Digital Commons Network^™

Telehealth: Improving Quality Of Life In Veterans With Congestive Heart Failure, Marcia Callender Callender

Walden Dissertations and Doctoral Studies

Congestive heart failure (CHF) affects an estimated 5.1 million Americans over the age of 20. The purpose of this quantitative study was to determine whether there is a difference in the Quality of Life (QOL) for Congestive heart failure patients receiving care through telehealth compared to patients receiving face-to-face care (usual care). Guiding this project was the Self-Care Model of Chronic Illness because the primary outcome of the self-care model is illness stability, well-being, and quality of life. Seventy-seven veterans with Heart Failure (HF) from the Washington D.C. Veterans Affairs Medical Center (VAMC) participated in the project. Forty reported they …

U.S. Teachers' Perceptions Of School Violence Prevention Programs, Natakie Tamu Chestnut

Walden Dissertations and Doctoral Studies

In response to high profile violent incidents and crimes, many schools have developed plans that address school discipline to create a school climate and culture wherein everyone is valued and treated with respect. The problem that prompted this study is teachers are struggling with effectively implementation prevention program. The purpose of this study was to explore the perceptions of teachers about school violence prevention programs. Guided by Bronfenbrenner's ecological systems theory, this study examined the connection among school violence, environment, discipline and prevention programs; and it explored approaches to creating safe communities in schools. The research questions focused on teachers' …

Perceptions Of Licensed Pharmacist Managers Regarding Formally Versus Informally Trained Pharmacy Technicians, Shalonica Marie Cluse

Walden Dissertations and Doctoral Studies

Pharmacists rely on pharmacy technicians to assist with accurately dispensing prescriptions and providing information to clients. Texas does not have regulations for the education or training of pharmacy technicians, which may result in mistakes when dispensing prescriptions, causing significant harm to customers. The purpose of this qualitative phenomenological study was assessing formally and informally trained pharmacy technicians' job performance as perceived by licensed pharmacists/managers. Data were collected via face to face interviews with 9 pharmacy managers in Texas to gain insight into their lived experiences of supervising not formally and formally trained technicians. Audio recorded interview data were transcribed and …

The Credibility Of Government Budget: The Case Of Sierra Leone, Patrick Saidu Conteh

Walden Dissertations and Doctoral Studies

Fiscal reports have, since 2010, documented weak budget credibility in Sierra Leone public financial management noting that the government budget does not constitute a dependable framework for the planning, allocation and efficient use of the nation's resources. The purpose of this study was to develop a budgetary reform agenda and the research question that guided the study related to the reasons for the high monetary variances between the approved budget and the year-end financial reports. Government budgets and financial reports were reviewed for 2010-2014 and senior government officials were interviewed regarding the main stages of the annual budgetary process. The …

Exploring Managerial Solutions For Faculty Satisfaction At Historically Black Colleges And Universities, Bridget Pinckney Dewees

Walden Dissertations and Doctoral Studies

American higher education in general, and Historically Black Colleges and Universities (HBCUs) in particular, have experienced a 30-year decline in faculty satisfaction, which has had a negative impact on overall institutional effectiveness. The purpose of this phenomenological case study was to explore managerial solutions for faculty satisfaction by applying Herzberg's 2-factor theory to the insights and experiences of 12 tenure-track faculty members at an HBCU in the southeastern United States. Data were collected through semistructured interviews. The results were sorted, coded, and organized using content analysis software into key Herzberg factors that influenced faculty satisfaction at the study site. Work …

The Effect Of Cibs Participation And Gender On Adolescent Residential Treatment Duration, Tyler Maxwell Dority

Walden Dissertations and Doctoral Studies

Additional out-of-home placement rates for adolescents in long-term regional treatment center (LTRT) programs in the United States are between 50% and 75%. There appears to be a failure to generalize treatment to home and community in programs that do not fully integrate family involvement. The collaborative intensive bridging services (CIBS) treatment model uses intensive family therapy and brief residential treatment center (RTC) placement to reduce or eliminate use of LTRT. Using family systems theory, the purpose of this study was to determine whether participation in CIBS provided better outcomes than LTRT programs. The study used archival data collected by Family …

Polypharmacy, The Electronic Medical Record, And Adverse Drug Events, Unyime Eyoh

Walden Dissertations and Doctoral Studies

Polypharmacy, a concurrent chronic use of multiple prescribed and over-the-counter medications by the same individual, is one of the clinical problems facing primary care providers. Polypharmacy creates the potential for adverse drug-related events, especially in the elderly. The advent of electronic medical records (EMR) may help identify and respond to these potential adverse events. The purpose of this project was to investigate the relationship between the total number of medication taken by elderly, 65 years and older, and the severity of drug-drug and drug-disease interactions triggered by the EMR system. The study used a retrospective chart review of the EMRs. …

Postsecondary Online Students' Preferences For Instructor Feedback, Joseph John Gredler

Walden Dissertations and Doctoral Studies

Misalignment between student preferences and instructor assumptions regarding feedback may impede student learning. Researchers have investigated postsecondary students' preferences for types of instructor feedback including written, audio, and video. However, postsecondary online students' preferences have not been explored in a large-sample study. This sequential explanatory mixed-methods study was conducted to describe postsecondary online students' preferences and the reasons for those preferences. Vygotsky's social-constructivist theory was used to frame instructor feedback as a scaffolding tool to promote self-regulation in student writing. A survey containing quantitative and qualitative questions was used to collect 93 responses from undergraduate and graduate students attending a …

Improving Graduate Students' Satisfaction With Academic Advising, Jamie Loretta Green

Walden Dissertations and Doctoral Studies

Academic advising is associated with increased student retention and academic success. However, advising at an urban graduate school of education in Tennessee has been criticized for limited advisor availability, poor communication, and lack of advising knowledge. The purpose of this qualitative case study was to gain a deeper understanding of the reasons for student satisfaction or dissatisfaction and to identify techniques to improve academic advising. This study was guided by the conceptual frameworks of Kelly's personal construct theory and Daloz's psycho-developmental perspective. The research question addressed the perceived role of academic advisors that graduate students associated with academic success. The …

Positive And Negative Experiences Of Career Technical Secondary Students In Online Courses, David Harms

Walden Dissertations and Doctoral Studies

Research indicates that secondary students who are successful in online classes share common traits. However, many secondary career technical education (CTE) students taking online courses do not demonstrate the traits identified for success. CTE students may not benefit from online classes unless they are designed with their needs in mind. The purpose of this study was to investigate current CTE student experiences with online classes at a single career center. The research questions investigated CTE experiences with online classes, positive and negative online design features, and the hybrid classroom. The theoretical framework was constructivism. The purposive sample included 12 student …

Evaluation Of A Middle School Positive Behavior Intervention Support Program, Tracie Michelle Grogan

Walden Dissertations and Doctoral Studies

Evaluation of a Middle School Positive Behavior Intervention Support Program

by Tracie Grogan

EdS, Mercer University

MA, Fort Valley State University BS, University of Georgia

Doctoral Study Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Education

Curriculum Instruction and Assessment

Walden University July 2016

School leaders at a middle school in a rural school district in Georgia were looking for ways to reduce poor student behavior, which has a negative impact on school climate. Judicious Discipline, a program based on Kohlberg's 6 stages of moral development, Bandura's social learning theory, and the 3 constitutional rights …

Effect Of An Interactive Component On Students' Conceptual Understanding Of Hypothesis Testing, Sarah Anne Inkpen

Walden Dissertations and Doctoral Studies

The Premier Technical College of Qatar (PTC-Q) has seen high failure rates among students taking a college statistics course. The students are English as a foreign language (EFL) learners in business studies and health sciences. Course delivery has involved conventional content/curriculum-centered instruction with minimal to no interactive components. The purpose of this quasi-experimental study was to assess the effectiveness of an interactive approach to teaching and learning statistics used in North America and the United Kingdom when used with EFL students in the Middle East. Guided by von Glasersfeld's constructivist framework, this study compared conceptual understanding between a convenience sample …

Hospital Preparedness: Effects Of Designated Preparedness Coordinators On Hospital Preparedness For Special Hazard Classes, Rodney Sinelair Jones

Walden Dissertations and Doctoral Studies

Since 9/11, little statistical rigor has been placed on identifying the correlates of hospital preparedness. This quantitative study explores the research question: Is there a correlation between the employment of a designated hospital preparedness coordinator and the reported level of preparedness for: (a) general preparedness; (b) chemical, biological, radiological, and nuclear (CBRN) events; (c) pandemic disease outbreaks; (d) mass casualty events; and (e) internal infrastructure failure, as assessed by an online survey. Alternative analysis was conducted to assess the relationship between access to resources and the 5 dependent variables. Using complexity theory as the theoretical framework, point biserial correlation and …

Perinatal Drug Abuse Intervention: Policy Development For Drug Screening, Joeanna Lee Larson

Walden Dissertations and Doctoral Studies

Perinatal drug abuse is becoming a profound issue facing the health and wellbeing of neonates. The community serviced by the project site, which lies within the boundaries of an Indian Reservation, suffers from perinatal drug abuse at a higher rate than state and federal averages. The purpose of this project was to provide the project site with a policy to consistently screen for perinatal drug abuse. Lave's theory of situational learning and the Sanford Way model for quality improvement framed this project. To guide policy development, data were compiled through a systematic review of current literature, national and state guidelines, …

Elementary Teachers' Understanding, Knowledge, And Perceptions Of Inclusion Best Practices, Jason Liggins

Walden Dissertations and Doctoral Studies

Recent legislative actions requiring schools in the local school system to increase the percentage of students served in the inclusion classroom has led to teachers having difficulty in implementing inclusion best practices. Using Vygotsky's social theory, the purpose of this case study was to examine teachers' understanding, knowledge, and perceptions of inclusive teaching strategies. The research questions were used to explore the teachers' understanding of inclusion, perceived effectiveness of strategies, and the resources that teachers feel are necessary to implement inclusion strategies. A purposeful sample of 10 teachers currently teaching in an inclusion setting were interviewed face-to-face using semistructured questions. …

Professional Development To Enhance Instructional Leadership And Practice Of Central Office Administrators, Cheryl A. R. Mccue

Walden Dissertations and Doctoral Studies

Professional Development to Enhance Instructional Leadership and Practice of

Central Office Administrators

by

Cheryl A. R. McCue

M. Ed., Lehigh University, 1990

BS, Kutztown University, 1987

Doctoral Study Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Education

Walden University

June 2016

Decades of research and practice suggest that educational administrators need to experience opportunities for professional development and continuous learning. This project study addressed the problem regarding the lack of a formal or systemic plan for professional development of central office administrators in a large suburban school district in northeastern United States. Supported by Lave …

Exploring Skills That Liberian Small-Business Entrepreneurs Use To Succeed In Business, Mars Mellish

Walden Dissertations and Doctoral Studies

Over 35 years of gross economic mismanagement and business failures led Liberia's gross domestic product to collapse by 90% in less than two decades. As a result of a general lack of business skills, up to 80% of Liberian small-business entrepreneurs fail in business beyond the first year. Based on the theory of constraints, the purpose of this exploratory multiple case study was to explore the business skills that Liberian small-business entrepreneurs used to succeed in business beyond the first year. Data came from semistructured face-to-face interviews with 5 central regional Liberian small-business entrepreneurs who had succeeded in business beyond …

Elementary Coteachers' Understanding About Differentiated Instructional Practices For Students With Disabilities, Betty Smith King

Walden Dissertations and Doctoral Studies

Despite a rural Georgia school district's effort to increase the academic performance of all students, the achievement gap persists between general education and special education students. The purpose of the study was to explore what factors hindered coteachers from consistently applying differentiated instruction in elementary inclusion classrooms. The conceptual framework for the study emanated from Vygotsky's social development theory as it related to teachers learning from each other through professional collaboration. The research questions explored coteachers' perceptions about differentiated instruction for students with disabilities. Using a case study methodology and purposeful sampling of 6 general education and 6 special education …

Nursing Distance Learning Course Comparison Of Assignments And Examination Scores, Jennifer Mundine

Walden Dissertations and Doctoral Studies

Nursing programs have embraced distance learning in their curricula, but discussion is ongoing about course assignments and grading criteria to increase examination scores in nursing distance learning courses. Because course examinations are a predictor of success on the postgraduate licensing examination (NCLEX-RN), the purpose of this study was to determine whether differences existed in student examination scores between nursing distance learning courses with and without points aligned to assignments. The theoretical framework was Knowles's theory of andragogy, which highlights adults' motivation and self-direction to succeed. The quantitative causal comparative study included a convenience sample of 164 students to compare archival …

Professional Development Of Head Start Teachers In Emotional And Instructional Support, Marilyn Mcleod Harris

Walden Dissertations and Doctoral Studies

In the southwest region of Tennessee, a local Head Start program classroom assessment scoring system's (CLASS) scores fell in the lowest 10% among national Head Start programs in emotional and instructional support. Since 2012, the Office of Head Start has released reports showing that the average Head Start program has low performance CLASS emotional and instructional support scores. The purpose of this exploratory case study was to investigate the professional development of local Head Start teachers with low CLASS scores in emotional and instructional support. Knowles's adult learning theory of andragogy was the overall conceptual framework and the concentrated theory …

Retention Of Direct Care Professionals Supporting Intellectually Disabled Individuals, Melanie Opalka-Bentler

Walden Dissertations and Doctoral Studies

In the health and human service industry, employee turnover affects business practices and causes disruption of the lives of vulnerable individuals with intellectual disabilities receiving support. Using a human capital conceptual framework perspective, the purpose of this multiple case study was to explore strategies used to increase employee retention. The criteria for participation included organizational leaders from 3 Pennsylvania human service agencies that supported individuals with intellectual disabilities, tracked employee turnover for at least 2 years, and developed strategies to increase employee retention. Organizational leaders volunteered to participate and the first 3 organizations meeting the criteria were selected. Data collection …

A Phenomenological Study Of The Roles Of Principals In Special Education, Sarah Marie Parker

Walden Dissertations and Doctoral Studies

At the time of this study, there is intensified awareness of the importance of special education and the appropriate implementation of supports and services for the students identified as having special needs. In the United States, understanding special education laws, the needs of students with special needs who are served in the school building, and effective ways to interact with staff members and families about special education are important components of principal leadership success. Principal supervisors and others who provide training and ongoing professional development for principals and potential school leaders need to understand more about issues principals face in …

Impact Of Positive Youth Development Services On Resilience Among Adjudicated Girls, Shaunette Roberta Byers Parker

Walden Dissertations and Doctoral Studies

Positive youth development (PYD) frameworks that guide PYD services suggest at-risk youth need to develop resiliency attitudes and resiliency skills in order to prevent long-term failure in their adult lives. This concept is based on multiple developmental theories that suggest increased levels of resiliency make it easier to navigate challenging situations. Adjudicated youth have faced a major setback in their short lives, yet they still have an opportunity to become successful and avoid additional jail time, if they are able to display a strong sense of resilience. Many youth development programs geared toward serving adjudicated youth, lack the appropriate structure …

An Examination Of African American Women With Hiv And Health Care Barriers, Robert Salvatore Petralia

Walden Dissertations and Doctoral Studies

For over 40 years, HIV has been seen as an epidemic and problem on health care that disproportionately affects the African American women (AAW) and population. This epidemic represents 12% of the total U.S. population, yet accounts for 37% of the commutative HIV cases, and 45% of the new HIV cases reported since 1998. Research in this case was needed for increased understanding to this health care problem, between AAW and HIV. A review in the literature indicated the problem and found new alternatives that helped support aspects on today's health care. The purpose of the study was to help …

Perception Of Nutrition And Utilization Of Healthy Food Ideas When Making Food Choices., Judy Pilgrim-Hector

Walden Dissertations and Doctoral Studies

The availability of nutrition information is an important aspect of health care and equally important is access to cultural and theoretical nutrition evidence to increase awareness on ways to manage a diet in ethnic communities. The problem was the shortage of culturally appropriate nutrition data to educate Caribbean immigrants. The purpose of the study was to acquire culturally profound nutrition information on Caribbean immigrants' distinctive philosophical perception on nutrition and food choices. A phenomenological approach was used to examine ways in which the participants integrate nutrition facts when making food choices. The theory of reasoned action was the main conceptual …

Information Technology Adoption By Small Businesses Owners, Soha Elaskalani Ragab

Walden Dissertations and Doctoral Studies

Small business owners need effective strategies to increase profitability. One such strategy is the adoption of information technology (IT). The purpose of this multiple case study was to explore the strategies used by small business enterprise (SBE) owners to implement IT solutions for increased profitability within 3 years of opening their business. The population consisted of 3 small business owners in Orange County Southern California who were profitable by their third year of business. The conceptual framework for this study was based upon general systems theory. Data for this study were collected through semistructured interviews and a review of company …

A Multiple Case Study On Leader Support, Breastfeeding, And Work Commitment, Lisa Marie Rancourt

Walden Dissertations and Doctoral Studies

In the United States, over 50% of women return to paid work after becoming mothers. Mothers who breastfeed are more likely to stop working than peers who chose to use infant formula. The purpose of this research was to explore work commitment among new mothers during the first year of their infant's life. Many of these mothers had skills that were imperative to organizational success, making their retention a priority. The relationship between leadership support for dual roles as mothers and employees had not received attention previously in the literature. This multiple case study analyzed the perceptions of new mothers …

Strategies For Organizational Sustainability In Higher Education, Angela D. Reese

Walden Dissertations and Doctoral Studies

The defunding of higher education at the state and national level following the 2008 recession created the need for administrators of public higher education institutions to develop and implement funding strategies to maintain organizational sustainability. State government administrators reduced spending approximately 26% per student across the nation, leaving higher education administrators challenged with adjusting organizational budgets to compensate for the reduction in state monetary support. A multiple case study design was used to explore funding strategies that community college business leaders used to support budget decisions that maintain organizational sustainability. Four leaders from 3 community colleges in Central Texas participated …

Algebraic Content And Pedagogical Knowledge Of Sixth Grade Mathematics Teachers, Mariyam Shahuneeza Naseer

Walden Dissertations and Doctoral Studies

Algebra test scores of the Maldivian students from grade 6 through 12 are the lowest compared to any other area of mathematics. Algebra is a fundamental topic in mathematics and lays the foundation for mathematical reasoning and complex problem-solving. Research shows that strengthening algebra instruction could improve student achievement. This concurrent mixed methods study examined the algebraic content and pedagogical knowledge of 5 sixth grade mathematics teachers who teach in 5 different schools across the Maldives. Shulman's major categories of teacher knowledge and Ball, Thames, and Phelps' domains of mathematical knowledge for teaching guided this study. The research questions examined …

Job Satisfaction In Law Enforcement Officers According To Generational Cohorts, Johnathon Michael Sharp

Walden Dissertations and Doctoral Studies

Job satisfaction in law enforcement is important because it promotes continuity of a professional and cohesive police force that works well together, follows proper policy and procedures, and provides the services needed to the public. Given multigenerational law enforcement officers are now working together, its impact on job satisfaction is not known. This study focused on how generational cohort membership impacts the job satisfaction of law enforcement officers based on Mannheim's theory of generations and Locke's range of affect theory. It utilized a survey design where job satisfaction was assessed using the Job Descriptive Index, Organizational Commitment Questionnaire, and Job …