Digital Commons Network^™

Using Nursing Simulation To Improve Early Recognition Of Emergent Situations, Carlene Blais

Walden Dissertations and Doctoral Studies

Nurses' ability to recognize and respond to postoperative patients who require emergent medical care and need immediate assistance during a code blue in the first 10 minutes is essential to improve patient outcomes. This is particularly important for the project site, a 44-bed inpatient surgical specialty hospital located in the Northeast, providing care for patients with head and neck cancer, as the hospital does not have an internal code blue response team. An adjacent facility responds to all code blue emergencies and takes approximately 10 minutes for the team to respond. The purpose of this DNP project was to develop …

Hospital Administrators' Strategies For Reducing Delayed Hospital Discharges And Improving Profitability, Sheree Boyd

Walden Dissertations and Doctoral Studies

Inefficiencies in leadership and limited leadership strategies in hospitals contribute to delayed hospital discharges and an increased financial burden on a hospital. Three administrators from 2 hospitals who are part of a hospital conglomerate in Chicago, Illinois were selected for interview in this qualitative multiple case study to explore how hospital discharge strategies reduce delayed hospital discharges and improve profitability. Contingency was the primary theoretical theory for this study. The purposive sampling consisted of the selections of individual who were knowledgeable and had experience to organize, manage, and implement processes in an organization. Data collection occurred using face-to-face semistructured interviews, …

The Role That Autism Parent-Led Support Groups Play In Facilitating Advocacy, Carlos Javier Carmona

Walden Dissertations and Doctoral Studies

In this study, autism parent-led support groups and the contribution these groups had in creating parental advocacy were studied. The primary purpose of the study was to determine if autism parent-led support groups promoted advocacy skills of parents of children with autism. The secondary purpose of the study was to evaluate the level and extent of support provided by parent-led support groups. The qualitative data collection was done through individual interviews of parents of children with autism whose children were of any age. Through data analysis 6 major themes were identified: advocacy, emotional support, difficulty with funding, informational support, instrumental …

Implications Of A Health Careers Exploration Program For Minority Student Matriculation, Angelica Ellman Christie

Walden Dissertations and Doctoral Studies

Organizations that deliver programs to promote the entry of students from marginalized populations into the U.S. health workforce often struggle to demonstrate the effective achievement of outcomes, and face diminishing fiscal resources. This study was an empirical examination of the extent and manner that a statewide, precollege, health careers exploration program fostered the matriculation of underrepresented minority students into health degree education programs. Schneider and Stevenson's aligned ambitions framework provided the theoretical foundation. The research questions for this study examined the relationship between program participation and the successful health degree matriculation of racial minority students based on the extent of …

Health Literacy, Availability, And The Need For Educational Resources On Infertility, Amber Louise Dessellier

Walden Dissertations and Doctoral Studies

There is a gap in infertility research regarding resource availability within rural communities, yet existing research declares infertility a public health concern. This qualitative study was grounded in the Heggerian phenomenological framework by way of assessing participants' perceptions of and experiences with infertility resources in a rural community. The purpose was to analyze the meaning of those experiences within their world. To accomplish this, Antonovsky's salutogenic theory was applied to investigate the strengths and weaknesses of infertility resources including the availability of resources, participant understanding of, and participants' experiences. Purposive sampling was used and in-depth interviews were conducted with 12 …

Breast Cancer, Mana'olana/Hope, And The Experience Of Native Hawaiian Women, Karla Marie Calumet

Walden Dissertations and Doctoral Studies

Breast cancer is one of the leading causes of morbidity and mortality among women. A diagnosis of cancer is a stressful event that requires an individual to adapt to new stressors. The purpose of this qualitative study was to better understand the perceptions of mana'olana/hope and living with breast cancer among Native Hawaiian women. The conceptual framework of this phenomenological study was positive psychology. Data collection included in-depth interviews with 5 Native Hawaiian women who had been diagnosed with breast cancer. Data coding and analysis resulted in identification of 8 themes.

The themes included: (a) mana'olana /hope is the essence …

Strategies Microbusiness Owners In Ghana Use For Managing Microloans, Stephen Ekow Edusah

Walden Dissertations and Doctoral Studies

High interest rates, many mortgage defaults, and availability of capital are challenges for microbusiness owners. The purpose of this phenomenological study was to explore the strategies used by Ghana's microbusiness owners to manage microloans for sustainable businesses in Cape Coast, Ghana. Putnam's social capital theory was the conceptual framework for the study. A purposive and snowball sample of 10 participants completed semistructured interviews and described their perceptions and experiences of the phenomena. Data were analyzed using Moustakas' modified van Kaam method to catalog, group, and code information into themes. The study findings indicated there are high-interest rates and many mortgage …

The Influence Of Culture On Hiv Disclosure Among Gay Asian Males, David C. Doan

Walden Dissertations and Doctoral Studies

HIV-positive, Asian Pacific Islander (API) men who have sex with men (MSM) experience triple minority stigma including HIV, sexual orientation, and minority ethnicity. To date, there is no research that examines the influence of cultural factors, level of acculturation, social determinants of health, and other confounding variables (e.g., age, education, level of income, and length of time since diagnosis) on HIV-positive disclosure behaviors, attitudes, and intentions to casual sexual partners for API MSM. The theoretical framework for this study was based on Hofstede's original cultural values and Triandis's cultural dimensions. In this 2-phase, mixed methods, sequential explanatory study, 24 API …

Successful Strategies For Recruitment And Hiring Of Veterans, Paul Gamble

Walden Dissertations and Doctoral Studies

Transitioning from military service to the civilian workforce is both a daunting experience and a formidable challenge for many highly skilled veterans. The purpose of this multiple case study was to explore the successful strategies of Fortune 500 business leaders for the recruitment and hiring of veterans. Person-organization fit theory formed the conceptual framework for this study. The targeted population consisted of 3 business leaders from 3 separate Fortune 500 businesses in the Washington, D.C. metropolitan area with successful strategies for recruiting and hiring veterans. Data collected from interviews and supporting documents were coded and analyzed using a mind-mapping technique, …

Factors That Influence School Counselors' Intent To Use Online Counseling, Sarah Heather Golden

Walden Dissertations and Doctoral Studies

Owing to advancements in technology, online counseling has become a viable option for counselors to provide counseling services to diverse populations. Despite the expansion of resources, a gap in research exists pertaining to a school counselor's intention to use online counseling. Furthermore, online counseling is an underused tool owing to a variety of unknowns, attitudes, ethical and legal concerns, and lack of training associated with online counseling. The underuse of online counseling becomes problematic because youth, who may be more receptive to support via the Internet, remain underserved if school counselors are not using this tool. The purpose for this …

Stakeholders' Perspectives On The Implementation Of A Promise Academy, Nicole A. Harris

Walden Dissertations and Doctoral Studies

This case study addressed the factors that enhanced or constrained the success of one Promise Academy at an elementary school in the northeastern United States. A large number of schools in an urban district have continuously failed to make adequate yearly progress (AYP). The study school implemented the Promise Academy model in September 2010, to dramatically improve and transform the learning environment in this underperforming school. Promise Academies, the district turnaround model, was implemented in 11 schools, all of which have failed to produce increases in student outcomes. The theoretical framework supporting this study was Michael Fullan's theory of educational …

The Relationship Between Nonprofit Organizations And Cloud Adoption Concerns, Dana Haywood

Walden Dissertations and Doctoral Studies

Many leaders of nonprofit organizations (NPOs) in the United States do not have plans to adopt cloud computing. However, the factors accounting for their decisions is not known. This correlational study used the extended unified theory of acceptance and use of technology (UTAUT2) to examine whether performance expectancy, effort expectancy, social influence, facilitating conditions, hedonic motivation, price value, and habit can predict behavioral intention (BI) and use behavior (UB) of NPO information technology (IT) managers towards adopting cloud computing within the Phoenix metropolitan area of Arizona of the U.S. An existing UTAUT2 survey instrument was used with a sample of …

Developing An Educational Module On Compassion Fatigue, Francisca Chinyere Hennes

Walden Dissertations and Doctoral Studies

Compassion fatigue is viewed as a disconcerting issue facing healthcare professionals in the clinical care milieu, and nurses are identified as the most susceptible population among healthcare professionals. The purpose of this project was to create positive social change by helping oncology nurses find ways to enhance self-care and self-awareness, thereby reducing the risk of compassion fatigue and burnout among healthcare professionals. This project investigated an educational module on compassion fatigue that focused on (a) identifying the occurrence rates of compassion fatigue among oncology nurses, (b) evaluating the demographic features that were associated with the most frequent rates of compassion …

The Experience Of Forgiveness In Adults With Different Sacred Belief Systems, Christy Jo Heacock

Walden Dissertations and Doctoral Studies

Forgiveness is the act of moving beyond shame, guilt, anger, or blame, and it has been linked to psychological well-being, prosocial behavior, and religion/spirituality (R/S). However, the research on why and how people forgive is inconsistent, as the concepts involved are complex and difficult to define and operationalize. The purpose of this interpretative phenomenological analysis (IPA) was to provide a better understanding of why and how people are cognitively and emotionally able to forgive and the role of R/S in that process. Goal orientation and cognitive restructuring theories were used as frameworks for understanding the forgiveness experience. First-person, semistructured interviews …

Nonresidential Fathers Parenting Their Children Residing In Shelters: A Phenomenological Study, Karen Denise Hudson

Walden Dissertations and Doctoral Studies

This phenomenological qualitative study explored the parenting role of nonresidential fathers of children living in shelters. Special attention was paid to the perceived contributions of these fathers to the overall health and general well-being of their children residing in shelters. Often separations of nonresidential fathers from their children in shelters decreased their contributions to their children's health and well-being. Increased knowledge of these parental roles and contributions can enhance programs and policies to support these fathers in improving the health and well-being of their children. In-depth semistructured interviews were conducted with 6 demographically diverse nonresidential fathers living in Philadelphia. The …

Strategies To Improve Employee Engagement In A U.S. Federal Government Agency, Patrick L. Hyde

Walden Dissertations and Doctoral Studies

Nearly half of all frontline leaders in U.S. federal agencies during 2015 were unprepared to improve employee engagement. The lack of successful strategies to improve employee engagement in federal government agencies has led to decreased operational performance. Guided by the employee engagement theory as the conceptual framework, the single case study design was selected to explore the successful strategies that frontline leaders use to improve employee engagement at a federal agency in central Maryland. Data collection involved face-to-face, semistructured interviews with 4 frontline leaders and federal agency documents indicating employee engagement. The data analysis process included Yin's 5-step method and …

Internal Controls: Identifying Control Elements And Implementation Dynamics Facing Retail Companies., Ike Chima Iwejor

Walden Dissertations and Doctoral Studies

Retail company managers face challenges that include how to protect their companies from theft, embezzlement, and fraud. Retail companies lose up to 5% of their revenue to frauds annually. However, in most cases, managers' understanding, design, and implementation of strong internal control systems could minimize the problem. The purpose of this case study was to explore strategies managers used to strengthen internal control. The purposive sample included 5 experienced company managers from large and medium-size retail companies in Virginia. The conceptual framework consisted of the treadway committee of sponsoring organizations model and the criteria of control. Participant interviews, document reviews, …

High School To College Transition Among Black Males: An Action Research Project, Orval Albert Jewett

Walden Dissertations and Doctoral Studies

A participatory action research project involving social workers as stakeholders from high schools and the local community college in Nassau County, New York, provided the basis for an inquiry that addressed the effectiveness and implementation of clinical social work practice with Black male students transitioning to community college from high school. This study addresses how clinical social work practice may be utilized to enhance the experience of the transition process for Black male students from high school to college. Through the use of a qualitative in-depth interview process, 16 school-based social workers provided professional perspective and expertise that resulted in …

A Phenomenological Study Of Executive's Perspectives Of Hope Theory In Executive Coaching, Steven Hodlin

Walden Dissertations and Doctoral Studies

The executive coaching and positive psychology fields are growing; however, minimal research exists regarding the coaching experiences of executive coachees with the various approaches a coach can utilize. The problem addressed in this study was the lack of research on consistent standards regarding how executive coaching should be conducted. The primary purpose of this qualitative phenomenological study was to explore the lived experiences of executives who have been coached using approaches based on Snyder's hope theory, Buckingham and Clifton's theories of strength-based approaches to leadership, and the theories of positive psychology advanced by Seligman and Csikszentmihalyi. The participants in this …

Exploring Security, Privacy, And Reliability Strategies To Enable The Adoption Of Iot, Daud Alyas Kamin

Walden Dissertations and Doctoral Studies

The Internet of things (IoT) is a technology that will enable machine-to-machine communication and eventually set the stage for self-driving cars, smart cities, and remote care for patients. However, some barriers that organizations face prevent them from the adoption of IoT. The purpose of this qualitative exploratory case study was to explore strategies that organization information technology (IT) leaders use for security, privacy, and reliability to enable the adoption of IoT devices. The study population included organization IT leaders who had knowledge or perceptions of security, privacy, and reliability strategies to adopt IoT at an organization in the eastern region …

Phenomenological Investigation Of Parents' Decisions Regarding Group-Home Placement Of Adult Children With Intellectual Disabilities, Lashaunda Reese Kay

Walden Dissertations and Doctoral Studies

Parents of individuals with intellectual disabilities are confronted with challenging decisions regarding whether to place their adult child in a group-home. The research question for this study was to ascertain the lived experiences of parents confronted with this life altering decision. Limited research exists on parents who face this difficult life choice. The purpose of this study was to explore the lived experiences of parents of individuals with intellectual disabilities when contemplating residential placements. Ten participants from the north Atlantic coastline in the U.S. were recruited and shared their lived experiences during semi structured interviews. Utilizing qualitative methodology to undergird …

Understanding Planned Change Among Remote Nonfaculty Employees In Higher Education, Erin Lubin

Walden Dissertations and Doctoral Studies

Implementing planned change in online university divisions with remote nonfaculty employees is a unique challenge. The problem that compelled this study was the need to understand the challenges of implementing planned change for a group of geographically remote nonfaculty employees who served as field team members (FTM) in an online university's support division. The purpose of this research was to explore change from the perspectives of remote FTM, their managers, and the division's Vice President to better understand and suggest research-derived strategies to make change initiatives more meaningful and inclusive. The qualitative ethnographic design was informed by systems theory, Tuckman …

Impact Of Online Orientation For First-Time Online Students On Retention, Academic Success, And Persistence, Lynda Marshall

Walden Dissertations and Doctoral Studies

A challenge faced by higher education is whether online orientation that is offered before the start of class can impact academic performance for online students. The purpose of this quantitative research study was to determine if there are significant differences in retention, academic success, and persistence between first time online students who have participated in an online orientation and those who did not participate and if there was a significant difference in retention, academic success, and persistence by gender of first-time online students. The sample for this study was extracted from archived data originating from 433 first-time online undergraduate students …

Strategies For Reducing Employee Absenteeism In Retail Stores, Patricia Miller Manning

Walden Dissertations and Doctoral Studies

Employee absenteeism results in annual productivity losses of approximately $74 billion and reduced profits for some retail stores. The purpose of this single case study was to explore the strategies used to minimize absenteeism and increase productivity outcomes for organizational effectiveness at a retail store in northwest Florida. The targeted population included managers who had success with minimizing absenteeism and enhancing productivity in the retail store. Herzberg's 2-factor theory was the conceptual framework, and semistructured interviews with 5 participants were the primary data collection technique. The secondary data sources included employee absence data and gross profit reports for 3 years …

Strategies For Preventing And Mitigating The Effects Of Agro-Food Supply Chain Disruptions, Everjoyce Muzvondiwa

Walden Dissertations and Doctoral Studies

Supply chain disruptions are detrimental to the performance of companies due to the associated loss of profitability and reduced sustainability. In 2016, organizations lost at least $1.2 million in a single supply chain disruption. Guided by the contingency theory of fit, the purpose of this exploratory multiple case study was to explore the strategies agribusiness managers use to prevent and mitigate the effects of disruptions in the agro-food supply chains. A total of 5 purposefully-selected agribusiness managers from Harare, Zimbabwe participated in semistructured interviews. Participants were senior agribusiness managers who implemented successful strategies for preventing and mitigating the effects of …

Small To Medium Enterprise Business Leaders Managing Change, Shahriar Nazari

Walden Dissertations and Doctoral Studies

Organizational change is necessary for businesses to survive and prosper. One of the main reasons organizational change is unsuccessful is the inadequate leadership style used by business leaders. The purpose of this multiple case study was to explore leadership strategies business leaders used to manage change. The target population comprised a purposeful sample of 15 business leaders from various businesses located in the metropolitan area of Southern California. The conceptual framework for this study was the transformational leadership theory, which holds that leaders can use inspiration and motivation to inspire employees, especially during times of organizational change. A pilot study …

Influence Of Leadership Styles On Expatriate Nurses' Professional Integration In The Uae, Emmah Ncube

Walden Dissertations and Doctoral Studies

Transnational nurse migration has evoked a growing interest in the phenomenon of professional integration of expatriate nurses into their host societies. Despite research connecting employee and organizational outcomes such as job satisfaction and organizational citizenship behavior to the quality of leadership styles, there remains a lack of research linking professional integration of expatriate nurses to nurse leadership styles in the United Arab Emirates (UAE). The purpose of this grounded theory study was to develop a theory that would explain how nurse leadership styles and behaviors impacted the professional integration of expatriate nurses into the multicultural work environment of the UAE. …

The Impact Of Corporate Governance On Working Capital Management In Nigerian Organizations, George Chibuzo Njoku

Walden Dissertations and Doctoral Studies

Many Nigerian firms have faced working capital management (WCM) inconsistencies, which have remained a source of tremendous concern in the face of high competition. In this study, the research problem explored was how inefficient working capital policies are still negatively affecting shareholders' wealth several years after the economic crisis, constraining sustainable development. The purpose of this quantitative research study was to examine how corporate governance has affected WCM within Nigerian organizations. The research question was about how corporate governance practices expand WCM efficiency. A random sample of 89 Nigerian organizations was used, and publicly available ethical ratings and financial information …

Risk Perception Of Hiv Infection Among The Nigerian African- Immigrant Population In Houston, Texas, Esther Titilayo Ogunjimi

Walden Dissertations and Doctoral Studies

HIV/AIDS studies mostly lack distinction between the US-born Blacks and non-US-born Blacks while African Americans (AAs) continues to represent the group with the heaviest burden of AIDS deaths and new diagnosis of HIV. A review of studies on HIV infection in the US, Europe, and other Western countries revealed a knowledge gap on HIV infection with non-refugee African immigrants (NRAIs), especially the Nigerian African Immigrants (NAIs) who are non-US-born Blacks. The purpose of this descriptive phenomenological study is to address this gap by exploring the expressed views of NAIs, a sub-group of the NRAIs living in Houston, Texas, on the …

Safe Quality Food Certification And Producing Safe And Quality Food Products, Adeniyi Adedayo Odugbemi

Walden Dissertations and Doctoral Studies

The food sector accounts for $1 of every $6 in the U.S. economy, with more than $700 billion in revenue every year. However, incidents of food safety and substandard quality continue to rise. Consumers are beginning to mistrust and have lower confidence in the food supply chain. Food manufacturers need to address this issue to remain profitable. One approach includes the introduction of food policy programs that allow for independent auditing and certifications such as the Safe Quality Food (SQF) certification. The SQF certification was established as a rigorous and credible benchmark for food handlers to enforce food safety and …