Social and Behavioral Sciences Commons^™

Hospice Social Workers' Roles And Responsibilities Within Interdisciplinary Hospice, Amy Marie Coffell

Walden Dissertations and Doctoral Studies

The role of the hospice social worker is unclear and misunderstood by interdisciplinary team members due to role blurring, communication challenges, and poor collaboration efforts. This is important because these actions may result in decreased quality of patient care and decreased quality of life for the clinical hospice social workers. The purpose of this action research project was to explore communication, role blurring, professional activities and abilities, and cohesive goals among hospice clinical social workers. The theoretical foundation for this research was the model of interdisciplinary collaboration (MIC) which was used to describe both the concepts of interdisciplinary collaboration and …

Puerto Rican Women Living With Hiv And Experiencing Intimate Partner Violence, Sharon Danesa Cuba-Rodriguez

Walden Dissertations and Doctoral Studies

Puerto Rican women experience increased risk of bio-psychosocial challenges due to their ethnicity. This phenomenological study examined Puerto Rican HIV-positive women's perceptions of intimate partner violence (IPV), which consists of physical, sexual, verbal, and psychological abuse. Although HIV-positive status and IPV have been a focus of previous research, specific research examining the phenomenological experiences of HIV-positive Puerto Rican women who experienced IPV has not been studied. The basis of the study was feminist intersectionality theory, which supported the process used to explore and understand the essence of the participants' experiences. Feminist intersectionality theory examines intersecting social systems including gender, ethnicity, …

Saudi Women's Experiences Of Control And Engagement As Employees In Private Universities, Kimberly Dawn Deatherage

Walden Dissertations and Doctoral Studies

Saudi women have higher rates of graduation from college than their male counterparts, but are underrepresented as employees in the private higher education sector. Saudi women working in higher education report a lack of involvement in the planning of their work, challenges in balancing family and career, and low wages. Yet, no research has explored how Saudi women in administrative support staff positions in private universities perceive control and how their perceptions of control affect their engagement in the workplace. Therefore, based on locus of control theory, the 2-process model of perceived control, and compensatory control theory, the purpose of …

Association Between Pediatrician Screening Practices And Age At The Time Of Autism Diagnosis Among Latino Children, Irma S. Diaz

Walden Dissertations and Doctoral Studies

Autism spectrum disorder (ASD) is a lifelong developmental disability that affects all ethnic groups and is twice as frequent among boys than girls. The Centers for Disease Control and Prevention stated that 1 in 68 children are diagnosed with ASD. Despite guidance from the American Academy of Pediatrics and clinical evidence that suggests that ASD can be diagnosed as early as 24 months of age, most diagnoses occur at age 4 or even later, resulting in fewer opportunities for children to receive early ASD treatment and help them reach the best outcome possible. There is limited information about the appropriate …

'Stand By Me' Designated Tobacco Areas On U.S. Military Installations, Robert Thomas Gobble

Walden Dissertations and Doctoral Studies

U.S. Air Force (USAF) active duty Airmenshowunusually high tobacco prevalence rates (TPR); i.e., smoke, smokeless, both(SSL-B), when compared to civilian publics in the United States. Tobacco control efforts have proven largely ineffective inlowering nicotine habits among Airmen, while outdoor designated tobacco areas (DTAs) sited near worksites and popular localeson USAF bases (USAFBs) likelyswayAirmen to continue riskynicotine habits. The aim of this inquiry was to assess whetherquantities of DTAs on USAFBs and U.S. airbases (USABs) with 4 mediator variables(quality of DTAs,sites of DTAs, execution of a tobacco cessation program, and types of tobacco cessation programs) wereassociated with TPR (SSL-B) among Airmen …

Emergency Managers' Perceptions Of All-Hazards Pandemic Planning Effectiveness In North Texas, Timothy Goss

Walden Dissertations and Doctoral Studies

All-hazards pandemic planning is the foundation of current emergency management planning doctrine, yet there is limited information and limited studies related to its effectiveness in mitigating pandemics. The North Texas emergency management community handles incidents of West Nile Virus, H1N1 influenza, and a recent Ebola incident. Despite efforts to mitigate these threats, reported cases and deaths are still occurring from both influenza and West Nile virus. The purpose of this case study was to assess the risk perceptions of emergency planners in a small emergency operation center in North Texas using the cultural theory of risk perception as the theoretical …

Quantitative Poverty: Relationship Between Poverty Level And Population Size, Gdp, And Gini Coefficient, Kelly Singleton Johnson

Walden Dissertations and Doctoral Studies

This research examines why poverty has been persistent in all regimes that have tried to use public policy to eradicate it with no success. This research begins to examine the economic, fiscal, and current Federal Reserve monetary policy for an understanding of why poverty persists. The purpose of this experimental, cross-sectional design is to test the relationship between poverty level, population size, gross domestic product and the Gini coefficient. The most important outcome of the research is to understand if poverty is an unintended consequence of economic activity and not individual circumstance. In the dissertation, 5 U.S. states are examined …

Impact Of The Zambian Agricultural Policy On Grain Trade, Onesphore Karuho

Walden Dissertations and Doctoral Studies

The agricultural sector in Zambia is supported through the government use of public expenditure programs to spur the production and subsidize the consumption of key grains to stabilize prices. Previous research has documented the effects of public spending on agriculture in terms of food prices and food security. The effects of government spending on the trade of key grains, however, is not well understood. As such, there is a gap in knowledge regarding the impact of agricultural policy on the agricultural trade. The purpose of this study was to determine the impact of Zambian agricultural policy on grain trade. A …

Effects Of A Policy Development Process On Implementing An Equity-Based Policy, Morakinyo A. O. Kuti

Walden Dissertations and Doctoral Studies

Unstable residential and inadequate academic environments lead to poor educational outcomes for low-income students in urban areas. In 2011, Ohio enacted a law to create a college preparatory boarding school (CPBS) for low-income students by 2013. However, Ohio's CPBS has not yet been established, thereby denying these students an opportunity to attain skills needed to enter college. Using the policy feedback theory (PFT) and Fredrickson's theory of social equity (SET) as foundations, the purpose of this qualitative study was to understand the nature of implementation barriers and propose solutions by exploring 2 successful CPBS programs in Maryland and Washington, D.C. …

Hopelessness Depression As A Predictive Risk Factor For Recidivism And Survival Time Among Juvenile Offenders, Todd Milton Mcginnis

Walden Dissertations and Doctoral Studies

In the United States, there is a high incidence of recidivism among juvenile offenders with mental health disorders. This is a critical social issue facing the public and the Department of Juvenile Justice Administration today. However, research is not clear on the role of psychological factors in recidivism frequency and survival time. The purpose of this study was to examine whether hopelessness depression, as measured by suicidal-ideation, depression-anxiety, anger-irritation, and alcohol-drug use, and offense type, were predictors of recidivism frequency and survival time when controlling for age, gender, and race. The total sample consisted of archival data from 404 juvenile …

Attack At Fort Hood: Experiences And Suggestions For Security, William P. Moravits

Walden Dissertations and Doctoral Studies

In the past 8 years, at least 4 lone wolf terrorists have targeted military bases or recruiting centers in the United States and research suggests attack on the US military are increasing globally. The problem was that research had not addressed the lived experiences of survivors of lone wolf attacks or how they could inform procedures regarding a sense of security for military men and women. The purpose of this research was to establish a need to address threats to the security of the military from these attacks, to provide a rich description of survivors' experiences of the attack at …

Home Care Factors Associated With Hospital Readmission Of Psychiatric Patients, Ashley Renee Payne

Walden Dissertations and Doctoral Studies

There has been inadequate attention to the aftercare of psychiatric patients, resulting in an increase in readmission rates plus longer hospital stays. There is a gap in the aftercare for psychiatric patients; The purpose of this qualitative retrospective study is to explore what may have contributed to readmission for psychiatric patients. The biopsychosocial model was used as the theoretical framework to support the direction of the research. The health belief model and transtheoretical model of change were used to further support for biopsychosocial model. The research questions were created to determine the influences on readmission, psychological well-being, explore the adaptation …

Lived Experiences Of African American Males With Fibromyalgia, Ethel Denise Perry

Walden Dissertations and Doctoral Studies

Fibromyalgia (FM) is a musculoskeletal and neurological disorder that causes constant pain, cognitive problems with short term memory, and sleep disorders. There are more females diagnosed with FM than males, and research has therefore primarily been conducted with females. Because little is known about African American males with FM, biopsychosocial theory was used in this phenomenological study to examine how African American males with FM are affected biologically, psychologically, and socially. Eight African American males diagnosed with FM were recruited from Houston, Texas and were interviewed about their lived experiences with FM, including experiences with the healthcare system, and how …

Exploration Of Counselor Development Using Cotherapy In Postgraduate Training, Jennifer Calloway Ross

Walden Dissertations and Doctoral Studies

Researchers have supported the use of cotherapy in both training and application for couple and family counseling as a clinical practice. However, there is not enough evidence to determine whether cotherapy can meet the learning needs of counselors-in-training more comprehensively than other forms of live supervision. The purpose of this transcendental phenomenological study was to explore the training experiences of postgraduate couple and family counselors who participated in cotherapy with a clinical supervisor. These experiences were examined using social and experiential learning theories. A modification of the Stevick-Colaizzi-Keen method served as the procedural guide for the analysis. Hand-coded interview data …

School Social Workers' Roles Involving Teacher-Student Sexual Misconduct And Exploitation, Cedrina Monique Ruffin

Walden Dissertations and Doctoral Studies

Incidents of sexual misconduct by educators continue to become more prevalent in the United States, resulting in negative social, emotional, and psychological effects on many students. School social workers are professionals with backgrounds in prevention, intervention, and advocacy; however, very little literature has examined the roles of school social workers in preventing and addressing teacher-student sexual misconduct. This case study explored school social workers' roles and their perceptions thereof in relation to incidents that involved teacher-student sexual misconduct and exploitation. General systems theory provided the framework for understanding the roles of social workers and their approaches to working with the …

Strategies For Reducing Employee Stress And Increasing Employee Engagement, Kumar G. Subramaniam

Walden Dissertations and Doctoral Studies

Stress inside and outside of work affects employee productivity. In 2013, the estimated impact of employee absenteeism on U.S. businesses was $225 billion per year through reduced efficiency, overtime wages, fixed fringe benefits, and the cost of replacement employees. Based on the social exchange theory and the theory of planned behavior, the purpose of this qualitative single case study was to explore the strategies that HR leaders in a single organization used to reduce employee disengagement caused by stress. Using semistructured interviews, data were collected from 12 HR leaders and line managers within a single healthcare organization in eastern Tennessee. …

The Intersection Of Race, Gender And The School To Prison Pipeline: A Case Study On The Impact Of Exclusionary Discipline On African American Girls, Karen Nicole Wallace

Walden Dissertations and Doctoral Studies

Exclusionary discipline in school contributes to gender and racial disproportionality in the juvenile justice system and marginalizes African American girls. Using the social justice and rational choice theories as the foundation, the purpose of this case study was to explore the relationship between the criminalization of behavior in schools, racial bias, and gender stereotypes contribute to the overrepresentation of the school to prison pipeline in Virginia. The central research question focused on the relationship between the criminalization of behavior in schools, racial bias, and gender stereotypes on the overrepresentation of African American girls in the school to prison pipeline. Employing …

Teacher And Student Variables Affecting Special Education Evaluation And Referral, Lorenzo Adrian Woodson

Walden Dissertations and Doctoral Studies

Past research has revealed that African American/Black boys are referred for special education evaluation at disproportionately higher rates than boys of other racial/ethnic groups. This correlational study used survey methodology to examine whether student and teacher demographic variables predicted how likely a teacher would refer boy students for special education evaluation. The following questions guided this research: 1) To what degree does student race/ethnicity, teacher gender, teacher race/ethnicity, and teacher attitude toward inclusion predict how likely a teacher would refer boys' to special education after controlling for teacher's years of experience in general and special education? 2) What are the …

The Effects Of Structured Health Policy Education On Connecticut Registered Nurses' Clinical Documentation, Rosale Lobo

Walden Dissertations and Doctoral Studies

Registered Nurses use clinical documentation to describe care planning processes, measure quality outcomes, support reimbursement, and defend litigation. The Connecticut Department of Health, guided by federal Conditions of Participation, defines state-level healthcare policy to include required care planning processes. Nurses are educated in care planning process standards, however no policy-required competency verification processes in academia or employers exists. Guided by the advocacy coalition framework, the purpose of this quasi-experimental study was to determine if the quality of nurse coalition actors’ clinical documentation, a relatively stable parameter, would increase after attending policy-centered structured education. Data were extracted from 272 electronic medical …

Understanding Barriers African American Teenage Mothers Face In Pursuit Of Higher Education, Aldison Middleton-Hinton

Walden Dissertations and Doctoral Studies

Researchers have found that social workers have difficulty identifying their roles in responding to the barriers African American teenage mothers face in pursuit of higher education. This action research project explored the roles social workers play in responding to the barriers African American teenage mothers face in pursuit of a college education and how social workers responded. The ecological systems theory was used to help understand this phenomenon. An action research methodology was used to collect data from 6 licensed social workers who worked with African American teenage mothers. Three focus groups were facilitated to explore the social work practice …

Exploring Strategies Of American Small Business Owners In United Arab Emirates, Shelley D. Mosley

Walden Dissertations and Doctoral Studies

The International Trade Administration reported that 70% of worldwide revenue for American businesses comes from consumers in emergent markets such as India, the Middle East, and Northern Africa. However, the United Arab Emirates (UAE) is a country that many American small business owners are not operating in and capitalizing on the financial opportunities that are available. The purpose of this multiple case study was to explore strategies American small business owners use in successful international entrepreneurship for increased revenue and operational longevity. The study population consisted of 5 American small business entrepreneurs who had succeeded operating in the UAE for …

Investigating Funding Policies For New Clinics In Rural Northwest Region, Cameroon., Chenwi Mbuoko Ngwa

Walden Dissertations and Doctoral Studies

Abstract

Healthcare policies are complex health promotion strategies used by healthcare policy

designers to create awareness, educate, and develop the capacity of sustainable health

promotion practices in rural communities. The purpose of this phenomenological study

was to investigate an occurrence being experience by rural residents in the NWR of

Cameroon where residents lacked nearby healthcare clinics where they can seek medical

treatment and to determine if there were any funding policy requirements for the

construction of new rural community clinics at the NW Regional Delegation of Public

Health. Using Wright's conceptual framework on policy analysis and evaluation and

Coleman's rational …

Staffing Standards And Care Outcomes In For-Profit And Not-For-Profit Religious-Based Nursing Homes, Ara Omobola Omotowa

Walden Dissertations and Doctoral Studies

Vulnerable older adults residing in nursing homes continue to experience poor care outcomes due to nurse staffing levels that are below the levels required for maintaining their well-being. Studies have shown that patient care outcomes in nursing homes are related to nurse staffing standards/levels, which are affected by profit maximization on adherence to registered nurses and licensed nurse staffing standards. The purpose of this descriptive study was to determine if there was a relationship between adherence to staffing standards and care outcomes in for-profit (FP) and not-for-profit religious-based (NFPRB) nursing homes using the profit maximization theory. Research questions focused on …

Socioeconomic Challenges In The Household And The Prevalence Of Comorbidity Among Children With Attention-Deficit Hyperactivity Disorder, Randy Lee Perrin

Walden Dissertations and Doctoral Studies

Attention-deficit hyperactivity disorder (ADHD), the most commonly diagnosed childhood neurobehavioral disorder, is increasing annually at about 5% per year. ADHD has been diagnosed in approximately 6.4 billion children in the U.S., and it is estimated that 66% of those afflicted have 1 or more comorbid conditions. Children with ADHD are often from socioeconomically challenged households. What is unclear from the literature is the relationship between socioeconomic status (SES), defined as education, employment, and income and the reporting of comorbidities with ADHD. The problem is that children with ADHD from low SES households may be reporting a higher prevalence of comorbid …

Communication Strategies Used During Organizational Change In A Health Care Organization, Amber Rose Smith

Walden Dissertations and Doctoral Studies

More than 4.9 million businesses exist in the United States, and leaders within these businesses have to acclimate to change. Clear and effective communication is vital to the success of an organization. According to scholars and health care leaders focusing on strategies to communicate change during organizational change is a critical aspect of sustainability and profitability. The conceptual framework of this study was communication theory. The purpose of this single case study was to explore successful strategies that some health care leaders used to communicate during organizational change in a health care organization in El Paso, Texas. The data collection …

Roles Of Social Workers At A Dialysis Center: An Action Research Project, Dominique Deshay Spigner

Walden Dissertations and Doctoral Studies

People with end-stage renal disease have higher rates of mental health diagnoses due to sudden changes in health status, lack of effective support systems, and diminished survival rates. The purpose of this action research study, and research question posed, centered on how dialysis clinical social workers perceive their roles in providing consultation to the interdisciplinary team members on how to identify and respond to patients with mental illnesses. An interview guide was used to gather data by facilitating 3 focus groups with 7 dialysis social workers in a rural town in Texas. The theory of planned behavior was used to …

Predictors Of Obesity, Acculturation, And Perceived Stress In Meskhetian Turk (Ahiska) Immigrants In The United States, Zekeriya Temircan

Walden Dissertations and Doctoral Studies

Obesity is a risk factor for chronic diseases among the ethnic minorities for adult immigrants in the United States. There have been many research studies conducted to examine the relationship between the predictors and obesity in minority groups in the United States, that relationship was unknown in Meskhetian Turk (Ahiska) immigrant populations. Guided by social ecological model and acculturation theory, this study examined the predictors of obesity in the Meskhetian Turk (Ahiska) immigrant population in the western United States. Data were collected from 109 participants using CDC's Behavioral Risk Factor Surveillance System, Stephenson Multigroup Acculturation Scale, and Perceived Stress Scale. …

Terrorism And Parents' Experience Of Children's Schooling In Nigeria: A Phenomenological Study., James Ovu Urien

Walden Dissertations and Doctoral Studies

In Nigeria, displaced non-Muslim parents living in refugee camps face difficult decisions regarding the schooling of their teenage daughters, who are potential targets of Boko Haram terrorist activities. The purpose of this interpretative phenomenological analysis (IPA) was to qualitatively explore a deeper understanding of the lived experience of displaced non-Muslim parents in Nigeria concerning the schooling of their teenage daughters. Prospect theory provided a theoretical foundation for the study. The theory holds that decision-making is based on the perceived value of gains and losses under risk conditions, rather than solely the perceived final outcome of the risk. The research questions …

Strategies To Manage Enterprise Information Technology Projects, Mario West

Walden Dissertations and Doctoral Studies

Since 2005, most midsize company information technology (IT) projects had a 62.4% failure rate because of wrong project team communication skills or cost overruns. IT leaders expect negative IT project outcomes will cost over $2 billion by 2020. Using the actor-network theory, the purpose of this single case study was to explore strategies used by IT leaders from a midsize IT company in Washington, D.C. to plan and execute projects under budget and on time. Using purposeful sampling, 5 IT leaders were selected for this study because of their experience in implementing successful strategies for projects. Data were collected using …

The Effect Of Cognitive Behavioral Therapy And Chiropractic Care On Stress Reduction, Tracee Felice Williams

Walden Dissertations and Doctoral Studies

Decreasing the impact of stressors on the body remains an important area of study for the affected population. While there is evidence showing that cognitive behavior therapy (CBT), a psychotherapy approach, results in decreased stress, little was found about the effects of chiropractic treatment (CC) on stress. The purpose of this quantitative archival study was to determine whether the combination therapy of CC and CBT was more effective in decreasing stress than CBT independently. Cognitive neuropsychology served as the theoretical lens. Client data from a mental health and chiropractic care center on the West coast (N = 112) were divided …