumulates annual data from state department of corrections. The information that the BJS accumulates annually is relevant to this study because it shows the possibility of the many African American women as well as other women in need of assistance while their loved one is incarcerated. The purpose of this study was to explore lived experiences of African American women involved with an incarcerated spouse, partner, or mate. The focal point of interest was how lived experiences affect African American women's physical and psychological well-being. The theoretical framework for this study comprised both the …

Individuals Who Sell Drugs Placed In Treatment: The Perspective Of Their Counselors, Natasha Herbert

Walden Dissertations and Doctoral Studies

Individuals who sell drugs are often mandated by legal forces to substance abuse treatment because of their criminal offenses and the belief they may have a drug problem. Previous researchers have noted this population may be disruptive in the treatment process, but it has not been explored in depth. The purpose of this phenomenological study was to learn the lived experiences of counselors who work with individuals who report a primary problem of selling drugs, not substance abuse, who are mandated to a substance abuse treatment program. Thirteen semi structured interviews were conducted with counselors who have worked with individuals …

Perceptions Of Financial Bribery And Kickbacks On Nigerian Healthcare Public Policy, Philip Nwaogazie Elekwachi

Walden Dissertations and Doctoral Studies

Financial bribery and kickbacks are characteristics of corruption that are considered a serious threat to healthcare development in Nigeria. The influence of corruption leads to financial waste and negative health consequences for citizens. High demand for quality healthcare and other socioeconomic development infrastructures in the rural areas of the state provide opportunities for misappropriation of allocated healthcare development funds. Using Kingdon's multiple streams theory as the foundation, the purpose of this case study of a single city in Nigeria was to understand how state and city legislators and health administrators perceive the influence of corruption on senior healthcare development, its …

African American Women's Understanding Of How Family Values Contribute To Social Aggression, Elsa Bernice Butts

Walden Dissertations and Doctoral Studies

Researchers have found that social aggression has increased among African American females. Researchers have reported that the family value systems of many African American families endorse aggressive behaviors. Beliefs of fighting verbally and physically for self-worth and equality have been embedded in the socialization process for some African American females. It is important to explore the influence of family values on socially aggressive behaviors among this population. The purpose of this phenomenological study was to explore the lived experiences of African American females in early adulthood and to understand how their socially aggressive behaviors are influenced by their family values. …

Social Support, Health Status, And Personality Factors In Coping Styles Of Gay Men, Mary Martin

Walden Dissertations and Doctoral Studies

Personality factors and coping styles may affect how individuals will respond to the lack of social support. The purpose of this descriptive design was to examine the relationship between social support and health risk implications in gay men, which is a population that is under-represented in the research literature in regard to this topic. The theoretical framework guiding this study was the social stress model, which posits that stress and support are related to mental health outcomes. A sample of 76 gay men were recruited from Craigslist ad to participate in this study. They completed self -report questionnaires anonymously online, …

The Impact Of Critical Incident Team Training On Arrest And Diversion Rates, Richard Wayne Foss

Walden Dissertations and Doctoral Studies

The Critical Incident Team (CIT) training program equips police officers with knowledge regarding mental illness and practical skills for effectively interacting with a mentally ill suspect. In addition to improving officer and suspect safety by decreasing the number of violent encounters between police and the mentally ill, CIT goals include reducing the number of mentally ill individuals who are arrested and providing them with assistance through community resources. However, there is a lack of empirical research on whether CIT training decreases arrest rates and increases diversion rates for mentally ill subjects. The purpose of this quantitative study was to measure …

Rehabilitation For Gang-Affiliated, Male, African American Juvenile Delinquents, Batsheva Berger

Walden Dissertations and Doctoral Studies

Many social workers are unaware of their responsibilities related to African American, male, juvenile delinquents who have gang affiliation. Punishment by detention is detrimental to these youth because detention perpetuates criminal careers and does not rehabilitate juvenile offenders. The purpose of this action research study was to determine how social workers understood their role in the rehabilitation of gang-affiliated, African American, male juvenile delinquents. Differential association theory was used as the conceptual framework to understand the detriment of youth being incarcerated without rehabilitation. One focus group of 5 social workers was formed using purposive sampling of social workers who worked …

Police Chiefs' Perceptions Of Supervisors' Membership In Subordinate Officers' Unions, Mark P. Derosia

Walden Dissertations and Doctoral Studies

Police supervisors who enjoy membership in their subordinates' police union may contribute to organizational discord by failing to enforce organizational policy among their subordinates. The purpose of this multiple case study was to examine the perceptions of 9 municipal chiefs from a west coast state in the United States regarding how supervisors' membership in their subordinates' police union affects policy enforcement and how supervisor enforcement of policy may impact police officer discipline. The conceptual framework was based on dual-commitment conflict theory. Data were collected using semi structured interviews and e-mail questionnaires. Data were member checked and cross-interpreted through coded analysis. …

Predictors Of Veteran Ptsd Symptom Reduction By Use Of Accelerated Resolution Therapy, Ann Witt

Walden Dissertations and Doctoral Studies

Despite 30 years of research advancements, PTSD treatment remains a trial-and-error process as 22 veterans per day commit suicide to relieve their symptoms. Foa and Kozak's emotional processing theory informed this correlational study which included secondary data consisting of participants' self-rated scale scores to examine whether the independent variables number of deployments, guilt, depression, and anxiety predicted the dependent variable PTSD symptom reduction in a veteran sample with combat deployments and associated PTSD symptoms who completed accelerated resolution therapy (ART). An analysis of whether mean PTSD symptom reduction amounts differed by symptom severity levels was also completed. The study aimed …

Intergenerational Caregiver Loss And Successful Aging Opportunity Disruption Of Bulgarian Elderly, Daniel Georg Habermann

Walden Dissertations and Doctoral Studies

Identified by European research as an aging crisis, vulnerabilities in the rural Bulgarian elderly population such as intergenerational caregiver loss, are sociohistorical consequences and barriers to successful aging. This transcultural study investigated the aging crisis in rural Bulgaria to create a contextual definition of successful aging and to address successful aging and the identification of challenges and barriers faced by social workers and elders to support successful aging. Guided by continuity theory in aging and contextualized by overarching ecological systems theory, the research questions examined Bulgarian social workers' perceptions and expectations of successful aging and barriers to it. A collaborative …

Political Control And Accountability In Ethiopian Rulemaking, Esayas Kassa Araya

Walden Dissertations and Doctoral Studies

Administrative rules have played a central role in Ethiopian public administration since 1994 when the current constitution was adopted. However, if the formulation and implementation of the rules are not politically controlled, and proper accountability is not applied, these same rules could become threats instead of assurances of the rule of law and order. This case study explored what strategic controls and accountability measures are in place to regulate the rulemaking process. To inform the study, the political control of bureaucracy framework in general and the principal-agency model, in particular, were used. The central research question focused on strategies that …

Spousal Caregivers' Challenges When Caring For Their Loved Ones Battling Alzheimer's Disease, Patricia A. Light

Walden Dissertations and Doctoral Studies

In the United States, the occurrence of Alzheimer's dementia is growing. This chronic illness is highly prevalent in the elderly population. Studies have advised that the elderly population is primarily affected by this chronic illness as age progresses. Aging may lead to mental or physical deterioration. This chronic illness can be extremely challenging for the spousal caregivers involved and the challenging decisions that must be made. There remains a crucial gap in the literature concerning the challenges experienced by spousal caregivers and how they cope with these factors daily. Specifically, there are no studies exploring the perceptions of spousal caregivers …

Strategies For Providing Loans To Small Businesses, Linda Faye Evans

Walden Dissertations and Doctoral Studies

Between 2007 and 2013, the number of loans banks provided to small and medium-sized enterprises (SMEs) declined. The purpose of this single case study was to explore the strategies that senior bank lending officers used to improve lending to SMEs. The sample size consisted of 4 senior small business lending officers who have in lending for 5 or more year in Houston, Texas. The conceptual framework used was agency theory. Data were collected using semistructured interviews with 4 senior bank lending officers from a bank in the Houston, Texas area, a review of documents from lending officers, and other artifacts …

Florida Political Appointees Usage Of Social Power Bases After Service First Initiative, Leland Francis Butcher

Walden Dissertations and Doctoral Studies

Florida reformed its civil service system with the passage of the Service First Initiative of 2001, resulting in a unique organizational setting by altering the employer-employee relationship, yet little academic research explored the power tactics used by politicians and political appointees in order to gain subordinate compliance in unique organizational environments. Using French and Raven’s bases of social power theory and Raven’s interpersonal power interaction model as the foundation, the primary purpose of this stratified cross-sectional study of politicians and political appointees in Florida was to explore whether certain demographic factors are predictors of the extent to which French and …

Implementing Aromatherapy For Falls Reduction In The Inpatient Hospice Population, Kimberly Kay Pistek

Walden Dissertations and Doctoral Studies

Falls among the elderly is a health concern affecting multiple patients annually. Hospice patients and those with multiple comorbidities are at the greatest risk of falling and sustaining injuries from falls. Aromatherapy has been used for reducing multiple symptoms as well as for decreasing falls. The practice-focused question explored whether an education program on using aromatherapy for fall prevention would increase knowledge of this intervention for an interdisciplinary group of hospice staff. The design was developed using Knowles's theory of andragogy and Bloom's taxonomy. Thirteen staff members from the same facility participated in the education program. The program was targeted …

A Quantitative Assessment Of Empathy After An Art Prime With Counseling Students, Annette Lisa Coletta

Walden Dissertations and Doctoral Studies

Empathy skills are necessary to form therapeutic relationships. Previous research showed that participating in the arts engaged similar neuropathways as those needed to produce empathy. The theoretical framework for this study was art therapy relational neuroscience. The purpose of this pretest, posttest quantitative research study, using the Toronto Empathy Questionnaire, was to examine if a single art session could effectively prime for empathy. Using nonprobability, convenience sampling method, 74 graduate counseling students completed online surveys. Four findings are of note: (a) a t-test showed a significant difference between mean values of pre-post test scores, (b) an independent groups t-test indicated …

The Relationship Between Methods Of Calculating The Ahi And Daytime Sleepiness, Severity Of Sleep Apnea, And Cpap Pressure Settings, Kathryn J. Kane

Walden Dissertations and Doctoral Studies

Sleep apnea impacts one's mental and physical health, and has social consequences which affect all of society. Not only is there is a weak correlation between the severity of sleep apnea and daytime sleepiness as reported on the Epworth Sleepiness Scale (ESS), but there is also a weak correlation between the severity of sleep apnea and prescribed treatment as indicated by 95th percentile pressure on a continuous positive airway pressure (CPAP) machine. This poses difficulty for providers as well as patients throughout screening and treatment. The purpose of this study was to use a biopsychosocial approach to perform a within-subjects …

Financial Management Strategies Used To Market Investment Services To Retiring Military Personnel, Douglas Dwayne Scott

Walden Dissertations and Doctoral Studies

Marketing strategies relies on marketing campaigns that target a variety of clients based on demographics to increase profitability through financial planning services. The purpose of this qualitative multiple case study was to explore the marketing strategies financial managers of financial management branch offices used to market their investment services to retiring military personnel. The targeted population comprised 5 financial managers of financial management branch offices in the northeastern region of the United States and surrounding geographical areas who used successful strategies to market investment services to retiring military personnel. Blue ocean theory, which refers to untouched markets, provided the conceptual …

Psychological Effects Of Training In Martial Arts After Interpersonal Trauma, Alexandro Garcia Vargas

Walden Dissertations and Doctoral Studies

Individuals who experience a traumatic event may have an adverse emotional reaction that negatively impacts their quality of life. The purpose of this qualitative phenomenological study was to explore the influence of training in the martial arts as an intervention in the treatment of interpersonal trauma. The biopsychosocial model provided the framework for the study. The research questions addressed the effects of training in the martial arts and the biological, psychological, and social functioning of individuals who had sustained a form of interpersonal trauma. Data were collected from semistructured interviews with 9 participants. Data were analyzed using Moustakas's modified van …

Transgender And Gender Nonconforming Persons' Experiences With Counseling Assessments, Macie Stead

Walden Dissertations and Doctoral Studies

Counselors sometimes use counseling assessments with transgender and gender nonconforming (TGNC) persons without understanding the experiences individuals have with those assessments. The American Counseling Association and the World Professional Association of Transgender Health identified that attention is needed with the practice of counseling assessments to ensure that helpful, ethical, and culturally sensitive services are available. The purpose of this study was to explore TGNC adults' experiences with counseling assessments. Gadamer's hermeneutics provided a framework to examine qualitative data as truth and validate the individuals' experiences with counseling assessments. Participants included 12 TGNC persons 18 years or older who had a …