Adult and Continuing Education Administration Commons^™

Improving Quality Of Life In Older Adults With Depression And Diabetes Through Medication Compliance Education, Valreen Hinds-Beharrie

Walden Dissertations and Doctoral Studies

Improving Quality-of-Life in Older Adults with Depression and Diabetes through Medication Compliance Education

by

Valreen Hinds-Beharrie

MSN, Adelphi University, 1997

BSN, Adelphi University, 1986

Project Submitted in Partial Fulfillment

of the Requirement for the Degree of

Doctor of Nursing Practice

Walden University

March 2016

Diabetes and depression are prevalent diseases that cause morbidity and mortality. Diabetes is a heterogeneous metabolic disease in which hypoglycemia is a central feature. Depression is associated with increased counter-regulatory, hormone release, and alteration in glucose transport function. Depression occurs in some individuals with diabetes and is associated with poor metabolic control, inadequate control of diet, …

The Effect Of Simulation Training On Nursing Students' Content Exam Scores, Lori Ann Podlinski

Walden Dissertations and Doctoral Studies

Simulation training has been implemented at a small nursing school in the eastern United States to improve the currently low content exam scores in nursing courses. With the guidance of Kolb's experiential learning theory, differences in 8 course content exam scores were investigated for students who received simulation training in the content area before the exam and students who received simulation training after the exam, using a quasi-experimental, comparative design. Archival exam scores from 424 content exams, 212 completed by students who received simulation training before the exam and 212 completed by students who received simulation training after the exam, …

Junior High Latino Parents' Perceived Roles In Home And School Partnerships, Mytzy Vania Rodriguez-Kufner

Walden Dissertations and Doctoral Studies

A rural K-12 district in the Midwest evidenced a rise in the Latino population from 2002 to 2013, yet parental participation amongst Latino parents at the junior high was low. Low parental involvement has been linked to lowered self-efficacy, which impacts student learning. Although there is a plethora of research on the positive aspects of parental involvement, there is little research on Latino parent involvement in small rural communities. Within this instrumental case study, Hoover-Dempsey and Sandler's model of parent involvement was used to explore Latino parents' perceptions of their roles and responsibilities of communication strategies within the junior high …

Examining Barriers To Retention Of Adult Learners In Rural Education Programs, Tiffany Minyon Spivey

Walden Dissertations and Doctoral Studies

The retention of adult learners in rural educational settings throughout the United States is challenging for adult education instructors. Adult learners in rural areas encounter internal and external barriers, including lack of self-efficacy and minimal transportation. Research exists regarding the retention of adult learners, but little is known about the barriers to persistence among adult learners in rural areas, or the motivations experienced by students and instructors. The purpose of this qualitative case study was to identify perceived barriers to retention at a rural adult learning center in Georgia and to provide suggestions to improve adult education and literacy initiatives. …

Adult Learners' And Millennials' Preferred Methods Of Instruction In The College Classroom, January Marie Baker

Walden Dissertations and Doctoral Studies

Today's college students are diverse and include students who differ in chronological age and developmental learning levels. This recent shift in student demographics, including millennials and adult learners, has created a need for instructors to understand and address their students' learning preferences. Traditionally, student feedback has been collected from course evaluation forms after each term ended, thus preventing instructors from incorporating student feedback into their teaching. Accordingly, this narrative qualitative case study was conducted to explore what instructional methods students in a community college developmental reading course preferred to meet their learning preferences and classroom needs. Willingham's interpretation of informational …

Case Study Of Teen Mother Perceptions Of Their Influence On Preschoolers' Language Development, Mary Schmidt Duncan

Walden Dissertations and Doctoral Studies

Children born to teen mothers tend to score lower on language development assessments and to have school readiness delays. To support teen mothers and their children in improving language development, educators need information about mothers' daily interactions with their children and how they contribute to their children's language development. The purpose of this descriptive case study was to understand mothers'perceptions of how they influenced their children's language development through play, routines, and other informal interactions. Flavell, Vygotsky, and Bruner's views on how learners' construct knowledge informed the study. Research questions were focused on the mothers' perceptions regarding interactions during routines …

The Effectiveness Of Adult And Pediatric Code Blue Simulation-Based Team Trainings, Pamela Joy Corey

Walden Dissertations and Doctoral Studies

The adult and pediatric healthcare providers at a New England medical center attended simulation training for responding to cardiac arrests that incorporated the current American Heart Association (AHA) evidence-based standards. The purpose of this concurrent mixed method program evaluation was to compare the adult code blue and pediatric team training programs to the AHA's standards and identify if the staff learned the necessary skills to care for patients in cardiac arrest. The conceptual models used for the study were Crisis Resource Management and the transfer of learning model. The study sample was 660 adult and 269 pediatric healthcare providers who …

Barriers Faced By Canadian Aboriginal Adults As They Return To Postsecondary School, Robert Lawrence Campbell

Walden Dissertations and Doctoral Studies

Aboriginal people in Canada are less likely to complete postsecondary education than are non-Aboriginal people. This lack of education leads to increased rates of unemployment and poverty and the need for additional government supports. The purpose of this project study was to identify and examine barriers faced by Canadian Aboriginal adult students as they return to school for postsecondary education. The conceptual framework for this qualitative study was based on the work of Ertmer, which suggests barriers can be placed into broad categories of extrinsic and intrinsic barriers. A case study design was used with a purposeful sample from a …

Student Perceptions Of Factors Affecting Retention In A Rural Associate Degree Nursing Program, Jodi Garcia

Walden Dissertations and Doctoral Studies

High nursing student attrition rates at a community college in a southwestern state were noted as a significant problem by nursing faculty and college administration because of a nursing shortage and subsequent health care issues in the surrounding community. The purpose of this project study was to explore the perceptions of nursing graduates regarding the influences that led to or impeded their success in completion of the associate degree nursing program. Additionally, perspectives of the usefulness of remediation sessions provided for students failing a course were investigated. This qualitative case study, guided by transformative learning theory, included a sample of …

Scholarly Writing Among Graduate Students: A Qualitative Project Study, Marsha Armstrong Harwell

Walden Dissertations and Doctoral Studies

This project study focused on scholarly writing skills of adult students enrolled in a private graduate institution in the West Indies. The institution provided writing instruction, but scholarly writing skills remained inadequate for some students when they began their final projects. The project study provided insight into the most pervasive writing skill deficits and the positive and negative influences on writing skill development among graduate students. The research design was an applied qualitative case study using data collected from a purposeful sample of convenience within a bounded system of current students, faculty members, and administrators in one institution. Open-ended questionnaires …

Adult Learning-Focused Professional Development For Dental Hygiene Clinical Instructors, Meghan Ann Mcguinness

Walden Dissertations and Doctoral Studies

At a dental hygiene program within a community college in New York State, clinical instructors are hired based on their expertise as practitioners. Most clinical instructors lack a background in adult learning theory and practice, which is an issue because their students are adult learners whose average age is 26. The instructors' lack of knowledge in this area challenges their effectiveness. The purpose of this qualitative case study was to explore dental hygiene instructors' views about what kind of professional development offerings related to adult learning might help improve their teaching effectiveness. The conceptual framework for this project study was …

Making A Difference: Evidence Based Palliative Care Education For Neonatal Nurses, Sherry Elaine Pye

Walden Dissertations and Doctoral Studies

The death of a neonate is a life-changing and tragic experience for the individuals involved in the final moments of the infant's life. As the frontline provider in this clinical scenario, the bedside nurse supports the patient and family through their individual journey of loss. If the nurse does not possess the palliative care educational background and communication skills to support this unique care delivery process, the journey of death can evolve into a particularly negative experience for the parents and the nurse. This specific delivery of care concern was identified and gleaned from a parental bereavement exit interview after …

Nurses' Experiences Transitioning From Staff Nurse To Management In A Community Hospital, Jennifer Sylvia Buffenbarger

Walden Dissertations and Doctoral Studies

This project study addressed the problem of frequent turnover of nurse managers at a Northeastern community hospital. The lack of retention of nurse managers has led to attenuated support for the nursing staff who continued to hold the front line in patient care. The purpose of this qualitative bounded case study was to explore nurse managers' experiences with turnover in order to identify strategies for enhancing retention. Work empowerment and servant leadership theories served as the frameworks for the study. Research questions focused on nurse managers' perceptions of empowerment and servant leadership characteristics that were important in decisions to assume …

Preparing Faculty To Teach Online: Promoting Success In The Online Classroom, Julia Babcock Hamilton

Walden Dissertations and Doctoral Studies

Distance learning students at a community college in the southeast United States were not completing their coursework as well as were students enrolled in traditional courses. This disparity was negatively affecting the institution's state performance measures, putting at risk the institution's state-based funding under the state's performance model. The purpose of this qualitative, bounded case study was to explore faculty experiences with online course professional development and faculty's teaching practices related to successful student online course completion. Chickering and Gamson's 'Seven Principles for Good Practice in Undergraduate Education' served as the study's conceptual foundation. Distance learning faculty (n = 10), …

Nurses' Occupational Trauma Exposure, Resilience, And Coping Education, Sherry Lynn Jones

Walden Dissertations and Doctoral Studies

Nursing education courses and professional development (PD) do not include coping and resilience training for registered nurses (RNs) who work in emergency departments (EDs). Exposure to traumatic events, death, and dying may lead to health issues, substance abuse, stress symptoms, nursing staff turnover, and compassion fatigue among ED RNs. Without training, the pattern of adverse outcomes may continue. The purpose of this study was to explore ED RNs' experiences with occupational traumatic stress (OTS), and their recommendations for change to nursing PD programs, using a qualitative bounded intrinsic case study. The conceptual framework for this study included social learning and …

Exploring Literacy Coaching As A Form Of Staff Development, Kate Matthews Welborn

Walden Dissertations and Doctoral Studies

Following a 2011 audit a school district in the south central United States clarified the role of the literacy coach. However, there were still differences among the literacy coaches as to how they were performing their duties. As a result, the purpose of this study was to gain an understanding of the role of the literacy coach in the participating school district. The theoretical foundation of this study addressed adult learning and was based upon Kegan's constructive development theory and Knowles's theory of androgogy. A case study design was used to explore how 5 literacy coaches implemented literacy staff development …

Perceptions Of Air Force Civilians Regarding Participation In Nonresident Professional Military Education, Edward Hodge

Walden Dissertations and Doctoral Studies

In spite of a 2009 memorandum from senior Air Force leaders calling for civilian employees to participate in nonresident Professional Military Education (PME) courses, employees' PME completion rates have remained low. This qualitative study investigated the perceptions of nonresident PME held by 12 employees at an installation with a nonresident PME completion rate of less than 3% in 2013. The theories of reasoned action and planned behavior guided the 5 main questions that asked participants to describe their familiarity with nonresident PME course content, availability, and structure; as well as their perceptions of organizational support for PME course participation, their …

Grit, Student Engagement, And Academic Performance At A Historically Black Community College, Sharonica Marie Nelson

Walden Dissertations and Doctoral Studies

Obtaining a college degree benefits individuals and society, yet only 20% of students are graduating from community colleges. At many institutions, graduation rates have decreased over the last 5 years, including one historically Black community college in the southern United States. To explore possible causes of low graduation rates at this unique and understudied type of college, this correlational study examined the relationships among student engagement, academic performance, and grit-persistence and passion toward long-term goals. Tinto's theory of student persistence served as the theoretical framework for this study. The convenience sample included 116 college students who already had a first-year …

Engagement Behaviors' Impact On Course Success And Persistence Rates Of Community College Students, Van F. Whaley

Walden Dissertations and Doctoral Studies

As enrollment in U.S. community colleges increased, both the percentage of students successfully completing courses and the percentage of students persisting to their second year decreased. This study focused on the problem of low student course success and persistence rates at a community college. The purpose of the study was to determine whether students who demonstrated engagement behavior by visiting a Center for Academic Success (CAS) either passed more courses, persisted more often, or both, than students who did not visit a CAS. Tinto's engagement theory was the theoretical framework as it postulated that students who interacted with school support …

A Modified Program Evaluation Of Training For Employer Compliance With Health Insurance Requirements, Joanneandi Davenport

Walden Dissertations and Doctoral Studies

A training program was established in the Midwestern United States to help employers understand compliance requirements of the health insurance industry. The purpose of this study was to conduct a modified program evaluation of the effectiveness of Pay or Play, a portion of a larger Benefit Compliance Program. The reason for the evaluation was the high percentage of remediation needed for administrators of employee health insurance following Pay or Play seminar sessions, which posed the question of program effectiveness in education of participants. This study is important because administrators of employee health insurance are responsible for understanding compliance regulations and …