Social and Behavioral Sciences Commons^™

Lived Experiences And Coping Styles Of Alaskan Women With Opioid Use Disorders, Faith May Golden

Walden Dissertations and Doctoral Studies

Death caused by opioid abuse has increased in recent years, and women in the state of Alaska have been significantly impacted by this opioid crisis. Previous researchers have indicated a possible connection between opioid use and sub-clinical PTSD criteria. The purpose of this grounded theory study was to develop a theory regarding the presence of PTSD diagnostic criteria in this population, to identify patterns in past traumas and other life stressors, and to investigate coping strategies in 43 Alaskan women who sought treatment for opioid use. Archived data in the form of therapy notes were analyzed using grounded theory techniques …

The Soldier 360°Orgram: Strengthening Combat-Exposed, Noncommisioned U.S. Army Officers' Interpersonal Sensitivity, Anne Harper

Walden Dissertations and Doctoral Studies

Interpersonal sensitivity is a foundational component of interpersonal relationships. It encompasses an individual's self-concept and self-identity, which are formed as the individual develops. An individual's self-concept develops from the norms and mores of his or her society. Soldiers in the U.S. Army have been trained to form a repurposed self to engage in combat and work in combat-focused jobs. The consequence of this training in many cases has been diminished interpersonal sensitivity that has been detrimental to their interpersonal relationships. The Soldier 360° course is a comprehensive treatment program that takes a holistic approach to providing soldiers with self-empowering tools …

Attitudes Of Women Offenders Towards Medicaid Enrollment And Coverage Under The Affordable Care Act, Morrisa Barbara Rice

Walden Dissertations and Doctoral Studies

Although women offenders face barriers to successful reentry into their communities, as yet, no research has explored their experiences in accessing health care reentry services. Medicaid enrollment, the process of applying for Medicaid coverage, can be offered as a health care reentry service. Women offenders in jails have shorter sentencing times compared to those in prison, which presents Medicaid enrollment opportunities before release. The Second Chance Act provides the opportunity for reentry services, and the Affordable Care Act provides the opportunity for Medicaid coverage for women offenders. This phenomenological study explored the attitudes of women offenders about Medicaid enrollment and …

A Meta-Analysis: The Full Range Of Leadership Model Impacting Policing Organizations, Joseph Russell

Walden Dissertations and Doctoral Studies

Police leadership has traditionally been dominated by the commander style, yet the more recent generation of police officers reject this style of leadership. Little, however, is known about whether the different leadership styles of the full range of leadership model result in positive outcomes in policing organizations. The purpose of this quantitative meta-analysis study was to examine the relationship between transformational, transactional, and laissez-faire leadership styles and the leadership outcomes in a policing context, such as subordinate satisfaction, perception of leadership effectiveness, and exerting extra effort. Data for this research synthesis derived from primary research studies, which included 9 U.S. …

Teachers' And Parents' Perceptions Of Special Education Referral For African American Students, Darlene Smith

Walden Dissertations and Doctoral Studies

Patterns of representation of African Americans in K-12 special education programs vary across the United States. A school district in Arizona has a 13% African American population, yet the African American special education representation is 17%. The purpose of this grounded theory study was to generate an understanding of the processes related to special education referral and assignment of African American elementary students as perceived by 7 teachers and 6 parents in the school district. Inductive analysis including open, axial, and selective coding led to the categorization of three themes: complexity in the referral process, inadequate teacher-parent communication and lack …

Improving The Quality Of Electronic Documentation In Critical Care Nursing, Brent Alan Stevens

Walden Dissertations and Doctoral Studies

Electronic nursing documentation systems can facilitate complete, accurate, timely documentation practices, but without effective policies and procedures in place, a gap in practice exists and quality of care may be impacted. This systematic review of literature examined current evidence regarding electronic nursing documentation quality. General systems theory and the Donabedian model of health care quality provided the framework for the project. Electronic databases PubMed and the Cumulative Index of Nursing and Allied Health were searched for articles addressing electronic nursing documentation practices. The Cochrane systematic review methodology was used to analyze the articles. Articles were excluded if published before 2001 …

Staff Member Perceptions Of Bullying In An Afterschool Center, Sherrich Monsher Thegg

Walden Dissertations and Doctoral Studies

Peer-to-peer bullying negatively impacts over 20% of school-aged children annually. While much literature exists on bullying on school premises, peer-to-peer bullying outside of the classroom is still relatively understudied. Despite states' implementation of antibullying legislation, peer-to-peer bullying has continued in schools and other areas such as afterschool centers. The purpose of this qualitative study was to evaluate staff perceptions of peer-to-peer bullying in afterschool centers. It specifically investigated bullying and the hierarchical imbalance of power using Sidanius and Pratto's social dominance theory. The research questions were designed to investigate the staff members' knowledge of bullying at the Boys and Girls …

Exploring Personal And Societal Expectations Of Blind Veterans, Malinda L. Wimbs

Walden Dissertations and Doctoral Studies

More U.S. men and women are returning from military service obligations with physical and mental disabilities which complicate their transition to civilian life. Few researchers, however, have examined the post service experiences of blind veterans and whether they are affected by societal expectations of people living with disabilities. The purpose of this qualitative study was to gain knowledge about the experiences of U.S. veterans who suffered vision loss, and the influence of societal expectations on their lives. Hermeneutic phenomenological methodology was used to explore the personal meanings 8 veterans, who lost their vision during active service, attached to their experiences …

The Effect Of Emotionally Validating And Invalidating Responses On Emotional Self-Efficacy, Gregory Witkowski

Walden Dissertations and Doctoral Studies

The power of abuse, either in childhood or in adulthood, is clear in many cases. Yet certain types of abuse are harder to detect and understand. Emotional invalidation is one type of abuse that is characterized by an incongruence or minimization of another person's emotions. This experimental study explored effects of emotional invalidation and emotional validation on people's level of emotional self-efficacy. Participants (n = 230) were recruited through Quest Mindshare using a survey created through SurveyMonkey, and randomly placed into 3 groups. All participants were given a survey that asked them to choose how certain pictures made them feel. …

Examining The Retention Of African American Young Adults In Their Childhood Church, Stacia Lynn Alexander

Walden Dissertations and Doctoral Studies

The purpose of this study was to examine the reasons for the decline of young adult church attendance after an affiliation with church during childhood. Religion plays an important role in the lives of African Americans as a coping mechanism for loss, adversity, racism, and trauma. In addition, spiritual exploration is a component of psychological development during maturation. Using the social identity theory, the study explored the impact of childhood church affiliation and coping styles of young adults. African American Youth between 18 and 30 years old were randomly selected to complete a combination of questions from the Lasting Faith …

Multiple Role Conflict And Coping Strategies Of Men In The Aerospace Industry, Lynette Bowden

Walden Dissertations and Doctoral Studies

Work-life balance is a dilemma for both men and women. However, the perspective of men on this issue has not been previous addressed. Work intensification and societal pressures cause men to work longer, harder, and cope with the stressors of multiple role conflicts and work-life imbalance. The purpose of this phenomenological study was to explore men's lived experience in managing multiple roles regarding work-life conflicts, and identify coping strategies they used to achieve a work-life balance. The research questions were related to the lived experiences, perceived causes, and coping strategies of work-life imbalance for men in the aerospace industry. The …

Three Factors Leading To The Failure Of Communications In Emergency Situations, James E. Burroughs

Walden Dissertations and Doctoral Studies

The failure of communications, particularly related to interoperability, between police and firefighters responding to dangerous situations has resulted in death or injury to themselves or those they strive to protect. Using Grebner's and Shannon and Weaver's conceptualizations of communications theory as the foundation, the purpose of this general qualitative study was to evaluate, from the perspective of first responders, what barriers exist that may impede opportunities for interoperability of communications systems. Data were collected through semi-structured interviews with a purposive sample of 18 experienced first responders from the states of California, New York, and Texas. Interview data were deductively coded …

Barriers Cardiac Nurses Face In Addressing Psychosocial Issues Of Heart Failure Patients, Debra Kay Disbrow

Walden Dissertations and Doctoral Studies

Heart failure is a chronic disease and a common cause of hospitalizations and readmissions within 30-days of discharge. To decrease the cost of care for patients with heart failure, the Centers for Medicare and Medicaid Services initiated the Readmissions Reduction Program that reduces payment to hospitals with preventable readmissions. Among the causes for readmissions of patients with heart failure are concurrent behavioral health issues that can lead to decreased medication compliance and increased risk for disease progression. The prevalence of comorbid depression is as high as 77% among patients with heart failure and may be an important factor in readmissions. …

A Developmental Project Focusing On Young Adult Hispanic-Americans, Tarsicio Gacheru

Walden Dissertations and Doctoral Studies

Reducing diabetes risk among Hispanic-American adults in the United States is a critical public health need and programs targeting young Hispanic-American adults with prediabetes can reduce the risk for developing diabetes. The purpose of this project was twofold: (a) to examine the literature related to diabetes prevention best practices among young adult Hispanic-Americans with prediabetes and (b) create an intervention program to promote these best practices to delay or reverse the trajectory toward diabetes. The inclusion criteria for the literature review were studies with at least a 12-month follow-up and reported outcomes related to changes in diet, increased exercise, and …

Working Mothers, Work-Life Balance, Locus Of Control, And Perceived Supportive Factors, Natashia Gridiron

Walden Dissertations and Doctoral Studies

From 1948 to 2015, there was a dramatic increase of mothers in the workforce. The literature demonstrates that mothers tend to work outside of the home while also maintaining most of the domestic roles. However, the literature does not address how these women are able to balance their roles. There is a gap in the literature concerning the relationship between locus of control, perceived supportive factors, income size, and work-life balance for working mothers. The purpose of this cross-sectional quantitative study was to fill that gap as measured by Rotter's Internal- External Control Scale, Satisfaction with Work and Family Balance …

A Phenomenological Study Of Cross Gender Mentoring Among U.S. Army Officers, Scott Randolph Johnson

Walden Dissertations and Doctoral Studies

Leader mentoring in the military has not been well researched, especially that involving cross-gender pairings. A phenomenological study was conducted to gain insight into the perceptions, thoughts, and feelings of military officers regarding their decision to engage in mentoring, to include with members of the opposite gender. Semistructured interviews were conducted with 20 male and 20 female U.S. Army senior commissioned officers to collect information regarding mentoring selection perspectives and decisions and to examine emerging themes, concepts, and patterns, using NVivo 11 Pro Plus. Negative themes that emerged among both male and female participants concerned adverse perceptions of members within …

Promoting Policy Advocacy In Nursing Via Education, Carolyn Sue Jurns

Walden Dissertations and Doctoral Studies

Nurses have a professional, ethical, and social responsibility to advocate for optimal healthcare and an optimal professional environment. However, nurses often default on that responsibility. Leadership at a national nursing organization's state affiliate (SNO) perceived a need to optimize its members' policy advocacy. To meet that need, the Policy Advocacy Toolkit for Nurses (PATN) was developed for this doctoral project. The evidence-based PATN relied on established theories and frameworks, notably Knowles' adult education theory and Kingdon's multiple streams approach; research specific to this project; evidence from other researchers, healthcare organizations, and government websites; and input from a statistician, nursing education …

Rural Colorado Drug Courts: A Program Evaluation Of Two Different Modalities, Arthur Kleinschmidt Kleinschmidt

Walden Dissertations and Doctoral Studies

According to the Colorado Judicial Branch, 78 problem-solving courts operate in the 20 judicial districts in Colorado. The Summit County and Eagle County drug court programs are located in Colorado's Fifth Judicial District and have not been previously studied. Evaluating treatment programs for effectiveness contributes to social change because it ensures individuals in need of treatment are receiving the proper services. The Eagle County drug court program had 117 participants and the Summit County drug court program had 33 participants. The Summit County Drug Court used 2 cognitive behavioral therapies: moral reconation therapy and strategies for self-improvement and change. The …

The Effect Of Hospital Nurse Basic Psychological Needs Satisfaction On Turnover Intention And Compassion Fatigue, David Stephen Klein

Walden Dissertations and Doctoral Studies

Nursing is a stressful occupation, which can often lead to compassion fatigue (CF) and turnover intention (TI). When their basic psychological needs (BPN) of competence, relatedness, and autonomy are not met, registered nurses (RNs) may develop a higher propensity to experience CF and TI. Amid projected nursing shortages, the loss of these health care providers may threaten the quality of patient care. Although there is research on BPN and their relationship with well-being and functioning, research is lacking on the relationship between BPN satisfaction, CF and TI among RNs. Researchers have also not examined whether RNs' BPN satisfaction moderates the …

Paralleled Support Models For Young Adults With Intellectual And Developmental Disabilities, Lucy Ellen Klym

Walden Dissertations and Doctoral Studies

In the State of Indiana, for students over the age of 14 who have been diagnosed with intellectual or developmental disabilities, the transition from special education to Medicaid waiver oversight should occur seamlessly, but gaps in integrated and aligned goal development strategies remain. As a consequence, students who need adult-based support may not be receiving the full scope of services to which they are entitled. Using common-pool resource theory as a foundation, the purpose of this explanatory case study of transitional services to Indiana Medicaid was to understand, from the perspective of disability support service staff, the barriers to effective …

The Critical Role Of The Psychiatric Emergency Response Team In The Adoption Of A Violence Risk Assessment Tool., Angela Mackay

Walden Dissertations and Doctoral Studies

Workplace violence is a persistent problem in health care, and incidence rates have increased over the years. Traditional reporting systems, relying mostly on paper formats, are inadequate for developing effective predictive models for intervention and reducing acts of violence by patients to staff. The purpose of the development and deployment of the psychiatric emergency response team (PERT) was to provide effective intervention within the MIAHTAPS (Altered Mental status, Irritability, Agitation, History of Violence, Threatening, Attacking Objects, Pacing, and Staring) behavior prediction tool to reduce the severity and rates of violence in a hospital setting. Lewin's change theory was used to …

Suicidal Behavior In Inmates Through The Pathway Of Psychopathy And Depression, Zsofia Muller-Balazsfi

Walden Dissertations and Doctoral Studies

Prison inmates are more prone to commit suicide than are individuals in the general population. Current scientific research has identified risk factors of suicide in the general population, such as mood disorders, but only a few research studies have examined risk factors that are particularly relevant to the incarcerated population. This study used a quantitative archival research design to examine the effect of primary and secondary psychopathic personality traits on the development of suicidal behavior in the mentally ill male prison inmate population at a U.S. federal prison located in the Southeast. Data on psychopathic traits as measured by the …

The Perceptions Of Video Surveillance And Its Influence On Cargiver Stress In The Home Care Setting, Asuncion Neri-Candelaria

Walden Dissertations and Doctoral Studies

Given the stress involved in caring for elders, the propensity for abuse among the older adult population continues to be a problem, as the number of caregivers providing care in the home is increasing to meet the demand of an increasing population of older adults. One solution is to implement video surveillance in the home. The purpose of this phenomenological, retrospective and prospective study was to describe the perceptions and experiences of caregivers that affect stress in the home care setting and to describe participants' perceptions about the impact of video surveillance in the home environment on caregiver stress and …

The Experiences Of Parenting Coordinators Working With Couples Engaged In Intimate Partner Violence, Ann M. Ordway

Walden Dissertations and Doctoral Studies

In families where parents present with intimate partner violence dynamics, courts routinely impose restraints restricting communications between those parents. However, the same courts also routinely fashion arrangements whereby those same parents share custody of their children. Children in families with this dynamic are often used as communication facilitators and triangulated by parental conflict. This grounded theory study generated a theory about parenting coordination work with high conflict couples with intimate partner violence dynamics. This theory may have utility for parenting coordinators working more effectively with the described population. Semi-structured interviews were conducted with 10 professional parenting coordinators who have worked …

Environmental Relocation Policy As Experienced By One Eastern Missouri Dioxin-Contaminated Community, Susan Annette Olsen

Walden Dissertations and Doctoral Studies

Research on environmental relocation is scant and narrow, focusing on a few aspects of permanent relocation and social impacts of natural disasters. As a result, little is known about the long term social impacts of the Environmental Protection Agency's (EPA) environmental relocation policy. A combined conceptual and theoretical framework of Walter's placeways; Ullberg's disaster memoryscapes; Richardson's remembrance and memorialization; Dynes' social capital; and, Norris, Stevens, Pfefferbaum, Wyche, and Pfefferbaum's work on community resilience guided this phenomenological study with the purpose of better understanding competing and complementary roles of each of these constructs in the context of environmental relocation of one …

Anxiety And Healthcare Utilization Among Mothers Of Children With Mental Health Disorders, Maria Lynn Perrotta

Walden Dissertations and Doctoral Studies

Anxiety can influence an individual's decision-making process; however, researchers have yet to establish whether anxiety has an impact on the healthcare utilization practices of mothers of children with a mental health diagnosis. The purpose of this study was to assess whether trait anxiety, coping styles, and self-efficacy in mothers of children with a mental health diagnosis affected their healthcare utilization decisions. The transactional model of stress and coping was used to analyze the impact of children with mental health disorders on their caretakers. For this study, a quantitative, cross-sectional research design was employed. The 4 survey tools, administered through SurveyMonkey.com …

The Link Between Therapists' Social Class Attributions And Treating Clients Of Low Socioeconomic Status, Dan Sharir

Walden Dissertations and Doctoral Studies

Social class may impact the ways people are perceived and treated by others. The social class attributions of therapists may influence the manner in which they conceptualize their clients' problems and their relationship with their clients. There is a gap in the literature concerning the link between therapists' social class attributions and their responses toward low socioeconomic status (SES) clients in actual clinical settings, which could impact the therapists' interaction with their clients and the treatment process. The purpose of this qualitative descriptive case study was to examine the links between therapists' social class attributions and their experiences with low …

Influence Of Psychological Needs And Gaming Motivation On Well-Being Of Adult Gamers, Rene Sterling

Walden Dissertations and Doctoral Studies

Adult online gaming is a fast-growing global entertainment industry, and many gamers spend more time playing games and less time engaging in work or other activities, which negatively affects their lives and relationships. This quantitative study addressed how psychological needs and gaming motivation predicted gaming behavior, life satisfaction, and relationship satisfaction using a mediational model. The theoretical foundation was self-determination theory, which addresses how personal choices are influenced by internal factors, especially psychological needs and motivation. An online survey was used to collect self-reported data from a convenience sample of 935 adult gaming participants using the Basic Needs Satisfaction in …

Motivations Of Antitrafficking Volunteers, Jonathan Edward Sullivan

Walden Dissertations and Doctoral Studies

Abstract

Human trafficking is a worldwide crisis, and agencies rely on volunteers to help serve its victims. Past researchers have suggested that motivation to volunteer is multifaceted and that volunteer turnover hinders accomplishing mission objectives. The research question was to examine if there were any differentiating motivations of antitrafficking volunteers from the current literature. This study was a qualitative case study of an antitrafficking religion-sponsored agency in the United States. Self-determination theory guided the research consisting of 7 agency volunteers. Candidates met the established criteria of minimum age and duration of service. The interpretive phenomenological analysis process helped to assess …

Fire Officer Leadership Strategies For Cost Management, Leo R. Sedlmeyer

Walden Dissertations and Doctoral Studies

Fire departments in the United States accounted for 31% of municipal budgets with increases of 85% spending between 2015 and 2016. The purpose of this single case study was to explore leadership strategies fire officers used to manage costs associated with hazardous operations. The conceptual framework grounding this study was transformational leadership theory. The participants in this study were 10 fire officers who manage hazardous operations in central Wisconsin. The data collection process included open-ended questions in a semistructured format resulting in transcripts, a review of fire department staffing documents, and personal journal notes. Methodological triangulation was used to compare …