Digital Commons Network^™

Faith-Based Leaders’ Perception On The Need For Active Assailant Contingency Planning, Tanzania Merriweather

Walden Dissertations and Doctoral Studies

Violence is identifiable as a common threat to public and community safety. Violent incidents have had an extensive history within society and are especially concerning when orchestrated against religious institutions. There is existing research concerning massive violent incidents in sanctuaries and churches; however, there is limited research on the perceptions of religious leaders on the need for safety planning to prepare for and combat these incidents. This phenomenological study was completed to explore the perceptions of eight faith-based leaders on the need for safety contingency planning for sanctuaries and churches. The research questions posed for this study were designed to …

Occupational Risk Perceptions Among Foreign-Born Construction Workers In Central Florida, Matthew Edison Law

Walden Dissertations and Doctoral Studies

Hispanic and Latino foreign-born construction workers in the United States experience higher rates of serious injuries and fatalities in the workplace than their native-born peers. Previous research has pointed to specific vulnerabilities among this population, including birthplace, age of the worker, language barriers, and education level, but little to no research has examined addressable risk factors, such as occupational risk perceptions, among this population. The purpose of this quantitative study was to determine the relationship between birthplace, number of years working in the United States, and occupational risk perceptions while controlling for age of the worker, language barriers, and education …

Faith-Based Leaders’ Perception On The Need For Active Assailant Contingency Planning, Tanzania Merriweather

Walden Dissertations and Doctoral Studies

Violence is identifiable as a common threat to public and community safety. Violent incidents have had an extensive history within society and are especially concerning when orchestrated against religious institutions. There is existing research concerning massive violent incidents in sanctuaries and churches; however, there is limited research on the perceptions of religious leaders on the need for safety planning to prepare for and combat these incidents. This phenomenological study was completed to explore the perceptions of eight faith-based leaders on the need for safety contingency planning for sanctuaries and churches. The research questions posed for this study were designed to …

Occupational Risk Perceptions Among Foreign-Born Construction Workers In Central Florida, Matthew Edison Law

Walden Dissertations and Doctoral Studies

Hispanic and Latino foreign-born construction workers in the United States experience higher rates of serious injuries and fatalities in the workplace than their native-born peers. Previous research has pointed to specific vulnerabilities among this population, including birthplace, age of the worker, language barriers, and education level, but little to no research has examined addressable risk factors, such as occupational risk perceptions, among this population. The purpose of this quantitative study was to determine the relationship between birthplace, number of years working in the United States, and occupational risk perceptions while controlling for age of the worker, language barriers, and education …

Exploring Supervisory Experiences After The Legalization Of Recreational Marijuana In Colorado, Charles Daniel Mason

Walden Dissertations and Doctoral Studies

AbstractColorado became the first state to decriminalize recreational marijuana in 2014. This new public policy resulted in unproven regulatory changes in any population in the United States. The purpose of the study was to discover the core perspective and experiences of 12 supervisors who experienced this phenomenon in their professional occupations, through the lens of accountability. The risk perceptions of supervisors’ due to policy shifts regarding recreational marijuana in Colorado were analyzed using the Delve system and hand coding. Findings indicated employees’ use of marijuana had a direct impact on productivity, which decreased significantly over time. Employees displayed signs of …

Preventing Injuries And Fatalities In Inherently Dangerous Work Environments, Markeith Porter

Walden Dissertations and Doctoral Studies

Shipyard safety programs have uncertainty and vulnerability. Shipyard program managers are concerned with safety to mitigate negative business system performance because of unplanned safety events. Grounded in the contingency theory, the purpose of this qualitative single case study was to explore the strategies managers use to mitigate liability claims associated with the high numbers of injuries and fatalities in dangerous work environments. The participants were three program manager representatives in the American Southwest who use successful strategies to reduce injuries and fatalities in the shipyard industry. The data were collected using semistructured interviews, public documents and analyzed using a six-step …

Correlation Between Moral Foundations And Students’ Attitudes Toward Concealed Carry Guns On College Campuses, Hengameh Hashemi Toosi

Walden Dissertations and Doctoral Studies

Correlation between Moral Foundations and Students’ Attitudes Toward Concealed Carry Guns on College CampusesAbstract Attitudes towards concealed carry of guns (CCG) on campus are diverse across society and within college and university communities. The purpose of this quantitative study was to investigate possible predictors of college students’ attitudes toward CCG on college campuses. Using the moral foundations theory, it was hypothesized that students’ types of moral foundations, political affiliations, and demographics would predict four dimensions of attitudes toward CCG at their college campuses. The prediction model included gender, race, political affiliation (PA), as well as scores for harm (H), fairness …

Impact Of A Standardized Situation, Background, Assessment, And Recommendation Tool On Satisfaction And Communication In The Perioperative Area, Salomy Abraham

Walden Dissertations and Doctoral Studies

AbstractEffective communication among health care providers is critical to maintain patient safety during the handoff of care. Communication breakdown during handoff can lead to medical errors and sentinel events. The perioperative area is a vulnerable area that is prone to communication errors due to the involvement of providers from various disciplines and the nature of the quick patient turnovers within the perioperative area. To ensure proper communication during the handoff in the perioperative area, a unit-specific handoff tool is required. The focus of the project was to implement a standardized situation, background, assessment, and recommendation (SBAR) communication tool in the …

Firefighter Fatalities And Compliance With The National Fire Protection Association (Nfpa) 1451 Standard, Christopher Norris

Walden Dissertations and Doctoral Studies

AbstractDriving emergency vehicles continue to be significant safety hazard for firefighters. National Fire Protection Association (NFPA) standards are designed to provide a national consensus standard for operation of these vehicles based on industry best practice. Existing research has not identified relationships between firefighter compliance with NFPA 1451, Standard for a Fire and Emergency Service Vehicle Operations Training Program, and any impacts this may have on firefighter fatalities. Using the systems theory as a foundation, the purpose of this cross-sectional, quantitative study was to investigate firefighter compliance to NFPA 1451 and determine any correlations to firefighter fatalities. Survey data were collected …

Understanding Students' Perceptions Of Campus Safety At A Florida University, Deborah Lynn Alexander

Walden Dissertations and Doctoral Studies

AbstractThere is a national problem with campus safety (CS) at universities and colleges in the United States. Research on this topic has primary focused on the perceptions of faculty, staff, and administrators about CS, while the research including the perceptions of students is largely absent. It is important to investigate students' perceptions of CS because an emotionally and physically safe campus is a basic need. The purpose of this qualitative intrinsic case study was to explore university students' perceptions of CS and how safety procedures were documented in a southeastern U.S. state. Maslow's hierarchy of needs theory related to safety …

Risk Assessment Strategies To Reduce Profitability Losses From Pipeline Accidents In The Natural Gas Industry, Cynthia Hurdle

Walden Dissertations and Doctoral Studies

Ineffective risk assessment strategies can negatively impact the natural gas industry.

Engineer project managers who struggle to maintain a risk assessment plan are at high risk of failure, which could result in devastating consequences for the business and environment. Grounded in the theory of risk assessment, the purpose of this qualitative single case study was to explore strategies engineer project managers in the natural gas industry use to improve risk assessment planning to reduce pipeline accidents and improve profitability. The participants comprised of 5 engineer project managers in Virginia, who effectively use risk assessment strategies to promote safety metrics and …

Instructional Design Techniques Used To Develop Virtual Reality-Based Safety Training In An Industrial Environment, Mia Da'nene Joe

Walden Dissertations and Doctoral Studies

Instructional designers face the challenge of developing strong immersive virtual environments for education. However, there is very little research regarding the study of both the competence and practice of instructional design in the immersive virtual reality environment. The purpose of this qualitative Delphi study was to identify best practices that could be used by instructional designers when designing virtual reality-based safety training in order to improve safety competence and practice in the industrial environment. The conceptual framework for this study was based on the 3 primary groups of learning theory: behaviorism, cognitivism, and constructivism. Guiding questions were specific to the …

Development Of Practice Guidelines Based On Need-Driven Dementia-Compromised Behavior Model, Amy Marie Nolan

Walden Dissertations and Doctoral Studies

People with dementia, who experience cognitive decline, memory loss, and reasoning difficulties, often exhibit compromised behaviors such as agitation or aggressive behavior that impact negatively upon the person’s quality of life and increase safety risks. The purpose of this project was to develop an evidence-based clinical practice guideline (CPG) to improve the use of effective evidence-based interventions by staff in a skilled long-term care nursing facility to manage the compromised behavior of residents with dementia. The Need-Driven Behavioral Model, which suggests that compromised behaviors occur when patient attempts to accomplish a goal or express a need, provided the framework CPG …

Effectiveness Of End Of Shift Bedside Report, Glory Abuajah

Walden Dissertations and Doctoral Studies

AbstractNursing shift reports are the primary communication mechanism for outgoing nurses to transfer information about a patient to oncoming nurses. Nurse shift reports and nurse handovers are two of the most critical patient care processes that can support patient safety and reduce medical errors. But many nurses do not recognize the evidence supporting the practice of bedside reporting (BSR). In response to this practice problem, this project involved education on the importance of BSR on a telemetry unit in line with the best available evidence. The goal of the staff education project was to educate the staff on the value …

High School Students' Perceptions Of Safety Concerns Predicts School Avoidance, Ann Marie Howard

Walden Dissertations and Doctoral Studies

School violence is a growing concern and an impending danger for American youth. Students' perceptions of violent school incidents may lead to fear and this fear may lead to school avoidance. Although researchers have found that teenage pregnancy and working to support family are two of the main reasons that students stay home from school, there has been no research conducted on whether students' perceptions of safety concerns, solely focusing on the presence of guns, gangs, student bullying, and fear of victimization, predict their decision to stay home from school. Therefore, based on social disorganization and resilience theories, the purpose …

Development Of A Nurse Residency Program In Perinatal Nursing, Elizabeth W. Roberts

Walden Dissertations and Doctoral Studies

Staffing turnover created a challenge for the women’s services department of a hospital in the southern United States, potentially compromising care for women and infants during childbirth. The gap in practice was the lack of a structured nurse orientation/residency program for nurses new to perinatal nursing, which requires specific competencies not learned at the prelicensure level of education. The guiding practice-focused question was whether a multidisciplinary team could develop a formal evidence-based perinatal nurse residency program that would meet the needs of on-boarding and support for the new nursing hires at this facility. A team of experienced nurses, which included …

Reducing Patient Falls And Decreasing Patient Safety Attendant Utilization With Careview Communication Technology, Maura Marisela Stanford

Walden Dissertations and Doctoral Studies

Attention to quality outcomes, cost reduction, value-based purchasing, and improved initiatives for hospital-acquired conditions (HACs), as well as labor utilization savings, provide a foundation for hospitals to achieve safety and quality outcomes. Falls resulting in fractures, joint dislocation, or other physical injuries are considered HACs and can produce unexpected consequences such as an increase in costs related to an increased length of stay. The CareView Communications system, a fall prevention management program that uses video surveillance technology, offers a strategy to prevent patient falls by customizing patient rounding, conducting fall risk assessments, and generating reports. Guided by Donabedian's framework, this …

Patient Safety Problems, Procedures, And Systems Associated With Safety Reporting And Turnover, Grace Hilario

Walden Dissertations and Doctoral Studies

Research has shown that 400,000 people die every year due to preventable medical errors. Medical error reporting and safety is a responsibility of all members of a health care organization. Creating an environment that addresses and prevents potential or actual safety problems can help reduce the incidence of medical errors made by nurses in the workplace. The purpose of this quantitative research study was to determine if nurses' perceptions of safety problems and error-preventing procedures and systems affected their comfort in reporting safety problems and intent to leave. High-reliability theory was the theoretical foundation for this study. Data were obtained …

Recognizing And Anticipating Stress Related Complacent Behavior In Manufacturing Industries, Ricardo Alberto Pineda

Walden Dissertations and Doctoral Studies

Numerous safety studies suggest that stress complacency related accidents in manufacturing industries continue to cause injuries or fatalities because of the absence of emotional resources for leaders, who are unable to prevent accidents when these conditions exist. Leaders of the manufactory industries may not have the appropriate emotional measures which are significant to recognize employees' underlying complacent behavior. The purpose of this quantitative correlational study was to evaluate the relationship between leaders' emotional intelligence resources and their ability to manage to prevent injuries and fatalities in the workplace. The research questions address key traits of emotional intelligence regarding emotional perceptions …

Strategies To Reduce Occupational Injuries And Illnesses In Government Agencies, Sandra Montgomery

Walden Dissertations and Doctoral Studies

Despite regulatory efforts of the Occupational Safety and Health Administration (OSHA), 104 cases of nonfatal occupational illnesses and injuries (OIIs) per 10,000 full-time workers required time away from work in 2015. Although OII rates in private and public sectors are high, the rates among state and local government agencies were over 50% higher than private sector rates in 2015, especially in the healthcare industry. OIIs can lead to reduced organizational productivity and performance. Guided by the leader member exchange theory (LMXT) and risk homeostasis theory (RHT), the purpose of this single case study was to explore effective strategies that supervisors …

Leadership Styles Manufacturing Business Managers Use To Reduce Workplace Injuries, Joe Sparks

Walden Dissertations and Doctoral Studies

The cost of workplace injuries is a major concern for business managers. Business managers in the production, transportation, and material moving industries experience the highest injury rate with an annual average of 198.5 lost days away from work. The purpose of this single case study was to explore transformational leadership skills and strategies used by manufacturing business managers to reduce workplace injuries. The conceptual framework for this study was Bass and Burns's transformational leadership theory. Data collection included semistructured interviews to elicit narratives from 3 managers from a metal manufacturing company located in the southeastern United States about the leadership …

Improving Workers' Safety And Health In The Zimbabwean Mining And Quarrying Industry, Bernard Mabika

Walden Dissertations and Doctoral Studies

Lack of effective occupational safety and health (OSH) strategies is a reason that

workplace accidents in the mining and quarrying industry remain high, making the

industry one of the riskiest operations worldwide. The purpose of this multiple case study

was to explore successful strategies mining and quarrying leaders in Zimbabwe used to

improve OSH. The key research question addressed successful strategies leaders in the

mining and quarrying industry use to improve employee occupational safety and health in

Zimbabwe. Six successful business leaders from 3 mining and quarrying mines in

Zimbabwe demonstrated an exception to unsafe practices, particularly through their

exceptional …

Relationship Between Airline Category, Geographical Region, And Safety Performance, Peter Simpson

Walden Dissertations and Doctoral Studies

Passengers rank safety as a key factor in airline choice. Thus, safety performance impacts an airline's ability to attract customers. The purpose of this correlational study was to examine the relationship and difference between airline category low-cost carriers (LCCs) and full-service carriers (FSCs), geographical region, and safety performance measured by accident rates. The target population comprised all airlines in all countries that had an accident during the 14-year period 2004 to 2017. Data consisted of archival data of all global airline accidents and airline departure frequencies for the 14-year period. The theory of organizational accidents in complex sociotechnical systems explains …

Effective Communication And Teamwork Improve Patient Safety, Helene M. Anderson

Walden Dissertations and Doctoral Studies

Work environment influences the effectiveness of care for patients in any healthcare setting. It is even more important in settings such as the neonatal ICU (NICU) where this project took place. When the environment is not healthy, communication may suffer and result in poor patient outcomes and, family, patient, and staff dissatisfaction. The purpose of this quality improvement project was to understand how the implementation of the TeamSTEPPS program, for nurses in the NICU, could impact the safety culture as measured by the AACN Healthy Work Environment (HWE) tool. Lewin's professional practice change theory and the AHRQ change model were …

Leadership Practices That Improve The Workplace Safety Environment, Nathan Nomore Chikono

Walden Dissertations and Doctoral Studies

Inadequate leadership is the reason workplace accidents in the mining industry remain high, making the industry one of the most hazardous operational activities in the world. Unsafe leadership practices may result in death or injury to workers. A group of 30 mining company leaders from 3 gold mines in Zimbabwe revealed an exception to these hazardous practices, however, notable through their outstanding safety improvement records. To better understand what these practitioners were doing, this multicase study research design explored their strategies to improve the workplace safety environment in the mines. Data were collected using audio-recorded semistructured interviews and document analyses. …

Fall Prevention In A Neurological Care Unit, Claudeth Jeffrey

Walden Dissertations and Doctoral Studies

Patient falls are an ongoing concern for health systems in the US and in the setting where this project took place. Inpatient falls affect consumers and health providers because falls often result in patient morbidity and mortality, legal risk, increased length of stay, and increased costs. The purpose of this project was to evaluate the existing fall prevention protocol at the site where this project took place and to make recommendations for an evidenced-based fall prevention protocol. The professional practice model was the conceptual model that guided the exploratory descriptive project. A review of the site's fall prevention policies and …

Influence Of Psychological Empowerment, Leadership, And Climate On Safety Outcomes, Christine Healy

Walden Dissertations and Doctoral Studies

Research has demonstrated that safety outcomes are impacted by workplace risk factors, but also supervisory practices and employee actions. An area that has not been explored is the impact of employee cognitions on safety outcomes defined as work-related injuries. Based on the conceptual framework of psychological empowerment (PE), the purpose of this study was to examine the relationship of employee cognitions as measured by PE as related to leadership and safety climate and the occurrence of work-related injury. The research examined the mediating effect of (PE) on the factors of leadership and safety climate and their relationship to work-related injury. …

Use Of Physician Credentialing Standards By U.S. Medical Services Professionals, James Allen Reeder

Walden Dissertations and Doctoral Studies

Credentialing in hospitals is the first line of defense for improving patient safety and reducing medical errors by verifying a physician's medical knowledge and skills. There is no single set of standards for physician credentialing followed by all hospitals in the United States. Using May's normalization process theory, the purpose of this quantitative study was to survey medical services professionals (MSPs) to determine which physician credentialing standards were being used, the sources being used, and the frequency of standards used. The dependent variables in this study were the 13 ideal credentialing standards developed by the National Association of Medical Staff …

Relationship Between Budget And Project Success Factors In The Ghanaian Building Construction Sector, Kenneth Kwame Aggor

Walden Dissertations and Doctoral Studies

In developing countries, 60% of project management professionals appear to lack knowledge that timely completion, budget fidelity, and high quality are critical success factors for completion of construction initiatives. Based on the theories of iron triangle, accident causation, scientific management, and strategic management, the purpose of this correlational study was to examine the relationship between project budget and the independent variables of time, quality, safety, environmental impact, and site disputes in the Greater Accra Region of Ghana. One hundred and sixteen project managers, randomly selected from the population of construction professionals in the Greater Accra Region of Ghana, completed the …

Workers' Perceptions Of The Effect Of Three-Tier Shift Schedules On Community Functioning, Jillian Leigh Wallace

Walden Dissertations and Doctoral Studies

Shift work is commonplace in many fields that require around-the-clock employee coverage. There is ample evidence that two-tier shift work can detrimentally affect health and functioning. The purpose of this study was to understand the impact of three-tier shift schedules on physical and mental health and community functioning, a concept which refers to activities and behaviors performed by individuals or groups within a system. This study used a qualitative phenomenological design, and community functioning and recovery theory were central to the conceptual framework. In-depth interviews were used to explore the perceptions of three-tier shift workers on their functioning, relationships, mental …