Digital Commons Network^™

Is There An Association Between Non-Va Medical Care Coordination And Utilization Of Care?, Brenda Joyce Robisnon

Walden Dissertations and Doctoral Studies

The Non-Veteran Administration Care (NVC) is a program in which the Veterans Health Administration purchases health care when it cannot provide the health services needed for eligible Veterans. The rising cost of this program led to audits by the Office of the Inspector General and other entities. The scholarly problem for this DNP Project was the lack of oversight, accountability, and management, found throughout the audits of NVC, as well as a lack of evaluation of NVC. The purpose of this project was to ascertain if there was a relationship between the Non-VA Care Coordination program (NVCC) and utilization of …

Children Of Holocaust Survivors On Middle-Age: A Phenomenological Inquiry, Elizabeth Rosenberg

Walden Dissertations and Doctoral Studies

Children of Holocaust survivors are vulnerable to experiencing secondary trauma which typically manifests in emotional and psychological difficulties. Despite,their exposure to a traumatized family environment, many children of Holocaust survivors do not develop emotional or adaptive difficulties. Some demonstrate psychological resilience, reflected by their ability to adapt,to adversity and problems. The purpose of this study was to gain insight into how well-adjusted,middle aged children of Holocaust survivors developed and maintained resilience.In line with resilience theory,which explains how an individual bounces back from negative circumstances, the research questions for this study examined the factors that the participants used to develop and …

Experiences Of Colorado Parents As They Recognized Their Child's Mental Illness, Lori Salgado

Walden Dissertations and Doctoral Studies

Mental illness is not only the leading cause of disability among adults, but there is also an emerging public health crisis in childhood mental illness. A majority of parents do not recognize symptoms of psychological disorder in their children, and current policies and programs for mental health service delivery are not sufficiently responsive to the early help-seeking dynamics of families. Using a concurrent mixed methods design, this study explored how parents in the Pikes Peak region of Colorado learned to recognize their child's mental illness. Phenomenological interviews, augmented by poetic inquiry and quantitative measurements, were used to discover factors that …

Service-Disabled Veteran Small Business Owners' Success Strategies, Calvin Lewis Russell

Walden Dissertations and Doctoral Studies

The federal government has been inconsistent in meeting the mandated contracting set-aside goals of 3% to aid service-disabled veteran small business owners. Guided by the general systems theory, the purpose of this qualitative exploratory case study was to explore what strategies an owner and 2 senior managers of a small service-disabled veteran-owned business in the Washington, DC metropolitan used to obtain federal contracts. The owner and senior members represented those responsible for strategic vision, development of business opportunities, and the company acquisition process. Data were collected from semistructured face-to-face interviews and corporate documents. Member checking and transcript review were completed …

Small Business Crisis Management Strategies, Dovie Wilson

Walden Dissertations and Doctoral Studies

The absence of adequate crisis management strategies in small firms could result in a premature small business closure. A qualitative multiple-case study was used to explore the crisis management strategies that 3 small business owners have used to survive an unexpected operational interruption. The small business owners in this study were from different industries in the southeast region of the United States and each owner owned a business for more than 5 years and had survived at least a single crisis. The theory of crisis management and crisis intervention theory were the conceptual frameworks for this study. Data collection occurred …

Emotional Dysregulation And Adaptive Skills Among Siblings Of Bipolar Children, Nikki Marie Woller

Walden Dissertations and Doctoral Studies

The purpose of this study was to understand the effects of pediatric bipolar disorder on child siblings. A quantitative quasi-experimental research design was used. According to family systems theory, which was used in the formation of this study, all family members are interconnected and affect each other in a variety of ways. The research questions investigated whether children demonstrated more emotional dysregulation and fewer adaptive skills when a bipolar sibling was living in the home than when there was no bipolar sibling. The matched comparison study used 2 groups of children: those with bipolar siblings and those without bipolar siblings. …

A Program Evaluation Of The Comprehensive School Reform Model Making Middle Grades Work, Wycondia West

Walden Dissertations and Doctoral Studies

A Program Evaluation of the Comprehensive School Reform Model Making Middle Grades Work

by

Wycondia S. West

MA, Spring Hill College, 2002

BS, Spring Hill College, 1998

Doctoral Study Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Education

Walden University

August 2016

There is increasing concern in the United States about the academic challenges that middle grade students face. Middle schools are not meeting accountability standards, and as a result students are not being adequately prepared for high school. In response to these concerns, a state in the southeastern United States adopted a comprehensive school …

Electronic Warrant Systems: The Effect Of Advanced Technologies On Arrest Performance, Gerald Lee Ward

Walden Dissertations and Doctoral Studies

Public safety is negatively affected when arrest warrant information is not available to law enforcement officers, judges, prosecutors, and other criminal justice practitioners. The U.S. Government and the criminal justice community have advocated for electronic warrant systems (e-warrants). Peace officers know that when e-warrant systems deliver warrant information to them immediately from multiple jurisdictions, their safety is increased. However, the factors that cause these e-warrants systems to improve safety are not known. The purpose of this historical data analysis study was to determine if the use of e-warrant systems resulted in shorter clearance times than the use of legacy paper-based …

Exploring Small Business Strategies In Halifax, Nova Scotia, Oluwatoyin Oluremi Akindoju

Walden Dissertations and Doctoral Studies

Small business owners contribute 39% of Canada's gross domestic product and account for 67% of new jobs created, but only 50% survive beyond the first 5 years of existence. The purpose of this multiple case study was to explore what strategies some small business owners in Halifax, Nova Scotia used to sustain their business operations beyond the first 5 years. The study population consisted of 6 small business owners of professional firms located in Halifax, Nova Scotia who had succeeded in business beyond the first 5 years. The conceptual framework that grounded this study was the systems theory. Data were …

Special Education Teachers' Sense Of Efficacy And Reading Achievement Of Students With Severe Disabilities, Melissa Victoria Beck Wells

Walden Dissertations and Doctoral Studies

Assessment scores indicated students with severe disabilities (SWSD) have not been performing to their maximum potential, which may lead to lower quality of life after graduation. Teacher efficacy has been shown to impact student achievement; thus, this study involved exploring the teacher efficacy of the teachers of SWSD. Tschannen-Moran, Woolfolk Hoy, and Hoy's teacher efficacy conceptual framework guided this nonexperimental correlation study to investigate if levels of self-efficacy, years of overall teaching experience, and years of teaching experience with Grade 3 to 8 SWSD were predictors of student reading achievement in a New York City school district. Two open-ended questions …

Evaluating A Student Leadership Program's Impact On Elementary Students' Behavior And Academic Achievement, Stephanie Caracelo

Walden Dissertations and Doctoral Studies

Faculty members at a rural elementary school in a southeastern U.S. state have implemented a student leadership program called Leader in Me (LIM) in order to address increased behavioral disruptions and declining academic achievement scores and also better prepare students for the workforce. To determine the efficacy of the intervention, a mixed methods bounded case study of LIM was conducted. Watson's and Hull's theories of behaviorism support the objectives of the program. The focus of the research questions was on determining whether students' behavior, academic achievement, and leadership skills had changed based on their participation in the program. Quantitative data …

Business Leaders Marketing To Bottom-Of-The-Pyramid Consumers In Nigeria, Chantell Ramaun Beaty

Walden Dissertations and Doctoral Studies

Business leaders often leave more than half of the world's population the bottom of the pyramid (BOP), a $5-trillion market of potential consumers untapped for products and services on account of failing to see BOP markets as profitable for business, yet business leaders who have managed inclusive BOP marketing in Nigeria have experienced profit margins as high as 120%. The purpose of this multiple case study was to explore strategies of business leaders who market to BOP consumers in Nigeria and maintain a profit. The study population consisted of 3 business leaders in the Dallas and Fort Worth metropolitan area …

Social Disorganization Theory: The Role Of Diversity In New Jersey's Hate Crimes, Dana Maria Ciobanu

Walden Dissertations and Doctoral Studies

The reported number of hate crimes in New Jersey continues to remain high despite the enforcement of laws against perpetrators. The purpose of this correlational panel study was to test Shaw & McKay's theory of social disorganization by examining the relationship between demographic diversity and hate crime rates. This study focused on analyzing the relationship between the level of diversity, residential mobility, unemployment, family disruption, proximity to urban areas, and population density in all 21 New Jersey counties and hate crime rates. The existing data of Federal Bureau of Investigations' hate crime rates and the U.S. Census Bureau's demographic diversity, …

The First 4 Years: A Small Business Sustainability Study, Iris Ann Cooper

Walden Dissertations and Doctoral Studies

Small businesses create most of the new jobs in the world, yet more than half fail before the 5th year. Small businesses contribute to the economy by originating new products and services, yet they often lack the strategies to overcome the challenges of the beginning years. When businesses fail, the community wanes from unemployment, poverty, crime, and other social dilemmas. The purpose of this single case study was to explore small business strategies for sustainability beyond Year 4, specifically in a single independent operating Ohio restaurant owner with less than 500 employees. The conceptual framework was Schumpeter's theory of the …

History Of Pregnancy-Loss And Maternal Socioeconomic Factors As Predictors Of Under-Five Child Mortality, Henry Chukwunonso Debem

Walden Dissertations and Doctoral Studies

Nigeria is one of the countries with the highest Under-5 Mortality rates (U5M) estimated at 117 deaths/1000 live births. Despite public health control initiatives, no significant improvement in U5M has been demonstrated. The purpose of the study was to determine whether history of Adverse Pregnancy Outcomes (APO) and maternal socioeconomic factors could predict the death of children before their fifth birthday, using the life course health development and fetal programming theories. The study population was women in their reproductive age (15- 49 years). The study was a secondary data analysis of the datasets obtained from three Nigeria Demographic and Health …

The Role Of Real Time Checking For Understanding In The Middle School Classroom, Earl Dalke

Walden Dissertations and Doctoral Studies

The purpose of this study was to explore the value teachers give to the process of formative assessment and their experience with the process. This study was conducted at a rural middle school where formative assessment was not effectively used as reflected in state assessment data. The social constructivist framework, which views students as active participants in their own learning, guided this study. Research questions focused on how the teachers participated in and felt about the process of formative assessment. Eleven teachers, all of whom use formative assessment as part of their practice, were purposefully selected for this study. Data …

The Lived Experiences Of Counselor Educators Using Mindful Teaching Approaches, Abby E. Dougherty

Walden Dissertations and Doctoral Studies

Researchers have indicated that mindful teaching approaches support students and educators throughout the learning process. The purpose of this hermeneutic phenomenological study was to explore the lived experiences of counselor educators with a daily mindfulness practice in the classroom with culturally diverse students. Relational-cultural theory (RCT) was the conceptual framework. Relational cultural theory concepts of relational connections and disconnections were used to explore the participants' lived experiences implementing a mindful teaching approach. Purposeful sampling yielded 10 participants who participated in semi-structured interviews. Using an inductive approach, the data were analyzed to identify essential themes. Thematic analysis was conducted by hand …

The Lived Experiences Of Immigrant Canadian Women With The Healthcare System, Salma Debs-Ivall

Walden Dissertations and Doctoral Studies

Immigrants to Canada report better health status than the Canadian-born population when they first arrive in Canada, a phenomenon called the Healthy Immigrant Effect. However, by the fourth year after immigration, immigrants report a health status that is worse than that of the Canadian-born population. Visible minority immigrant women report the largest deterioration in health. The purpose of this qualitative study was to explore the lived experiences of visible minority immigrant women with encounters with the Canadian healthcare system to examine the multiplicative impact of gender, ethnicity, and immigration on their health. This phenomenological study, guided by Crenshaw's feminist intersectionality …

Nurses' Perceptions Of Supports And Barriers In Transitioning To The Nurse Faculty Role, Kelly Flanigan

Walden Dissertations and Doctoral Studies

This project study addressed nurses' perceptions of supports and barriers in transitioning from a clinician to a faculty role in a 3-year diploma nursing program located in Eastern Pennsylvania. This problem is significant at both the local and national level due to the shortage of qualified nursing faculty members. A qualitative case study design using in-depth interviews was used. The framework to guide the study was Schoening's Nurse Educator Transition (NET) Model. The guiding question addressed perceptions of new nursing faculty members regarding supports and barriers of transitioning to the faculty role. Interview questions focused on participants' identification of their …

African Americans' Understanding Of The Provisions Of The Affordable Care Act, Ewang Theo Epie-Alobwede

Walden Dissertations and Doctoral Studies

African Americans as a group tend to have numerous health issues, and by the time they seek healthcare, the conditions often advance into more serious ailments. Researchers have shown that cultural distrust of the U.S. healthcare system coupled with some discriminatory practices has hindered African Americans seeking care and taking full advantage of the healthcare system. With the introduction of the Patient Protection and Affordable Care Act (ACA), there is some confusion about the application of the law, resulting in many intended beneficiaries misinterpreting it, and not accessing quality healthcare. This interpretive phenomenological study explored how African Americans in the …

Self-Care Activities And Nurse Manager Well-Being, Gretchen Eileen Johnson

Walden Dissertations and Doctoral Studies

The role of the nurse manager is important in organizations and influences outcomes such as the safety and quality of care provided on a unit, satisfaction, turnover of nursing staff, and overall health of the work environment. Stressors for managing nurses can impair physical and emotional health and lead to poor patient and staff satisfaction, safety, and outcomes. The evidence-based practice project will explore nurse managers' well-being and self-care activities. The theoretical framework of the project is the Relationship-Based Care Model as well as Kotter's change theory. The literature suggests that self-care activities can reduce stress and improve well-being. A …

Graduates' Perceptions Of An Early Childhood Education Teacher Training Program In Jamaica, Patricia Jacobs

Walden Dissertations and Doctoral Studies

Teacher training institutions in Jamaica have been introducing, developing, and revamping undergraduate degree programs. There is, however, little evaluation of these efforts. The purpose of this phenomenological study was to examine The Mico University College's early childhood education undergraduate degree program by exploring the lived experiences of its graduates. The research questions elicited from the participants their views about how changes were being implemented in the program, and how they impacted the institution's development and improvement, how major policy shifts related to changes in national educational policies, and how together these shifts may impact future processes at The Mico and …

A Purposeful Approach To Student Conduct With Deaf And Hard Of Hearing Learners, Heidi Lynn Jordan

Walden Dissertations and Doctoral Studies

Teachers of deaf and hard of hearing students spend more time in conflict resolution than their general education colleagues do. Although emerging research suggests that both students and teachers benefit from an approach to student conduct that is more purposeful than traditional behavior modification models, further research was necessary to clarify how such an effective purposeful program would work. The purpose of this inquiry was to explore how teachers of deaf and hard of hearing students perceived and used a purposeful approach to student conduct. Deutsch's conflict resolution theory served as the conceptual framework. A single case study design was …

Strategies For Employee Engagement In A Small Business Enterprise, Jennifer L. Kizer

Walden Dissertations and Doctoral Studies

In 2013, 35% of the workforce was not engaged, which results in lack of productivity and loss of profitability for small business enterprises (SBEs). The purpose of this qualitative case study was to explore successful strategies that frontline leaders in a 4 generation, family-owned excavating business used to engage their frontline employees. The excavating business was started in 1947 by the father of the current business owners. William Kahn's employee engagement theory was the conceptual framework for this study. Data were collected through a focus group and direct observations of engagement during meetings and frontline areas from a population of …

Effects Of Ceo Changes On Senior Management Leadership Teams Of U.S. Airports, Gale Larine Laroche

Walden Dissertations and Doctoral Studies

Changes in the top leadership position in U.S. airports occur frequently. The purpose of the present phenomenological study was to understand the shared, lived experiences of senior managers who work in a U.S. airport and who have undergone a change in the top leadership position. Airports are of critical importance to their local regions and communities and are economic engines for their respective regions. The results of the study may provide positive social change for airport staff and the surrounding community by drawing attention to the complexity in leadership transition. The study was grounded in organizational stress, uncertainty theory of …

Examining The Relationship Between Emotional Intelligence And Interpersonal Forgiveness Among Internet Users, Noelle Lowry

Walden Dissertations and Doctoral Studies

Emotional Intelligence (EI) and forgiveness both involve interpreting emotional content. Empirical study of a relationship between these two constructs is lacking. This is a problem as many psychological studies infer a relationship between these two constructs. The purposes of this study were to explore whether EI and forgiveness are correlated and to identify whether predictor variables (empathy, life satisfaction, emotional management, and emotional understanding) contribute to the probability of forgiveness within an interpersonal relationship. A quantitative, nonexperimental research design, based on the theory of mind, was used to answer two research questions: Does a correlational relationship exist between the two …

Influence Of Patient Engagement Protocol On Health Outcomes And Medication Adherence Of Patients With Metabolic Syndrome, Angela H. Mcconnell

Walden Dissertations and Doctoral Studies

August 2016

Management of metabolic syndrome (MetS) may be enhanced by promoting patient engagement. Training health care providers in the conceptual and practical application of integrative patient centered care tools may promote patient lifestyle behaviors for better management of MetS. The purpose of this quantitative quasi-experimental study was to assess the impact of training providers in integrative patient centered care for patients with MetS. The biopsychosocial construct provided the conceptual framework for the study. Two groups of physicians were included; one received training in an integrative model (IM) while the second received no training and provided usual care (UC). Following …

Exploring Best Practices To Utilize Business Intelligence Systems, John James Mchenry

Walden Dissertations and Doctoral Studies

Organizational leaders who can manage business intelligence system (BIS) resources may achieve sustainable success in economic, political, and corporate environments. The review of professional literature indicated that effective resource management in a BIS environment requires the establishment of best practice. The purpose of this qualitative, single-case study was to explore best practices among 9 BIS practitioners for effective resource management. Participation criteria included the active engagement in BIS professional disciplines and the willingness to share their perspectives. The conceptual framework for this study was the cognitive experiential self-theory (CEST). Five leaders and 4 data analysts at an eastern U.S. county …

Fresh Fruits And Vegetables In A Rural Elementary School: A Mixed-Methods Program Evaluation, Patricia Marie Moore

Walden Dissertations and Doctoral Studies

The Fresh Fruits and Vegetables Program is a federally funded program intended to increase public school students' fruit and vegetable consumption. The purpose of this mixed-method study was to evaluate the implementation of this program at a rural southwestern Title 1 elementary school to determine teacher perceptions of the program and whether the program met federal goals. Social ecological model and social cognitive theory grounded the investigation. The mixed method design included semi-structured interviews with 11 teachers accompanied by an anonymous web-based open response questionnaire and document reviews. Descriptive statistics were reported for Likert scale survey items and invoice documents …

Barriers High School Teachers Encounter In Teaching Critical Thinking In Writing, Monica Murray

Walden Dissertations and Doctoral Studies

In an urban high school in California, students are generally unskilled in critical writing. The problem has been associated with instructional barriers encountered by teachers. In this qualitative case study, English Language teachers provided their perceptions of such barriers and shared perspectives for solutions based in professional development. Grounded in the theories of Halpern, Saiz and Rivas, Weigle, and Harris and Graham, the conceptual framework emphasized instructional models that develop metacognition in writing, which can increase students' critical thinking. Selection criteria required participants who were English Language Arts teachers of writing critical thinking. Data from 4 participant interviews were coded, …