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Challenges Facing Organizational Leaders: A Phenomenological Study Of Nigerian Organizational Leaders, Adesina Olufemi Adegunle

Walden Dissertations and Doctoral Studies

In the first decade of the 21st century, the number of functioning business organizations in Nigeria decreased by 45%. The high rate of business failures in Nigeria has left many questions about what is needed for creating business success. The purpose of this qualitative phenomenological study was to explore the influence of internal and external dynamics on leaders in Nigerian microfinance organizations. Twenty leaders from microfinance institutions participated in face-to-face semistructured interviews. The data analysis process involved the use of Moustakas's modified van Kaam method, which resulted in the emergence of 12 themes. The themes that emerged included: (a) staff …

Strategies In Mitigating Medicare/Medicaid Fraud Risk, Godfred Adomako

Walden Dissertations and Doctoral Studies

In the fiscal year 2014, approximately 1,337 health care providers lost their provider license to Medicare/Medicaid fraud. Out of the 1,318 criminal convictions reported by the U.S. Medicaid Fraud Control Units (MFCU), 395 (30%) were home health care aides who claimed to have rendered services not provided. The purpose of this multiple case study was to explore licensed and certified home health care business managers' strategies to mitigate Medicare/Medicaid fraud risk. A purposive sampling of 9 business managers and chief executive officers from 3 licensed and certified home health care businesses in Franklin County, Ohio participated in semistructured face-to-face interviews. …

Generational Age Differences And Employee Motivation In The Public Sector, Peter C. Akwuole

Walden Dissertations and Doctoral Studies

Motivation is rarely used as a diversity management strategy, and as a result, little academic research explores the relationship between generational age differences and motivation in public sector management. Using Deci's intrinsic and extrinsic motivation theory as the foundation, the purpose of this correlational design study was to evaluate the relationship between generational age differences and employee motivation in a Maryland government agency. Data were collected through an online survey using the Work Preference Inventory from 35 of the agency's 5585 employees, born between 1946 and 2000. Data were analyzed using one-way analysis of variance with post-hoc tests to assess …

Employee Perceptions Of Emotional Intelligence Among Managers, Afraa Al-Bahrani

Walden Dissertations and Doctoral Studies

Efficient managers influence the success and performance of organizations, in contrast to inefficient managers who may negatively affect employee motivation, productivity, stress levels, job satisfaction, and performance. Managers' ability to recognize emotions can positively affect employee motivation, job satisfaction, and performance, which is likely to decrease employee turnover. The purpose of this phenomenological research was to explore the perceptions among employees regarding their managers' EI in relation to employee motivation, job satisfaction, and performance in the Northern Virginia (NOVA) area. The presence of managers' EI skills was explored based on the emotional abilities to facilitate, understand, perceive, and manage emotions. …

A Narrative Analysis Of Resilience And Coping In Persons Diagnosed With Multiple Sclerosis, Mildred Christian Alford

Walden Dissertations and Doctoral Studies

A Narrative Analysis of Resilience and Coping in

Persons Diagnosed with Multiple Sclerosis

by

Mildred C. Alford

Ph.D., Ed., Berne International Graduate University, 1998

M.S. Ed., Texas A & M University, Commerce, 1989

B.S., Psychology, University of Houston, 1976

Dissertation Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Philosophy

Health Psychology

Walden University

June 2017

Caring For Patients With Delirium In The Intensive Care Unit, Susan Archer

Walden Dissertations and Doctoral Studies

Patients in hospital intensive care units are at increased risk to develop delirium, a condition which is characterized by a disturbance of consciousness and a change in cognition. Critical care nurses must have the knowledge to assess, recognize, and manage delirium. The purpose of this project was to develop an evidence-based policy for the assessment of delirium and a comprehensive nursing education plan which included an analysis and synthesis of the literature, a curriculum plan, and a pretest/posttest. The Johns Hopkins Evidence-Based Practice Model framed the project, which used a multidisciplinary team approach. Two nursing leaders, each with a doctor …

Parents' Perception Of A School-Based Inclusion Program For Their Children With Autism, Sarah Lynn Ary

Walden Dissertations and Doctoral Studies

As the number of students diagnosed with Autism Spectrum Disorder (ASD) increases, many classrooms are turning to an inclusion model of learning. To gain the perspective of program users rather than providers, this study explored parents' perceptions of the inclusion model. Pearlin's stress process model served as the theoretical framework for this study. Ten parents in Pennsylvania were recruited via snowball sampling for participation, and 7 completed the study. Parents completed a short demographic questionnaire and then participated in individual interviews. The research questions were concerned with the lived experiences of parents of children with autism enrolled in inclusion programs …

Measuring Defense Support To Civil Authorities Proficiency Within The National Capital Region, Kelvin Brown

Walden Dissertations and Doctoral Studies

Defense Support to Civil Authorities (DSCA) is the process by which military assets can be requested by civilian authorities, often by state or regional offices of emergency management. This request is in response to critical incidents, including natural and human caused disasters. However, little is understood about collaboration and cooperation between civil authorities and their military counterparts in terms of planning and training, especially in the unique circumstance of National Capital Region (NCR) where there are local, state, and federal civil authorities and military organizations. This is problematic, as a lack of training and preparation may result in delayed response …

Examining The Behavioral Intention Of Individuals' Compliance With Information Security Policies, David A. Brown

Walden Dissertations and Doctoral Studies

Target Corporation experienced an information security breach resulting in compromising customers' financial information. Management is responsible for implementing adequate information security policies that protect corporate data and minimize financial losses. The purpose of this experimental study was to examine the effect of a fear appeal communication on an individual's information security policy behavioral intention. The sample population involved information technology professionals randomly selected from the SurveyMonkey audience. A research model, developed using constructs from deterrence theory and protection motivation theory, became the structural model used for partial least squares-structural equation modeling (PLS-SEM) analysis of the survey response data, which indicated …

Strategies For Improving Labor Productivity In Construction Companies, Lakew G. Buli

Walden Dissertations and Doctoral Studies

Even with advanced technology and new project management methodologies, construction company leaders continue to face challenges to improve labor productivity. This multiple case study was an exploration of the strategies that construction company leaders use to improve labor productivity in Doha, Qatar. The case population consisted of 6 construction company leaders operating in Doha, Qatar, who successfully identified and implemented strategies to improve labor productivity. The conceptual framework for this study was the expectancy theory. The data collection process included semistructured interviews and company documentation. Data were compiled and organized, disassembled into fragments, reassembled into a sequence of groups, and …

Gender Differences In Discussion Strategies Of Asynchronous Online Undergraduate Psychology Major Students, Shawna Marie Burtis

Walden Dissertations and Doctoral Studies

Numerous studies have focused on gender differences in communication in various learning settings and have found that men and women typically communicate in different ways; however, no studies have directly investigated undergraduate psychology major students. Based on symbolic convergence theory, a survey design was in this quantitative study to examine gender differences in online discussion strategies among undergraduate psychology student majors at online universities. Focusing on 4 asynchronous online discussion strategies, the research questions addressed gender differences in discussion strategies while controlling for students' previous experience with online learning and level of study in their current program. A convenience sample …

Influences Of Provider-Patient Communication On Health Literacy And Public Policy Relevant Outcomes, Rachel Carla Cartwright-Vanzant

Walden Dissertations and Doctoral Studies

Several artifacts of federal policy address the connection between health literacy of patients and health outcomes. These laws include The Plain Writing Act, Health Information Technology for Economic and Clinical Health, and the Health Insurance Portability and Accountability Act. Even with this policy structure, little is known about how nurses' knowledge of health literacy may influence patient understanding of medical information and health outcomes. Using Knowles' principles of effective communication, the purpose of this mixed-methods study was to concurrently examine the relationship between nurse knowledge of health literacy and communication techniques used by nurses to identify any causal relationships in …

Crowdfunding As A Financing Resource For Small Businesses, Melissa Cohen

Walden Dissertations and Doctoral Studies

Although small businesses borrowed $1 trillion in 2013 from traditional lenders, 35% of small business owners were unable to obtain adequate financing and subsequently sought alternative sources such as crowdfunding. Guided by the pecking order theory, the purpose of this exploratory case study was to explore how 6 small business owners in Tennessee successfully used crowdfunding to start, grow, or sustain their businesses. Data were collected from semistructured interviews and a review of crowdfunding project data on the internet platform including the project description, target goal, amount achieved, number of backers, and locations of the funders. Data were inductively analyzed, …

Adherence Barriers To Healthcare For African Americans With Hiv/Aids On Antiretroviral Medications, Angela Bumphus Corbin

Walden Dissertations and Doctoral Studies

The purpose of this mixed methods research study was to examine the role of adherence barriers to healthcare and the impact that such barriers have on highly active antiretroviral therapy (HAART) compliance for African Americans living with HIV/AIDS. HAART helps reduce HIV/AIDS morbidity and mortality. Of the 49% of study participants who had been out of medical care for more than 12 months, financial concerns were listed as the most common barrier (22.8%). Not having the support from family and friends (17.5%), being tired of going to doctor appointments (15.8%), health challenges (12.3%), lack of transportation (12.3%), and incarceration (12.3%) …

Offender Recidivism: A Quantitative Study Of Motivational Risk Factors And Counseling, Nazak Dadashazar

Walden Dissertations and Doctoral Studies

The prison system releases over 590,000 inmates annually, adding to the current 5 million ex-offenders on supervised release. The purpose of this study was to explore the problem of increasing recidivism by identifying ex-offenders' dynamic risk and criminogenic need factors using the Level of Service Inventory-Revised (LSI-R), coupled with or without mental health services during reentry in relation to recidivism. This quantitative, nonexperimental, cross-sectional study included data collected from a sample of 128 male recidivist and nonrecidivist federal ex-offenders currently on supervised release, who were recruited during probation office meetings within the South Texas region. Regression analysis yielded statistical significance …

Effective Strategies For Transformational Teams In The Danish Retail Banking Sector, Dorthe Hã¥Hr Dupont

Walden Dissertations and Doctoral Studies

Successful transformation projects in the retail banking industry focusing on improving customer experiences have yielded a verified increase in earnings per employee. The purpose of this single case study was to reveal the strategies used by transformational team managers to ensure improved customer experiences. The stakeholder theory was used as the theoretical framework to analyze the interplay between the project team and the base organization during the process of improving customer experiences. The population consisted of 6 managers of transformational teams in the Danish retail banking sector who were successfully delivering on assigned goals of improving customer services. The data …

Organizational Politics And Employee Behavior: A Comparison Between The U.S. And Lebanon, Yara A. Elkhalil

Walden Dissertations and Doctoral Studies

Organizational politics (OP) is describe by many researchers as actions which affect activities, behaviors, and most importantly decision making through the use of power. Guided by Hofstede's cultural dimension theory and Mallol's, Holtom's and Lee's job embeddedness theory, the aim of this study was to examine employees' reactions toward OP regarding the substantially different cultures of the U.S. and Lebanon. These specific two countries were selected due to a gap in published research on culture and value differences. Research questions examined the extent to which cultural values differed and how employees respond differently facing OP. A survey-based research design included …

Decreasing Thirty Days Hospital Readmission Rates Of Adult Heart Failure Patients, Katherine Eyegue-Sandy

Walden Dissertations and Doctoral Studies

Heart failure is a complex heart disease that incapacitates more than 5 million people, is associated with increasing healthcare cost, and remains the leading cause of admission in the United States. As the United States faces increasing financial burden related to readmission of heart failure patients within 30 days of discharge, many healthcare institutions are evaluating interventions to determine the most effective opportunities to improve systems, including nursing practice. The purpose of this doctoral project was to improve readmission rates within 30 days of discharge from an acute care facility through the development and implementation of a standardized, evidence-based, patient-centered …

Performance Outcomes Of Nurses Based Upon Nursing Students'classroom Expereinces, Beatrice Obiageli Eweni

Walden Dissertations and Doctoral Studies

Schools of nursing educators are faced with redesigning nursing education to meet the complexity of implementing communication and patient- centered care to improve patient safety. This qualitative case study addressed the problem that teaching communication and patient- centered care were not threaded throughout curriculum, which left many new graduates nurses unprepared. The purpose of this study was to understand classroom experiences of new graduate nurses to meet performance outcomes. The research questions focused on understanding the classroom experiences of new graduates' of a nursing program by assessing the two concepts and how to address preparatory practices. The target populations were …

The Effects Of Organizational Restructuring And Acceptance Of Change On Employees' Motivation, Eve Maria Fleming

Walden Dissertations and Doctoral Studies

Numerous internal and external factors drive decisions to undertake organizational restructuring; according to senior management, restructuring is part of a strategic change. The purpose of this qualitative, exploratory, case study was to examine the effects of organizational restructuring on university employees' behavior towards restructuring and change in the effectiveness of the institution. The conceptual framework drew on the social change theory, a primary triad model, and a congruence model for organization problems to frame the guiding questions: how does restructuring impact employees' motivation and acceptance of change and how does the employees' acceptance of change affect the institution's effectiveness? From …

Guided Imagery Relaxation Effects On South Texas Public School Teachers' Stress, Elsa Nora Garcia

Walden Dissertations and Doctoral Studies

Public school teachers face a great amount of stress, and that stress may lead to other adverse health outcomes. This study examined elementary public school teachers' stress levels before and after the use of guided imagery relaxation. Guided by the transactional model of stress and coping as the theoretical framework, the purpose of this research was to evaluate the use of guided imagery as an effective technique in the stress reduction of elementary public school teachers, thus enhancing the learning experience of students and creating healthier public school teachers. Eighty-one teachers (71 women, 10 men) participated in this study by …

A Duty To Share: The Opportunities And Obstacles Of Federal Counterterrorism Intelligence Sharing With Nonfederal Fusion Centers, Jeffrey V. Gardner

Walden Dissertations and Doctoral Studies

Little is known about how effectively federal agencies share terrorism intelligence with state and local governments through fusion centers. As a result, there is a risk that local governments do not receive critical intelligence that would allow them to collaboratively prevent catastrophic terrorist attacks. Using Dawes' interagency information sharing model, the purpose of this exploratory case study was to evaluate how effectively federal agencies share terrorism intelligence with fusion centers. Data were collected through interviews with 25 senior leaders, federal agents deployed to fusion centers, and intelligence analysts in 5 fusion centers on the East Coast. These data were inductively …

Self-Efficacy Influencing Parental Homework Involvement For Middle School Youth With Attention Deficit Hyperactivity Disorder (Adhd), Diana Yvonne Gintner

Walden Dissertations and Doctoral Studies

Despite evidence demonstrating the positive impact of parental involvement in children's education, youth transitioning from elementary school to middle school are often extended a greater level of autonomy. Parental involvement may decrease, which may pose particular challenges to students with attention deficit hyperactivity disorder (ADHD). The theoretical framework for this study was Bandura's self-efficacy theory which involves positive self-esteem, coping strength, and persistence toward goals. Bandura's ideas help to clarify why self-efficacy plays a role in parental involvement decisions. Through a multiple case study method, seven parents of middle school youth with ADHD, were interviewed through four open ended questions …

Faculty Self-Efficacy Instructing In A Hybrid Learning Environment At A Career College, Donna Gosselin Gosselin

Walden Dissertations and Doctoral Studies

Since the inception of the hybrid instruction model at a career college in the western United States, there has not been an exploration of faculty members' understanding of hybrid instruction. Therefore, campus administrators do not have a clear understanding of the faculty perception of teaching in a hybrid learning environment. Using Bandura's social cognitive theory, this qualitative narrative inquiry study was conducted to explore faculty self-efficacy instructing in a hybrid learning environment at the career college. A purposeful sampling method was used to select 9 faculty who have taught less than 2 hybrid learning courses and attended the college professional …

Effective Leadership And Nonprofit Sustainability, Vaughn Orsborne Gleaves

Walden Dissertations and Doctoral Studies

A sustainability plan of an organization is useless without effective leadership in its design and execution. The purpose of this case study was to explore strategies that church leaders having at least 7 continuous years of organizational fiscal sustainability and leadership used to ensure fiscal sustainability. The study included 8 face-to-face and 2 phone interviews with 4 senior pastors, 3 associate pastors, a treasurer, a finance committee chair, and a certified public accountant who lived in the Akron, Ohio area along with a review of documents including a leadership meeting agenda and financial committee meeting agenda, provided by study participants. …

Arizona's Mentally Ill And Their Use Of The Emergency Department, Charlalynn Harris

Walden Dissertations and Doctoral Studies

Emergency departments (ED) are an integral component of the United States' health care system. The underlying factors related to ED use among Arizona's mentally ill are not fully understood and the patterns necessary to classify patients as frequent users have not been examined. The purpose of this study was to increase the understanding of frequent users and further examine the conditions by which they present to the ED. The theoretical foundation for this study was the fourth version of Andersen's behavioral model (1995) and this model's use to frame this study allowed for an objective analysis of ED use among …

Third-Grade Teachers' Perceptions Of Balanced Literacy, Kimberly S. Harrison

Walden Dissertations and Doctoral Studies

In response to fourth grade students' performance on the National Assessment of Education Progress reading test, states across the nation have enacted laws which stipulate third-grade students achieve reading proficiency in order to be promoted. With the passage of the South Carolina Read to Succeed Act 2014, school leaders in an urban school district implemented a balanced literacy framework to address 3rd grade students' low reading achievement. Approached from a constructivist framework, the purpose of this qualitative case study was to present 3rd grade teachers' perceptions of the balanced literacy framework with regard to students' reading achievement. Vygotsky's theories of …

Retention Strategies Of Labor Union Membership, Nina W. Hatcher

Walden Dissertations and Doctoral Studies

Labor union membership decline spans more than 4 decades since 1954. In 2012, union membership decreased from 14.1% to 11.3%, which is the lowest since the post-Second World War Era. Union membership decline leads to the inability of some union leaders to retain union members, resulting in a loss of profitability. The purpose of this qualitative multiple case study was to explore strategies union leaders use in improving membership retention. Twenty union, former union, and nonunion participants from governmental and industrial firms of Jefferson County, Alabama participated in the study offering their lived experiences in industries with active union environments. …

Employee Turnover Intentions In The Hospitality Industry, Bettye L. Holston-Okae

Walden Dissertations and Doctoral Studies

Employee turnover is detrimental to organizational performance and profitability, leading to loss of diverse financial and intellectual resources and assets. Grounded in the motivation-hygiene theory, the purpose of this correlational study was to examine the relationship between employee turnover intention and job satisfaction, employee compensation, employee engagement, employee motivation, and work environment. The population consisted of low- to mid-level hospitality employees residing in Western Georgia, Central Mississippi, and North Central Texas, over the age of 18, and employed in the hospitality industry. A convenience sample of 156 participants completed the Compensation Scale, Job Satisfaction Scale, Utrecht Work Employee Engagement Scale, …

Faculty Perceptions Of Instructional Strategies That Foster Student Engagement In Online Courses, Sharon M. Hope

Walden Dissertations and Doctoral Studies

Developing online instructional strategies for increasing student engagement and success is significant locally and nationally due to growth in the online field, advances in technology, and the need for colleges to maximize student success. This study stemmed from the desire of administrators at an upstate New York private college to discover additional ways to design and deliver effective online instruction. The purpose of this qualitative instrumental case study was to discover faculty perceptions of and experiences with instructional strategies that they used to foster student engagement in online learning. Kearsley and Shneiderman's engagement theory formed the study's conceptual framework. Ten …