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The Role Of Socio-Demographics Factors In Voluntary Counselling And Testing Uptake In South-Africa., Felix Ikechi Woke

Walden Dissertations and Doctoral Studies

Many researchers have alluded to the inequity in distribution of HIV preventive services in South Africa (SA). Other researchers have demonstrated that socio-demographic factors are main determinants of distribution of preventive services like voluntary counseling and testing (VCT) in SA. VCT is a primary HIV prevention tool through which infected persons enter the treatment, care, and support programs; identifying the impact of socio-demographic determinants (SDDs) on VCT uptake in SA could help direct VCT services to areas and individuals that need them most. The research question in this study examined what and how SDDs impact the uptake of VCT in …

Factors Affecting Involvement Of Urban School District Parents In Their Child's Education, Megan Stewart

Walden Dissertations and Doctoral Studies

Parental involvement in children's education has been found to have a positive impact on academic achievement. Because the state has mandated that academic achievement in the study district needs to increase, identifying means of increasing parental involvement is important. Guided by the work of Epstein, this quantitative study was conducted to explore demographic factors related to parents' involvement in the education of their children. Specifically, research questions examined differences in parental involvement by socioeconomic status (SES), barriers to involvement for parents, and school strategies to improve parental involvement. Parents of all 5th grade students (n = 935) from a large …

The Predictive Relationship Between Emotional Expressiveness And Discussing Death With Children: An Exploratory Study With Online College Parents, Sally A. Gill

Walden Dissertations and Doctoral Studies

Death is a sensitive topic, and discussing death with children may be difficult for parents, especially parents who are uncomfortable with emotional expression. Many factors are associated with parents' decision to discuss death; however, a dearth of recent literature existed examining the role of parental emotional expressiveness and discussing death with children. Using Jackson's communications theory within the broader family systems theory, this exploratory non-experimental quantitative study examined if one or more of the selected variables of parents' emotional expressiveness, parents' gender, and any previous discussions about death with a child adequately predicted the age of a child when parents …

Increasing Black Student Literacy Proficiency Using English Language Learner Instructional Strategies, Niki Tiara Newman-Brown

Walden Dissertations and Doctoral Studies

Historically, identifying solutions to the achievement gap between Black and White students has plagued education. Twenty-first century challenges have emerged to include an achievement gap between Black and Hispanic students in literacy as early as 4th grade. Limited research exists on the use of English language learner (ELL) instructional strategies with Black standard English learners (SELs). This project study narrows the gap in previous research. The goal was to use a collective case study approach to investigate the professional development needs of the Northeast School District through the perspective of 5 Title I, ELL, kindergarten through sixth-grade elementary school principals. …

Chinese International Students' And Faculty Members' Views Of Plagiarism In Higher Education, Alan Edward Grigg

Walden Dissertations and Doctoral Studies

As the enrollment of Chinese international students (CIS) increased at a private institution in the Midwest, so did suspected cases of plagiarism. This study addressed the problem of how faculty members grappled with CIS' interpretation and application of Western-based views of plagiarism. The purpose of the study was to identify similarities and differences in the views of these 2 groups. Social cognitive theory, intercultural adaptation theory, and neutralization theory framed this qualitative case study. The research questions focused on how these particular CIS interpreted and applied the Western concept of plagiarism to assignments and exams, the impact of classroom practices …

Development Of Evidence-Based Scenario With High Fidelity Simulation To Improve Nursing Care Of Chest Pain Patients, Ma Zolaica Paragas

Walden Dissertations and Doctoral Studies

Cardiovascular disease remains the leading cause of mortality in the United States, and a primary educational objective is to develop professional competency among nurses to ensure the provision of safe and effective care to the cardiac patient. Benner's theory of novice-to-expert led to the development of an evidence-based scenario for the care of the patient with chest pain using risk-free high-fidelity simulation environments that focused on assessment, history taking, and communication, while evaluating improvements in the competency of nurses providing care to chest pain patients. Thirty-six nurses volunteered in the study. Feedback from nurse educators, which led to modifications to …

Preschool Educators' Roles In Creating Supportive Spaces For Gender Exploration And Expression, Shaun-Adrian Choflã¡

Walden Dissertations and Doctoral Studies

Children begin to develop their understanding of gender in preschool, yet there is a dearth of research focused on understanding how preschool teachers affect the gender identity development of young children. Guided by Rokeach's belief systems theory, this qualitative case study explored the pedagogical strategies and perceptions of 4 Sacramento County, California preschool educators related to the gender identity development of young children. Interview data were collected and coded to derive 12 participant-specific themes and 3 common intersecting themes, which showed that teachers' perspectives on gender identity development were influenced by social rules, biases, and a lack of pedagogical knowledge …

Title: Parents And Teachers’ Perceptions And Clinical Diagnosis Of Autism Among White And Non-White Groups, Margaret Gopaul

Walden Dissertations and Doctoral Studies

The pervasiveness of autism has significantly increased over the past 2 decades with the 2014 Center for Disease Control and Prevention report indicating 1 in 68 children are diagnosed with Autism Spectrum Disorder (ASD). Early intervention is recommended as the most effective treatment approach. Nevertheless, previous research has indicated that White children are diagnosed with ASD about 1.5 years earlier than are Non-White children. A current gap remains in literature regarding ASD and different racial groups, and evidence has been inconclusive regarding disparities in identifying and diagnosing ASD. To fill this gap, this study investigated the relationship between child race, …

Strategies For Reducing High Turnover Among Information Technology Professionals, Lawrence Roy Arnold

Walden Dissertations and Doctoral Studies

Organizations globally are spending millions of dollars replacing information technology (IT) professionals. IT professionals, who possess technical skills and competencies that interconnect business processes, are costly to replace. There are direct and indirect costs associated when an IT professional leaves, such as advertising fees, headhunting fees, and project delays. Lacking a firm understanding of the reasons why IT professionals leave their positions, many business leaders do not have strategies for reducing turnover rates. Building on Herzberg's motivation-hygiene theory and March and Simon's process model of turnover, this exploratory multiple case study sought to identify the strategies that business leaders view …

Addressing Internalizing Problems In Middle School Youth With Check In/Check Out, Malgorzata Borawska-Popielarz

Walden Dissertations and Doctoral Studies

More than 20,000 primary- and secondary-level schools, which represent 20% of all schools in the United States, are implementing school-wide positive behavior supports (SWPBS) to enhance socially desirable behavior and promote a decline of problematic behavior among students. The overall efficacy of the 3-tier SWPBS framework is well documented. However, a paucity of empirical research addresses the use of check in/check out (CICO), a Tier 2 intervention, for youth who present as quiet and withdrawn, and who are at risk of academic and social disengagement. Accordingly, this quasi-experimental, nonequivalent groups study assessed the overall effectiveness of CICO and considered the …

Novanet's Effect On The Reading Achievement Of At-Risk Middle School Students, Alice Harris Jackson

Walden Dissertations and Doctoral Studies

At-risk and special education students in the 7th and 8th grades in a rural middle school in western Alabama, in the years following the introduction of the No Child Left Behind federal legislation in 2002, failed to achieve adequate yearly progress in reading. School districts are increasingly implementing flexible computer-based intervention programs to improve their students' reading achievement. Using a between-group design, the purpose of this study was to determine whether NovaNET, a newly adopted reading intervention program, enhanced the reading attainment of at-risk and special education students. Guided by constructivist theory, archived reading achievement data from the 2009-2013 Alabama …

Perceptions Of Community College Students And Faculty On Persistence In Developmental Reading, Lisa H. Aofrate

Walden Dissertations and Doctoral Studies

Attrition for entry-level, non-traditional college students taking developmental reading courses is a concern for higher education institutions. Students need to complete basic developmental reading courses in order to progress in their vocational or collegiate studies. This phenomenological study followed a social constructivist approach to attempt to understand what developmental reading students and faculty experience regarding persistence. The key research question examined the perceptions and understandings of college students and faculty involved in college entry level, non-traditional developmental reading classes regarding the factors impacting student persistence at a local community college. Using interviews, surveys, and participant journals, data were collected from …

The Implications Of Employee Turnover On Credit Unions, Jason Carreno

Walden Dissertations and Doctoral Studies

A lack of managerial responses to employee needs contributes to an increased rate of employee turnover in credit unions. Some managers do not possess the skills and strategies necessary to reduce employee turnover. This case study explored what strategies managers used to successfully reduce employee turnover. The population for this study was managers of a financial institution in Northeast Kansas with at least 1 year of leadership experience using methods to reduce employee turnover. Theory X and theory Y theory was the conceptual framework for this study. Data collection included semistructured face-to-face interviews with 10 managers and an exploration of …

Associations Between Leadership Style And Employee Resistance To Change In A Healthcare Setting, Tanisha Garcia

Walden Dissertations and Doctoral Studies

. Abstract

Health reform is forcing healthcare administrators to make rapid changes. A tendency to resist change can present problems for these organizations, including the large, not-for-profit Catholic healthcare systems. In order to make positive contributions towards healthcare, it's important to recognize the nature of the organization's involvement to change. The transformational leadership style has been shown to be positively correlated with change however, the relationship among leadership styles, employees' behaviors, and motivation to change are still not well understood and require further study. Further, although Oreg's Resistance to Change (RTC) approach has been researched in direct patient care areas, …

Assessment Of Her2-Neu In Breast Cancer Lines Upon Differential Exposures To Xenoestrogens, Abha Aggarwal

Walden Dissertations and Doctoral Studies

Synthetic xenoestrogens have differential estrogenic properties. Research has shown that exposures to xenoestrogens could promote breast cancer by disrupting normal function of the human epidermal growth factor receptor 2 (Her2) gene. Although animal models demonstrated a connection between xenoestrogen exposure and Her2 activity, no study using human cells has systematically examined their carcinogenic potential influencing the Her2 gene expression. Furthermore, breast cancer cells are phenotypically disparate (ER+, Her2+), with some phenotypes (Her2+), leading to more aggressive disease. This study aimed to dosimetrically assess the carcinogenic potential of commonly used xenoestrogens influencing Her2 gene expression, and delineate cellular phenotypes at greater …

The Exposure Of Workplace Conflict On Residential Mental Health Clients, Shawna Deann Stoneking

Walden Dissertations and Doctoral Studies

Individuals who receive residential mental health services rely on caregivers for support, supervision, and a safe living environment. Residential clients exposed to workplace conflict among staff may feel insecure and mistrust their caregivers, which in turn could negatively impact quality of life and treatment outcomes. The theory of therapeutic alliance proposed by Zetzel, emphasizing the client's perception of the therapist as a nurturing beneveolent figure, was used as the conceptual framework for this phenomenological study. Semi-structured interviews were conducted with 6 adults, recruited with homogenious sampling, who had experienced conflict among staff members and who had been discharged from residential …

Knowledge Transfer Preferences Of Expert Employees Nearing Retirement, Phillip Andrew Weiss

Walden Dissertations and Doctoral Studies

Managers of organizations face increasing rates of retiring Baby Boomers as that generation begins to leave the workforce. Some managers of organizations have no formalized knowledge transfer strategies in place to reduce the lost productivity and negative financial effects of these retiring employees. The purpose of this single-site case study was to explore the knowledge transfer preferences of expert scientific support employees nearing retirement at a United States national laboratory in northern California. Understanding the preferences of employees nearing retirement may allow managers to affect the business practice of promoting organizational learning by implementing strategies that catalyze knowledge transfer from …

Perceptions Of Stroke Risks Among West African Male Immigrants In San Diego, Lawrence Agi

Walden Dissertations and Doctoral Studies

The incidence and knowledge of the risk factors of stroke across ethnic groups in the United States have been examined in multiple studies. However, it is not well known if the foreign-born African immigrants who constitute about 4% of the U.S. immigrant population are at a higher risk of the incidence of stroke than are other nonimmigrant population in the U. S. This ethnographic study explored the perceptions of Anglophone African male immigrants residing in San Diego on the risk factors of stroke. The theoretical framework for this study included the health belief model and the health promotion model. Data …

Job Satisfaction, Organizational Culture, And British Nurses' Intention To Leave Employment, Brendan Edward Williams

Walden Dissertations and Doctoral Studies

In spite of decades of research, concerning nurse's intention to leave their employer (ITL), in 2011, 31.2% of the British nurses surveyed indicated they had formed an ITL. Grounded in reasoned action theory as developed by Ajzen and Fishbein, the purpose of the correlational study was to provide hospital managers with information regarding the relationship among nurse's job satisfaction (JS), organizational culture (OC), and ITL. The archival data from the 2011 NHS Staff Survey included responses from nurses (n = 21,257) across the British National Health Service. The Spearman's rho correlates rs (21,257) indicated relationships among nurse's job satisfaction, organizational …

Direct-To-Consumer Advertisements And Medical Services Utilization Among Adult Dermatology Patients In The United States, Heribert Zouetchou

Walden Dissertations and Doctoral Studies

Pharmaceutical product claim and help-seeking advertisements have prompted the types and purposes of medical dermatology service(s) that patients have used in the United States. Indeed, researchers have demonstrated that 94% of working nurse practitioners affirmed receiving from their patients a request for a cancer drug advertised. However, adult dermatology patients members of Saint Nicholas Catholic Church or/and patients at MedStar Clinic in Houston, Texas, have not been of interest for any study so far. The purpose of this quantitative study was to assess the relationship between product claim, help-seeking, types, and purposes of medical dermatology services used amongst males and …

The Effects Of Reader's Theater On Reading Comprehension And Fluency Of Fifth-Grade Students, Laura Ashley Black

Walden Dissertations and Doctoral Studies

According to the National Institute of Child Health and Human Development, an estimated 75% of students who are poor readers in 3rd grade continue to be poor readers in 9th grade. Although much research has been conducted on this topic, engaging and successful reading programs that put theory into practice are scarce. Reader's theater is a strategy students use to collaborate, rehearse, and critique one another while the teacher offers support and modeling. The research questions addressed the effectiveness of using Reader's Theater to improve scores in reading fluency and comprehension. LaBerge and Samuels' automaticity theory was used as the …

Strategies Affecting The Sustainability Of Small Businesses, Malissa A. Bush

Walden Dissertations and Doctoral Studies

Small business owners bolster the emergence and growth of local communities. However, many small businesses do not survive beyond 5 years. Based on systems theory, the purpose of this multiple case study was to explore the strategies used by small business owners to develop and maintain viable and long-lasting businesses. Using a multiple case study design, semistructured interviews were conducted with 6 retail business owners in DeKalb County, Georgia who were able to develop and maintain viable and long-lasting businesses. These small business owners provided detailed information on strategies used to sustain their businesses. Semistructured interviews allowed for in-depth conversations …

Wilson Reading System's Impact On Third-Grade Dibels Scores, Shakerra Bowe

Walden Dissertations and Doctoral Studies

Many schools throughout the United States are struggling to address student deficiencies in reading. Empirical evidence demonstrating the efficacy of reading intervention programs is often lacking. This study examined the effectiveness of an 8-week reading intervention program, the Wilson Reading System (WRS), that was implemented in a local elementary school in Washington D.C. to address the reading deficiencies of 75 third-grade students. Guided by Vygotsky's Zone of Proximal Development (ZPD), a quasi-experimental pre/post research design was used to examine differences in reading proficiencies following the completion of the WRS program, as measured by the Dynamic Indicator of Basic Literacy Skills …

Assessing Information Technology And Business Alignment In Local City Government, Leslie Milbourne D'Anjou

Walden Dissertations and Doctoral Studies

Top executives are interested in more transparent and formalized structures, applicable measurements, and clear justification of alignment. Limited or improper information technology governance (ITG) affects the business strategy that will ultimately influence the overall business alignment in local city government agencies (LCGAs). The problem addressed in this study was the lack of information regarding LCGAs IT/business strategic alignment maturity model (SAMM) level and the LCGAs' employment size. The purpose of this survey study was to evaluate 48 LCGA participants in the Southwestern part of the United States and compare their alignment perceptions with their cities' employment size. The theoretical framework …

Evidence-Based Alternative Therapy To Reduce Anxiety In Ambulatory Mental Health Patients, Renee Ann Denobrega

Walden Dissertations and Doctoral Studies

Evidence-Based Alternative Therapy to Reduce Anxiety in Ambulatory Mental Health Patients

by

Renee Denobrega

MS, Widener University, 2013

BS, Alvernia University, 2007

Project Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Nursing Practice

Walden University

January 2016

Developing Generation-Based Volunteer Management Practices, Tonya Renee' Howard

Walden Dissertations and Doctoral Studies

Many nonprofits seek a volunteer base that includes the experience and maturity of the Silent and Baby Boomer Generations as well as the creativity and advanced technological knowledge of Generations X, Y, and Z. Published literature recommends implementing multigenerational volunteer programs to increase the representation of multiple generations. However, there is no literature providing guidance to create volunteer management practices that simultaneously recruit and retain those generations. The purpose of this qualitative study was to explore the lived experiences of 5 generations of volunteers. The research questions for this phenomenological study addressed perspectives that may contribute to developing generation-based volunteer …

Predictors Of Job Satisfaction Among Telecommuters, Lashawn Johnson

Walden Dissertations and Doctoral Studies

With millions of people telecommuting each day, business leaders need to understand the factors contributing to job satisfaction among telecommuters. Drawing from the theory of purposeful work behavior, the purpose of this correlational study was to provide decision makers with information about the factors associated with job satisfaction among telecommuters. The research question addressed the relationship between gender, age, and level of telecommuting and job satisfaction. Using multiple linear regression analysis of 65 telecommuter survey respondents, the results (F(3,61) = 2.4, p > .05) indicated that no statistical significant relationships were found between job satisfaction and the predictor variables; however, the …

Adult Literacy Program Evaluation For First Year Traditional College Students, Yvette Joyce Mccauley

Walden Dissertations and Doctoral Studies

First year traditional college students required to register in a sequence of remedial courses prior to enrollment in credit-bearing courses often get discouraged by the financial burden and time commitments of this additional work and, subsequently, decide to drop out. The purpose of this qualitative program evaluation was to examine the effectiveness of the remedial adult literacy program being used at a 4-year urban college in the northeast and assess the curriculum alignment with the Council for Higher Education Accreditation (CHEA) standards. Knowles theory of andragogy, which suggests that adults are self-directed and expect to take responsibility for their own …

Knowledge Sharing In Multicultural Organizations, Stephen Joseph Mcgrane

Walden Dissertations and Doctoral Studies

Knowledge management is critical to achieving competitive advantage in the marketplace. The prominence of multicultural organizations also requires an understanding of knowledge-sharing behavior in multicultural teams. In spite of the need to accommodate these new conditions, a gap exists in the research on knowledge sharing in multicultural organizations. The purpose of this study was to examine factors that affect knowledge sharing in a multicultural context. In the research questions I examined the role that culture, monetary rewards, social units, and diversity play in knowledge sharing in a multicultural environment. This study used Hofstede's cultural dimension theory, Sveiby's knowledge-based theory, and …

The Experiences Of High School Teachers Who Have Encountered Burnout, Jimmie Lee Mckinley

Walden Dissertations and Doctoral Studies

This qualitative case study addressed the impact of administration and school leadership on teachers who encounter burnout. The purpose of this project study was to examine this phenomenon through the experiences of Grades 9-12 classroom teachers, which ultimately could reduce the amount of early retirees, reduce the amount of illnesses among teachers, and increase the enthusiasm and vitality of educators. The conceptual framework was based on Bandura's social learning theory. Interview data were collected from four high school educators using purposive sampling, through semi structured face-to-face inter-views, and were coded using a line-by-line content analysis for emergent themes. Findings included …