Digital Commons Network^™

Urgent Care Centers And Workers’ Compensation Medical Cost Containment, Drema M. Thompson

Walden Dissertations and Doctoral Studies

In response to healthcare payment policy reforms, billions of dollars in healthcare provider charges are challenged annually. Following the implementation of the Virginia workers’ compensation medical fee legislation, healthcare organizations experienced declining worker compensation medical fee schedule reimbursements and lack of profitability. Grounded in the adaptive cycle model, the purpose of this qualitative single case study was to explore strategies 2 urgent care center (UCC) leaders in Virginia used to increase profits after implementing the Virginia workers’ compensation medical fee legislation. Data were collected via in-depth interviews and a review of company documents. Thematic analysis was used to analyze data. …

Social Responsibility Perceptions Of Community Flood Resilience In Nigeria, Reginald Olisa Oranye

Walden Dissertations and Doctoral Studies

Flooding is a severe threat to livelihoods and socioeconomic development in Ogbaru riverine communities of Anambra State, Nigeria. Limited success in the traditional approach of using predominantly structural measures, such as flood channels, to manage floods makes it imperative to explore nonstructural resilience initiatives that would potentially better protect vulnerable flood-prone communities. This study contributes to addressing the problems of ineffective flood management by developing vital social responsibility (SR) data and information that can enhance community flood resilience through individual and collective responsibilities for resilient action. The purpose of this quantitative correlational study was to explore SR perceptions of flood …

Evidence-Based Practice Guideline: Breastfeeding Support Of The Active Duty Servicewoman, Heidi A. Koslo

Walden Dissertations and Doctoral Studies

There is no policy on breastfeeding support of the active duty military servicewoman at the targeted military treatment facility, and no global policy serving active duty personnel applicable at the Department of Defense and Defense Health Agency (DoD/DHA) level to span across branches of the U.S. military. Nurses, as members of the most trusted profession, are often expected to know how to assist a mother in meeting her feeding goals. Creation of an evidence-based practice guideline (EBPG) for support of the active duty servicewoman in the military health system was the purpose of this project. The project was conceptualized within …

Perspectives Of Colombian Higher Education Deans And Faculty Directors On Transformational Leadership, Darling Viviana Delgado Alban

Walden Dissertations and Doctoral Studies

Leadership emerges as a powerful force in the effort toward achieving quality education. The transformational leadership style inspires leaders to work toward a common goal to create change. The purpose of this basic qualitative study was to explore higher education deans’ and faculty directors’ perspectives on their practice of transformational leadership in higher education institutions in Colombia. Transformational leadership theory served as the conceptual framework for this study. Data were collected from semi structured interviews with 6 higher education deans and 6 faculty directors. Findings from coding analysis revealed 7 themes: leadership commitment, shared vision, idealized influence, inspirational motivation, intellectual …

Beyond Borders: Nigerian Diaspora, Men's Experiences Of Intimate Partner Violence, Christiana Ifeyinwa Chineme

Walden Dissertations and Doctoral Studies

Culture and social structures are factors in the way people view or think of intimate partner violence (IPV). A significant gap exists in the current literature regarding whether changes exist in IPV experience because of continuous and direct contact between individuals from different cultural origins. Despite the increasing emphasis on the social and structural determinants of IPV-related behaviors, research and interventions lag on how people view IPV while they live in their native country and when they migrate and are exposed to a different culture and social structure. The purpose of this qualitative phenomenological research was to explore the IPV …

Exploring Strategies For Implementing Information Security Training And Employee Compliance Practices, Alan Robert Dawson

Walden Dissertations and Doctoral Studies

Humans are the weakest link in any information security (IS) environment. Research has shown that humans account for more than half of all security incidents in organizations. The purpose of this qualitative case study was to explore the strategies IS managers use to provide training and awareness programs that improve compliance with organizational security policies and reduce the number of security incidents. The population for this study was IS security managers from 2 organizations in Western New York. Information theory and institutional isomorphism were the conceptual frameworks for this study. Data collection was performed using face-to-face interviews with IS managers …

Career Pathways Of African-American Women Senior Executives At Predominantly White Institutions, Etheldria Amayah Bonnie Moulds-Greene

Walden Dissertations and Doctoral Studies

Research studies have revealed that African-American women are disproportionately underrepresented in senior and executive leadership positions compared to European-American female and male counterparts at public and private predominantly White institutions, despite their increased representation in university senior leadership positions. The purpose of this basic qualitative study was to discover the meaning and understanding of African-American women's career pathway experiences ascending to executive positions at these institutions. Critical race theory and Black feminist thought lenses were used as frameworks to understand participants' career pathways, barriers, and facilitating factors advancing toward leadership. LinkedIn recruitment and snowball sampling led to 9 participants who …

Service Delivery Agents' Perceptions Of The Impact Of Panhandling Policy In Virginia, Nancy Brown

Walden Dissertations and Doctoral Studies

Panhandling (also called begging and mendicancy) has been a problem for lawmakers. Although current crime control measures (based on the broken windows theory) have identified a perceived link between disorders (i.e., panhandling) and crime, previous attempts to ban panhandling were deemed unconstitutional. The purpose of this work was to investigate the impact of the latest attempt to curb panhandling in Hampton Roads, Virginia, known as the Public Education Campaign. This phenomenological inquiry examined the perceptions and work-related experiences of service delivery agents to explore the impact of the panhandling policy on panhandling and policy enforcement. Purposive sampling was used to …

Law Enforcement Seat Belt Use: Impact Of Policy And Phenomena On Use, Zach Loken

Walden Dissertations and Doctoral Studies

Studies show that seat belt use by law enforcement officers is estimated to be at 50%, well below the national average. The purpose of this study was to explore what may be leading to reduced seat belt use by law enforcement patrol officers while also determining if different types of policies effect the level of seat belt usage by this population. The theoretical framework used in this study was Shafritz, Ott and Jang's theory of organizational culture and change. This quantitative study was conducted using a casual, quasi-experimental design; the research questions focused on understanding what phenomena may be occurring …

Financing Post-2015 Development Goals: Shaping A New Policy Framework For Aid In Liberia, Apollos Ikechukwu Nwafor

Walden Dissertations and Doctoral Studies

Liberia, Africa's oldest democracy, has made several efforts in becoming a developed economy and ending poverty, but these efforts have been hampered by lack of appropriate financing mechanisms to achieve this goal. The most recent challenge which was the purpose of this study was to understand how Liberia can finance and achieve the sustainable development goals adopted by the United Nations in September 2015. Despite substantial external aid, Liberia was only able to meet 3 out of the 8 Millennium Development Goals, and more than 60% of the population remain extremely poor. The main research question was to understand what …

U.S. Policymakers' Perspectives Regarding The Causes Of Terrorism And The Impact On U.S. Counterterrorism Policy, Jeffrey David Mcmanus

Walden Dissertations and Doctoral Studies

U.S. counterterrorism policy appears to be influenced by different perspectives, as evidenced by conflicting statements by U.S. presidents regarding the causes of terrorism. Academic theories are not always applied by U.S. government employees who develop, influence, and implement counterterrorism policy. The purpose of this qualitative phenomenological study was to understand U.S. government policymakers' perspectives on the causes of terrorism, the influences on these views, and the impact on U.S. counterterrorism policy. Six theories regarding the causes of terrorism provided the theoretical framework. Additional theories related to individual and organizational impact on decision-making provided a broader conceptual framework. Data were collected …

Antibullying Definition, Policy, Surveillance, Education, And Training In The Healthcare Field, Adlene Jones Mcelroy

Walden Dissertations and Doctoral Studies

Workplace bullying in the healthcare field has contributed to decreasing productivity, decreasing employee morale, increasing workplace lawsuits, overall dissatisfaction in the workplace, and potentially compromising care to patients. Little, however, is known about how public policies related to workplace bullying impact the experiences of healthcare workers. Using Cornell and Limber's conceptualization of bullying, the purpose of this general qualitative study was to better understand the experiences of healthcare leaders and workers related to workplace bullying of a single health care facility. Data were principally collected from 9 participants representing three organizational leaders, three nurses, and three ancillary members staff. These …

National Strategy Against Narcotics, Drug Control Policy, And Law Enforcement Experiences In Kosovo, Ferid Azemi

Walden Dissertations and Doctoral Studies

This research is focused on evaluation of National Strategy Against Narcotics (NSAN) enacted in 2012 in Kosovo. The purpose of this study was to understand the impact of NSAN through visualizing data and gaining deeper insight from experiences of antidrug experts. Convergent parallel mixed methods were used to answer the main research questions. The central research questions examined the impact of strategy implementation in juvenile drug arrest reduction, and its effectiveness on Kosovo criminal justice system. Markwood's comprehensive theory of substance abuse prevention (CTSAP) was used to assess and explore the NSAN. Deidentified juvenile arrest rates taken from Kosovo official …

Public Policies Involving Pregnant And Parenting Secondary Students From Perspectives Of Educators, Tomecole Hilliard-Carlton

Walden Dissertations and Doctoral Studies

Despite a significant drop in the number of pregnant adolescents and reforms to fight

gender discrimination under Title IX, teen pregnancy and risk factors including poverty,

stigma, and substance abuse, which may lead to different negative outcomes, such as

depression, social isolation, and lowered self-esteem remain a persistent problem in the

United States. Due to these factors, pregnant and parenting teens have been noted to drop

out of high school prematurely. Using incrementalism as a theoretical framework, the

purpose of this qualitative exploratory case study was to explore and describe Title IX

compliance and local policies and practices of educators …

Strengthening Jamaica's Anticorruption Policy With An Independent Agency, Curt Brown

Walden Dissertations and Doctoral Studies

Corruption is a kind of behavior that undermines good governance. Current research has suggested that Jamaica's present anticorruption policy is ineffective, and needs strengthening. A civic organization in Jamaica has advocated for an independent anticorruption agency, with both investigative and prosecutorial powers to strengthen Jamaica's anticorruption policy. Little is known about the perspectives from the Jamaican business community on this concept. The purpose of this study was to discover and understand perspectives from the Jamaican business community on this concept. A framework included in this study is the principal-agent theory, which provides an understanding of the essence and relevance of …

Predicting Certification Success For The Family Nurse Practitioner, Tammy Lee Gravel

Walden Dissertations and Doctoral Studies

High-stakes licensure or certification examinations are required for many health professions disciplines to ensure safe entry-level practice. Accrediting agencies set a benchmark for graduates' first-time licensure or certification success as a measure of program effectiveness. Failures of graduates on licensure or certification examinations may directly affect the school's recruitment and retention of qualified students and faculty, as well as institutional financial viability. A health science university has added Health Education System, Inc. (HESI) standardized examinations using computer adaptive testing into the family nurse practitioner (FNP) master's program to support certification success, although research on these advanced practice examinations as related …

Effects Of Historic Preservation Policy On Urban Neighborhood Stabilization, Lisa Vaughan Jordan

Walden Dissertations and Doctoral Studies

Since the 1960s, urban neighborhoods in the United States have been affected by historic designation and local historic preservation policy raising concerns about social inequity in housing and services, environmental resources, and economic challenges. Although there is consensus that the role of public policy in historic preservation decision-making is related to neighborhood stabilization, little is known about the extent of the impact. Using Ostrom's social-ecological systems theory as a guide, the purpose of this single case study of a historical district in the U.S. Mid-Atlantic region was to investigate the impact of implementation of local historic preservation policies and programs …

Substandard Rental Housing In The Promise Zone Of A Mid-Sized U.S. City, Ruth Elizabeth Metzger

Walden Dissertations and Doctoral Studies

A persistent gap exists between established federal, state, and local standards for housing habitability and the condition of rental housing. The condition persists despite local code enforcement mechanisms, leaving significant potential to improve housing. Such housing can have adverse impacts on people's physical and mental health, economic stability, education, crime, community development, and municipal budgets. The purpose of this case study was to identify factors that create and perpetuate the problem, make it difficult to resolve, and to identify policy actions with the potential to help mitigate it. Rational choice theory and public choice theory formed the framework to analyze …

Health Literacy Best Practices In Policy Development, Stacie Lee Trueheart

Walden Dissertations and Doctoral Studies

Low health literacy is a problem the U.S. faces and, like health care itself, is a complex issue stemming from patient demographics and the healthcare providers being very diverse. Tools have been developed to mitigate the risks of low health literacy, however, without formal policy. The purpose of this qualitative case study was to explore and compare commonalities in health literacy best practices of organizations that are recognized as leaders in health literacy and are addressing low health literacy in their communities. By comparing the organizations' abilities to implement standards of plain language and health literacy tools/guidelines, best practice and …

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 …

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 Adequacy And Perceived Impact Of Nigeria's Health Policy, Kennedy Magoma Ongwae

Walden Dissertations and Doctoral Studies

From 2004 to 2015, the health sector in Nigeria was substantially underfunded despite the existence of a federal health policy committing 15% of the national budget to health care financing. The purpose of this narrative and phenomenological study was to explore the nature and significance of economic claims made in this policy. The central research question examined the extent to which these economic claims were perceived to be realistic, attainable, and successful in meeting their intended policy objectives and impact. The study's conceptual framework combined Kingdon's ambiguity and multiple streams theory, Roe's narrative policy analysis, and Skocpol's policy feedback theory. …

Mandated Continuing Education And The Competency Of Illinois Physical Therapists, Denise Lynn Hunter Ethington

Walden Dissertations and Doctoral Studies

Continuing education (CE) mandate laws are passed by states because it is in the public interest. The intent behind the passage of Illinois's CE law for physical therapists is to protect public health and safety through ensuring the competency of providers. However, studies into the impact of mandated CE on competency have been mixed. The problem addressed by this study was whether Illinois's CE law was effective in improving the competency of physical therapists and its impact on patient care. The purpose of this study was to understand what role mandated CE played in developing the competency of physical therapists …

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 …

Temporary Restaurant Closures And Food Handling Violations: Inspection Reports In British Columbia, Pam Mandarino

Walden Dissertations and Doctoral Studies

Unsafe food handling practices are implicated in many restaurant-associated foodborne disease outbreaks. Factors that contribute to unsafe food handling in restaurants include inadequate food safety knowledge, employees who perceive that safe food handling is not under their control, and restaurant cultures that do not prioritize food safety. The purpose of this study was to determine whether temporary restaurant closures were associated with reduced food handling violations after closure in restaurants from the Vancouver Coastal Health Authority and the Fraser Health Authority, in British Columbia, Canada. The theoretical foundations used were the health action process approach and the theory of planned …

The Effect Of Rules On Racially-Influenced Policing And Police Uses Of Force, Joe D. Mazza

Walden Dissertations and Doctoral Studies

Public opinion polls have shown the public lacks confidence in U.S. police to use appropriate amounts of force and treat racial minorities fairly, which undermines police legitimacy and the quality of life of all citizens. Although rules have been shown to positively constrain police uses of force, researchers have not demonstrated the effect of rules on racially influenced policing (RIP). In 2005, the RIP directive which prohibits officers from using race as a factor in taking discretionary actions was promulgated in New Jersey. The purpose of this study was to determine through the theoretical lens of Lipsky's street-level bureaucrat theory …

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 …

Implications Of Small Group Instruction For Overage Secondary Students' Academic Performance, Orlando Ledyard

Walden Dissertations and Doctoral Studies

In a secondary school in a southeastern state a large number of overage students who are at least 2 grade levels behind where they should be in academic terms, have struggled with academic performance and have often dropped out of school. Educational researchers have found that the implementation of instructional interventions is important in meeting the learning needs of these students. The purpose of this bounded case study was to determine educators' perspectives of possible intervention strategies to improve the academic performance of overage students in grades 9 and 10 at the school. Constructivism was used as the conceptual framework. …

Stakeholder Perceptions Of Factors That Limit Career And Technical Education Course Offerings, Antonio Cooper

Walden Dissertations and Doctoral Studies

This study addressed the problem of the lack of Career and Technical Educational (CTE) courses offered at 3 high schools located in a rural Alabama county. Guided by Bourdieu's cultural capital theory, this study examined cultural capital in reference to the transference of knowledge that each high school in this study provides its students throughout their high school education. The research questions explored the stakeholders' perceptions of the factors that prevent the schools from offering more CTE programs and how CTE programs should be expanded in each school. A collective case study design was used for this study, with the …

Cyber-Security Policy Decisions In Small Businesses, Joanna Patterson

Walden Dissertations and Doctoral Studies

Cyber-attacks against small businesses are on the rise yet small business owners often lack effective strategies to avoid these attacks. The purpose of this qualitative multiple case study was to explore the strategies small business owners use to make cyber-security decisions. Bertalanffy's general systems theory provided the conceptual framework for this study. A purposive sample of 10 small business owners participated in the interview process and shared their decision-making methodologies and influencers. The small business owners were vetted to ensure their strategies were effective through a series of qualification questions. The intent of the research question and corresponding interview questions …