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Risk Factors Associated With Severe Acute Respiratory Infections Cases, Ryan Gatdula Ortiguerra

Walden Dissertations and Doctoral Studies

The close proximity of the United States to the Mexican border poses a concern for communicable diseases because of the high flow of population movement. The purpose of this retrospective, quantitative study was to identify risks associated with respiratory diseases using an analysis of archived data from the Severe Acute Respiratory Illness (SARI) surveillance program. Based on the epidemiologic triangle theory, demographic and etiologic factors were analyzed to examine any associations with SARI in this population. Between 2010 and 2012, 798 subjects enrolled in this program, with 336 (42.1%) testing positive for respiratory pathogens. Chi square analysis determined that age …

Parent-Adolescent Sexual Health Communication In Immigrant Nigerian American Families, Susan Modupe Ogunnowo

Walden Dissertations and Doctoral Studies

Poor sexual health communication among first generation Nigerian American parents and their adolescent children due to disparities in cultural integration constitutes a barrier to effective parent-child relationships. The purpose of this phenomenological study, which was guided by the acculturative family distancing (AFD) model, was to explore the lived experience of Nigerian immigrant families in the United States regarding communication effectiveness about sex and integration into the American way of life. The research questions addressed cultural bias, parent-adolescent communication effectiveness, strategies employed, resources available to new immigrants, and barriers to their usage. Data collection was by individual interviews of 5 Nigerian-born …

Strategies To Retain Employees In Clinical Laboratories, Amber Rose Phipps

Walden Dissertations and Doctoral Studies

With 30 million citizens gaining access to U.S. healthcare through the Affordable Care Act by 2016, healthcare managers need preanalytic employees to ensure quality healthcare services can be provided. The purpose of this qualitative single case study explored strategies used to retain preanalytic employees. The target population consisted of 10 clinical laboratory managers in a single community-based clinical laboratory in the mid-southern United States, selected because of prior success in improved employee retention strategies. The conceptual framework grounding this study was the theory of work adjustment. Data triangulation occurred from using semistructured interviews and company documents. All interpretations from the …

Academic Outcomes Of A Precollege Intervention Program, John Tri Phung

Walden Dissertations and Doctoral Studies

The No Child Left Behind Act of 2001 demanded that public schools demonstrate adequate yearly progress by increasing student educational achievements. In 2014, the local high school at this study enrolled 62.7% socioeconomically disadvantaged students and implemented a precollege intervention program; however, little is known about its efficacy due to a lack of a formal evaluation, prohibiting an informed approach to continual improvement. The purpose of this program evaluation was to determine if program participation resulted in the higher academic outcomes. Guided by the theory of change, the program evaluation was used to assess the efficacy of the local high …

Exploring Women's Lived Experiences And Expectations With In-Patient Maternity Care Within The U.S. Military Healthcare System, Michelle Ashley Recame

Walden Dissertations and Doctoral Studies

Satisfaction with in-patient maternity care within the Military Healthcare System (MHS) continues to score significantly below national benchmarks when compared to civilian hospitals and doctors. Lack of independent, qualitative research in this area has left the MHS with few answers as to why patients are satisfied, but still unhappy, with specific aspects of care. Discrepancy theory was used in conjunction with grounded theory as the foundation and framework for understanding the expectations and experiences of women who have given birth in the MHS within the past year. Using grounded theory and a hermeneutical approach to interview participants, qualitative data were …

Emotional Intelligence And Instigation Of Workplace Incivility In A Business Organization, Nancy Ann Ricciotti

Walden Dissertations and Doctoral Studies

Workplace incivility is increasing in prevalence and is associated with increased job stress, depression, and anxiety; it is also associated with decreased productivity, job satisfaction, and organizational commitment. Despite the monetary and psychosocial cost of incivility to organizations and individuals, little research has focused on mitigation strategies. The purpose of this correlational study was to determine the relationships between emotional intelligence and instigation of workplace incivility. The theoretical framework was emotional intelligence theory. The central research question posited that higher levels of emotional intelligence are inversely related to instigated workplace incivility. Data were collected electronically from 260 full time employed …

Reducing Employee Turnover In Retail Environments: An Analysis Of Servant Leadership Variables, Beatriz Rodriguez

Walden Dissertations and Doctoral Studies

In a competitive retail environment, retail store managers (RSMs) need to retain retail customer service employees (RCSE) to maximize sales and reduce employee turnover costs. Servant leadership (SL) is a preferred leadership style within customer service organizations; however, there is disagreement regarding the usefulness of SL in the retail industry. The theoretical framework for this correlational study is Greenleaf's SL theory. Seventy-four of 109 contacted human resources managers (HRMs) from a Fortune 500 United States retailer, with responsibility for evaluating leadership competencies of the RSMs they support, completed Liden's Servant Leadership Questionnaire. RCSE turnover rates were available from company records. …

Strategy And Profitability: Managing Profits In Inflation Economy, Mohamed Jaffar Mohamed Sharaaz

Walden Dissertations and Doctoral Studies

The inflation rate in Dubai, United Arab Emirates (UAE) rose to 5-year highs in 2014 and higher by 28% in the first half of 2015. This situation has challenged business managers to sustain business goals. Guided by Kaplan and Norton's balanced scorecard framework. the purpose of this multiple case study was to explore strategies business managers use to maintain profitability with rising operating costs. Two organizations in Dubai, United Arab Emirates were purposefully sampled for this multiple case study. Data were collected through multiple semistructured interviews of a single senior manager from each organization, then triangulated with company e-mails and …

Midlevel Manager Strategies To Improve Employee Engagement In Small Businesses, Patricia Ann Silva

Walden Dissertations and Doctoral Studies

The ability to improve employee engagement in small businesses is critical, not only to workers but also to midlevel managers who want to retain productive employees in the workplace. Supervisors who lack efficient managerial practices also risk decreases in productivity, profitability, and sustainability. The conceptual framework for this qualitative, exploratory single-case study was Kahn's theory of personal engagement and disengagement. The population consisted of 2 midlevel managers from a single, small, franchise company in metropolitan Alabama, both of whom used engagement practices, and managed at least 5 subordinates in the company. Data collected, analyzed, and triangulated were from semistructured interviews, …

Examining Parental Involvement In An Elementary School's Prekindergarten Program, Stephanie Michele Smith

Walden Dissertations and Doctoral Studies

Parental involvement is integral to promoting a high quality school environment. A lack of parent involvement is a problem that currently exists in an urban, public elementary school in Texas. This issue is important because once the parents increase their engagement, the home school relationship can be improved. The purpose of this qualitative case study was to investigate how pre-kindergarten parents at the study elementary school perceive parent involvement and how principals and teachers at the school can help parents improve their involvement. This study is based upon Epstein's theory of 6 types of parent involvement. This study examined parents' …

Strengthening Participatory Democracy Through Participatory Budgeting, Babatunde Adesegun Sobanjo

Walden Dissertations and Doctoral Studies

Although participatory budgeting (PB) was introduced in Sub-Saharan Africa in 2005, it has yet to be widely adopted. While PB has great potential to enhance citizen participation in the democratic process, little academic research has focused on the utility of PB as a mechanism for citizen empowerment in the region. The purpose of this case study was to gain further understanding of the role of civil society in educating and empowering the citizens of Ijede LCDA in Lagos State, Nigeria to participate effectively in budgetary decision-making processes. The data were gathered from 15 semi-structured, one-on-one interviews of purposefully selected participants …

Exploring Critical Success Factors For Sustainable Togolese-Owned Small Businesses In The United States, Folly Somado Hemazro

Walden Dissertations and Doctoral Studies

In the United States, although foreign-born individuals are more than twice as likely to start new ventures, immigrant-owned businesses often fail within the first 5 years. The purpose of this single case study was to explore the strategies that U.S.-based Togolese small business owners who were engaged in entrepreneurial activities in Togo. The Schumpeterian entrepreneurship theory underpinned the study and served as a theoretical reference. Interview data were collected from 20 successful Togolese small business owners who resided in the Washington D.C. metropolitan area, who were engaged in entrepreneurial activities in Togo, and who had been in business for more …

Middle School Teachers' Professional Development Needs For Ict Literacy Integration, Melanie Lynn Park

Walden Dissertations and Doctoral Studies

This qualitative case study explored U.S. middle school teachers' professional development needs in Information, Communication, and Technology (ICT) literacy integration. Past literature has suggested that teachers should improve classroom practices that promote ICT literacy, but few studies have addressed educators' specific training needs. This study was designed to identify the unique professional development needs of academic teachers in a Midwestern middle school using focus groups and interviews to explore teacher perceptions of current technology usage as well as the barriers and/or facilitators of ICT literacy integration. The conceptual framework was based on Knowles's theory of adult learning, which suggested that …

Exploring Mentoring And Career Advancement: A Community College Case Study, Latonya Steele

Walden Dissertations and Doctoral Studies

Senior administrators' retirement rates between 2012 and 2022 will create a shortage of community college leaders. The purpose of this qualitative exploratory case study was to explore how the mentoring programs at community colleges may contribute to the career advancement of potential academic leaders for senior leadership positions. Kram's mentor role theory grounded the study. Data collection included semistructured face-to-face interviews with a purposeful sample of 3 academic, senior administrative leaders from 3 North Carolina community colleges who have participated in leadership mentoring programs, a review of organizational documents, and a review of the literature. Using Yin's 5 step analytic …

Workplace Bullying: A Quantitative Study Of Adult Victims, Joyce Lynn Walker

Walden Dissertations and Doctoral Studies

Workplace bullying has gained widespread attention as contributing to the increase in organizational costs and the reduction in employee productivity. Organizations and human resource departments have conducted studies and developed prevention programs to address bullies, but few studies or programs have focused on the role of victims in the onset of bullying. This quantitative study examined the relationship between bullying victimization in the workplace, focusing on personality traits, specific problem solving, and a victim's locus of control belief. A sample (N = 94) of male and female college students completed the Negative Acts Questionnaire-Revised, Heppner's Problem-Solving Inventory, Levenson's Locus of …

Supporting The Professional Needs Of Alternatively Certified Secondary Education Teachers, Michelle Latrice Washington

Walden Dissertations and Doctoral Studies

The reliance on alternative teacher certification to address teacher quality and quantity is an educational issue worthy of study because non-traditionally prepared teachers fill the nation's classrooms. This qualitative case study explored the experiences of secondary education teachers with no preservice training who earned a professional educator certificate in Alabama through the alternative baccalaureate-level program. The central research questions of this study related to the professional needs of alternatively certified teachers and how educational leaders supported those professional needs. The conceptual framework of this project study included the National Research Center for Career and Technical Education's differentiated induction model based …

Exploring Literacy Coaching As A Form Of Staff Development, Kate Matthews Welborn

Walden Dissertations and Doctoral Studies

Following a 2011 audit a school district in the south central United States clarified the role of the literacy coach. However, there were still differences among the literacy coaches as to how they were performing their duties. As a result, the purpose of this study was to gain an understanding of the role of the literacy coach in the participating school district. The theoretical foundation of this study addressed adult learning and was based upon Kegan's constructive development theory and Knowles's theory of androgogy. A case study design was used to explore how 5 literacy coaches implemented literacy staff development …

How Does Play In Dramatic Play Centers Help Preschool Children Develop Oral Language And Literacy Skills?, Linda M. Wright

Walden Dissertations and Doctoral Studies

In the United States, early childhood educators are expected to follow the trend to enforce academic curriculum for preschoolers. This effort diminishes the value of play in the young developmental years of children. The purpose of this study was to explore the type of activities and strategies that promote development of language and literacy skills of preschool children while playing in a dramatic play center. Vygotsky's sociocultural theory teaches that children acquire skills through play and discovery in a developmentally appropriate environment. The study was conducted within a qualitative framework using a case study approach. How parents and teachers encourage …

How Educators Use Dogs To Support Children's Social, Emotional, And Behavioral Development, Michelle Renee Roberts-Schneider

Walden Dissertations and Doctoral Studies

Children's undeveloped social, emotional, and behavioral skills have long been a concern in early childhood classrooms. Numerous studies have illuminated how therapy dogs in pedagogical settings support children's holistic development, yet there is scant data on the integration of therapy dogs into the early childhood classroom. This study was guided by the progressive education theory and the concept of the human-animal bond, which collectively lay the foundation for how young children develop critical life skills in the presence of a therapy dog. A qualitative collective case study was used to examine how 3 early childhood educators used therapy dogs and …

Examining Teachers' Lesson Plans Following Universal Design For Learning Training, Georgeann A. Winter

Walden Dissertations and Doctoral Studies

With a growing population of culturally and academically diverse student populations in K -12 education, Universal Design for Learning (UDL) has the potential to improve the quality of teaching and learning for all students. However, there is a lack of research on UDL teacher in-service training to determine whether teachers are more effective at implementing UDL once they receive adequate training. The purpose of this quantitative study was to examine changes in teachers' lesson plans following UDL professional training. Seventeen teachers from 5 school districts in the state of Mississippi participated in the study. Teachers' lesson plans were evaluated at …

Transforming Christian Schools Using Sustainable Model Of Organizational Change And Performance Improvement, Abraham Adhanom

Walden Dissertations and Doctoral Studies

Organizational failure in Christian schools is a common phenomenon affecting millions of families in the United States. In the past 2 decades alone, more than 200 Christian schools closed each year; and many continued to struggle for survival. This trend presented significant challenge for the sustainability of faith-based schools that serve over 10% of grade-level students in the country. The purpose of this study was to examine internal and external factors impacting the performance of Christian schools and analyze existing theories of institutional effectiveness leading to the development of a sustainable framework. The research question addressed what type of organizational …

Promoting Annual Depression Screening In A Federally Qualified Healthcare Center, Denise Lesley Alleyne

Walden Dissertations and Doctoral Studies

According to the World Health Organization, depression affects about 350 million people worldwide. In 2014, only 50% of the adult patients were screened for depression in the community-based Federally Qualified Healthcare Center (FQHC) for which this doctorate of nursing practice (DNP) project was developed. In an effort to meet the 100% benchmark set nationally for the screening of adult patients in the primary care settings, the FQHC's quality improvement team now requires that 80% of adult patients in the clinic be screened for depression. Framed within the Iowa model of evidence-based practice, the purposes of this project were to: (a) …

Marketing Strategies Used By Franchise Small Businesses To Retain Customers, Hilda Jordan Arline

Walden Dissertations and Doctoral Studies

Franchised small businesses will not survive their first 5 years if they cannot implement marketing strategies that appeal to their customers. The purpose of this multiple case study was to explore the marketing strategies that successful franchise small business leaders used to retain customers. The population comprised 4 business leaders at franchise small businesses in North Carolina. Competitive advantage theory and blue ocean theory grounded this study. Data were collected using semistructured face-to-face interviews and review of company marketing materials. Data were thematically analyzed, and 6 themes emerged: personalization of customer service, market segmentation, innovative advertising, networking, brand identity, and …

Strategies To Improve Employee Performance In The U.S. Aerospace Industry, Nicole Therese Balderrama

Walden Dissertations and Doctoral Studies

Outsourcing is a sought out practice within business and, in particular, the U.S. aerospace industry; however, some outsourced firms cannot meet client expectations. The purpose of this single case study was to explore what strategies outsourced firm company leaders use to improve the performance of employees. The sample comprised 4 senior managers employed with a firm that has been producing parts for 109 years for a major aerospace company in Southern California. The conceptual framework for this study built upon systems thinking to identify the structure of the outsourcing and supplier relationship and Herzberg's motivation-hygiene theory to understand work motivation …

An Evidence-Based Educational Intervention To Improve Nursing Staff's Critical Thinking And Decision-Making Skills, Rene Norene Barron-Kagan

Walden Dissertations and Doctoral Studies

An Evidence-Based Educational Intervention to Improve Nursing Staff's Critical Thinking and Decision-Making Skills

by

Rene N. Kagan

MSN, University of New Mexico, 2009

BS, University of Phoenix, 2000

Project Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Nursing Practice

Walden University

September 2016

Hospitalized patients in acute care settings are at a high risk of developing health complications that can eventually lead to failure to rescue (FTR) situations. The aim of this project was to deliver a structured comprehensive medical-surgical competency plan for acute care nurses to detect deterioration in a patient's condition through the …

Understanding Caregivers' Perceptions Of Childhood Immunization, Oliver Anyabolu

Walden Dissertations and Doctoral Studies

Low immunization in Nigeria is associated with high prevalence of childhood diseases. The purpose of this qualitative phenomenological study was to describe caregivers' perceptions of routine immunization of their children ages 24 to 36 months. Caregivers' attitudes, cultural beliefs, and knowledge regarding immunization were examined. The health belief model was used to guide study. Interviews were conducted with 5 caregivers of fully immunized and 5 caregivers of partially and nonimmunized children. Digital recordings were analyzed using NVivo 10 to identify themes and subthemes. Attitudes of caregivers with fully immunized children included both perceived barriers (distance to health center, lack of …

The Relationship Between Male Involvement In Early Childhood Education And Student Academic Achievement, Carla Christinia Barnes

Walden Dissertations and Doctoral Studies

Researchers have found that the limited involvement of fathers in their children's academic activities may negatively affect children's academic development. The purpose of this quantitative study was to examine the role of father involvement in the academic achievement of young children in early childhood classes and to assess barriers to such involvement. Guided by Erikson, Vygotsky, and Bronfenbrenner theories of learning and development, the research questions examined fathers' perceived level of educational involvement, barriers to educational involvement, and the relationship between the level of recorded father involvement and student achievement. Data were collected using a modified Parental Involvement Survey that …

Experiences Of Nonincarcerated African American Male Youth With An Incarcerated Male Sibling, Fred Nana Biney

Walden Dissertations and Doctoral Studies

Approximately half of all incarcerated individuals in the United States are young African American men. Researchers have documented that nonincarcerated siblings may commit a crime when their sibling is in prison. The current study addressed literature regarding the experiences, and coping strategies of nonincarcerated young African American men who live in the inner city, and have a male sibling in prison. Guided by Bronfenbrenner's ecological systems theory, this interpretative phenomenological analysis (IPA) study explored the lived experiences and coping strategies of African

American male youth with a brother in incarceration. Purposive sampling was used to select 3 nonincarcerated African American …

Strategies Agency Managers Use To Retain Recruiting Staff, Andrew Edward Borg

Walden Dissertations and Doctoral Studies

The high rate of employee turnover in the staffing industry is costly and impedes sustainability of employment agencies. The focus of this qualitative single case study explored strategies that 10 human resource managers (HRMs) and 5 HR directors used to retain recruiting staff at one regional recruiting agency in the southeastern region of the United States. The target population and research site were selected because of prior success in employee retention strategies. The conceptual framework grounding this study was sustainability theory. Methodological triangulation was achieved with semistructured interviews and focus group data. Data were thematically analyzed using Atlas.ti7, and all …

Experiences Of Middle School Children With Autism Spectrum Disorders In Adapted Physical Education, Arkansas Josephine Blagrave

Walden Dissertations and Doctoral Studies

School-age children with autism spectrum disorders (ASDs) are rarely asked to describe their experiences within the programs that they receive and are largely missing from the narrative of their own lives. Adapted physical education (APE), a subdiscipline of physical education, is one of the services frequently accessed by this population. Current literature on the experiences of children with autism spectrum disorder (ASD) has focused on special education classrooms, sensory perceptions, and general physical education classes. However, no prior studies had addressed how school-age children with ASD perceive their APE experience. Therefore, the purpose of this qualitative study was to use …