Digital Commons Network^™

Effects Of Telemedicine In The Intensive Care Unit On Quality Of Care, Amanda Wallace

Walden Dissertations and Doctoral Studies

The growing concern over the nursing shortage has affected the intensive care unit (ICU) and how these units provide quality care, adhere to best practices, and maintain high satisfaction scores. Implementing telemedicine technology allows the ICU to have additional staff available, via cameras at an offsite location, to assist with patient care. The purpose of this project was to evaluate the potential benefits of telemedicine application used within an ICU on quality of care, adherence to best practices, and satisfaction, as evidenced by data from the hospital's telemedicine dashboard. The goals of this project were to reduce length of stay, …

Effects Of Mild To Moderate Stress On Mental Rotation, James Frederick Bell

Walden Dissertations and Doctoral Studies

Mental rotation (MR) is the ability to mentally shift one's visual perspective of any object by changing the orientation of a mental image of that object. Research into the effects of stress on MR could be used to help improve understanding of a variety of visual-spatial tasks performed in hyper-vigilance situations. However, until the present study, there has been no research on the effects of stress on MR. The Yerkes-Dodson Law predicts performance will be improved when an individual is exposed to mild to moderate stress. The purpose of this study was to answer three research questions. The questions examined …

A Comparative Study Of Compliance Among Patients Attending An Opiate Outpatient Treatment Center In Rural Appalachia, Jerry Russell Morris

Walden Dissertations and Doctoral Studies

Adults with an opiate addiction have a higher rate of noncompliance with treatment, which limits its effectiveness and increases the burden of care for society. Effective treatment decreases emergency room visits, and overdoses. The tristate area of Kentucky, West Virginia, and Ohio has experienced increased opiate-related arrests and deaths. This study sought to measure the extent to which treatment type (medical treatment (MS) or faith-based component of service (FBS)) predicts compliance when measured by number of clean urine drug screens (UDSs) and number of kept pill count, over and above dual diagnosis, college education, and income. The on-site records of …

Educational Intervention: Effects On Heart Disease Risk Factor Knowledge Among African Americans, Linda M. Smith

Walden Dissertations and Doctoral Studies

Abstract

Fatal coronary heart disease among African Americans is associated with a

disproportionate burden of cardiovascular disease (CVD) risk factors. Research has indicated that CVD risk factor knowledge and the prevalence of ideal CVH both persist at suboptimal levels. However, few researchers have investigated the relationship between culturally-tailored community-based heart health sessions, short-term knowledge acquisition of CVD risk factors, and the awareness of the American Heart Association's (AHA's) CVH construct. The purpose of this cross-sectional, secondary analysis study was to examine the interplay between these variables in an urban African American sample. Guided by social cognitive theory, the study analyzed …

A Case Study Of Rti Data Teams, William Lee Washington

Walden Dissertations and Doctoral Studies

This qualitative case study addressed the persistent achievement gaps in annual measurable objectives (AMO) data at a public rural elementary school in the Mideast United States. Response to intervention (RTI) data teams from 2010 did not produce expected student gains after 5 years of implementation in the school under study. Based on Mandinach and Jackson's data-driven decision making conceptual framework, the purpose of this study was to examine the work of the RTI data teams as they attempted to improve student learning and close achievement gaps. A purposeful sample of 13 staff members involved in the RTI implementation process was …

Formative Program Evaluation Of A Professional Learning Community In An Urban Elementary School, Cherie Laverne Ameyaw

Walden Dissertations and Doctoral Studies

In a professional learning community (PLC), school personnel participate in focused collaboration to improve adult learning and facilitate student achievement. Implementation of a PLC is often haphazard and not evaluated for effectiveness, resulting in poor implementation. This study, a PLC-specific qualitative formative program evaluation, addressed a lack of documented PLC effectiveness at a local urban elementary school in the southern United States. The purpose of this project was to determine how teachers described the functioning of their PLC. The conceptual framework for the study was Hord and Tobia's 6 characteristics of a PLC. The research questions focused on how teachers …

Assessing And Guiding Instructional Practice: Administrators' And Teachers' Perceptions Of The Framework For Teaching Evaluation, Latonya Patrice Wright

Walden Dissertations and Doctoral Studies

School officials in a large district adopted a research-based teacher evaluation system, the Framework for Teaching (FFT). Despite a 4-year phase-in of the FFT, teachers' evaluation ratings increased while student achievement results decreased. This disparity impacted the school district's growth targets as set by the State Department of Education. If target growths are unmet, school administrators must relinquish school operations to the state. A bounded, qualitative case study was designed to explore administrators' and teachers' perceptions of the FFT and its influence on school administrators' assessment of teachers' instructional practices. Social constructivist and andragogy theories formed the study's conceptual framework. …

Teacher Certification In Technology Education: Differences In Testing Scores Of Alternative And Traditional Certified Teachers, Kenya S. Avant

Walden Dissertations and Doctoral Studies

New Jersey has utilized alternative certification to combat the shortage caused by technology education (TE) teacher attrition. Research has examined the effectiveness of alternative certification preparation programs for the core academic programs; however, very little research has been performed in the area of TE. The purpose of this study was to (a) evaluate the Praxis scores of teacher candidates in New Jersey seeking licensure in technology education, and (b) determine if there were differences between the TE among teachers completing different preparation programs. The theoretical framework that guided this quantitative study was rooted in Knowles' theory of andragogy, which supported …

Provider-Initiated Condom Education, Hiv, And Stds Among Older African American Women, Natasha Hall

Walden Dissertations and Doctoral Studies

Older African American (AA) women are at increased risk for HIV and STDs. The purpose of this quantitative study was to examine the influence of provider-initiated condom use education on condom use among unmarried, heterosexually active AA women aged 50 and over using the constructs of self-efficacy and attitudes of the health belief theoretical model. The relationships between provider education on condom use, condom use self-efficacy, condom use attitudes, and actual condom use were tested individually, and provider education on actual condom use was tested after controlling for condom use self-efficacy and attitudes among 95 study participants recruited primarily from …

Animas-La Plata Project Stakeholder Narratives: A Case Study Using Kingdon's Three Streams Theory, Denise Renee Rue-Pastin

Walden Dissertations and Doctoral Studies

Population growth, coupled with changing weather patterns, is straining water supplies, especially in the American Southwest. A multitude of tools, including additional storage, will be needed to meet water demand and supply gaps. The Animas-La Plata Project, a reservoir in southwest Colorado, provides a case study of how groups worked for nearly 70 years to solve a water problem: insufficient irrigation for agriculture. This qualitative case study addressed a lack of first-person narratives from those most involved. Its purpose was to gather stakeholder narratives and analyze them using Kingdon's three streams theory to address the extent to which the problem, …

The Space Debris Environment And Satellite Manufacturing, Walter Tam

Walden Dissertations and Doctoral Studies

Space debris is a growing threat to operational satellites and satellite manufacturing organizations. Leaders in satellite manufacturing organizations lacking adequate knowledge on the space debris risks could be at a competitive disadvantage. The purpose of this explorative case study was to explore strategies leaders in satellite manufacturing organizations use to mitigate risks through the conceptual lens of stakeholder theory, contingency theory, and general system theory. The research questions addressed strategies to mitigate the debris threat from the perspectives of both ongoing concerns and long-term risk resolution. Data were collected via in-depth interviews with 12 leaders, purposively selected, in satellite manufacturing …

Social Ecological Influences Of Wic Programming Behavior Change Of Former Wic Participants, Joyce L. Terrell

Walden Dissertations and Doctoral Studies

The Special Supplemental Women, Infants, and Children (WIC) Program is one of many United States Department of Agriculture's (USDA) food subsidy programs that serves 8.6 million participants, deemed nutritionally at risk. WIC is designed to influence nutritional and health behaviors to a population least capable of functioning. The purpose of this study was to identify if participation in WIC's nutrition education activities and restricted use of food subsidy benefits had a post-factorial effect on their nutritional behaviors. This study provides data on Bronfenbrenner's social ecological influences and how it impacts on long-term behavioral change. A quantitative causal-comparative design utilizing a …

The Effect Of A Drama On Young Adults' Attitudes About Domestic Violence, Regina Watson

Walden Dissertations and Doctoral Studies

Intimate partner abuse has been and remains a pervasive problem that has been documented in every race, religion, class, and level of education. This study presented the rationale for achieving positive social change by examining the problem through prevention rather than reaction and intervention. Although many theories of causation have been presented at various times, none has been proven or offers a complete explanation. Social ecological theory examines the interaction of individual, community, relational, and societal influences on the development of attitudes and behavior acceptance. This pre and post-survey group, quasi-experimental study examined the effects of an intervention on attitudes …

Public Safety Impact Of Electronic Monitoring Of Texas High-Risk Offenders, Paul Utu Aliu

Walden Dissertations and Doctoral Studies

The use of electronic monitoring (EM) as a tool to supervise high-risk offenders has increased in the field of criminal justice in the state of Texas. Although EM is now widely used to supervise high-risk offenders to prevent them from committing further crimes, it is unclear whether EM has achieved the purpose of reducing reoffenses during parole supervision. Hirschi's social bond theory, which was later developed into social control theory, was used as the framework for this general qualitative study to explore retired parole officers' perceptions concerning whether EM is successful in preventing high-risk offenders from committing additional crimes. Interview …

Improving High School Service-Learning To Increase Long-Term Impact On Volunteerism, Tracey Boldemann Tatkin

Walden Dissertations and Doctoral Studies

Passage of the Kennedy Serve America Act in 2009 led to wide support for service-learning programs in high schools. The effectiveness of these programs on future volunteerism in college, however, has not been established. In the absence of research clarifying the variables that might influence programming effectiveness, it is difficult to design and adapt such programs to increase their impact. This study explored how high school service-learning programs could be improved to encourage greater student participation and to motivate continued volunteerism in college. A multiple case study methodology was used that included face-to-face interviews with 7 teachers and service-learning coordinators …

Perceptions Of Customer Service Trainers Relating To Informal Workplace Learning Experiences, Robert Russell Bing

Walden Dissertations and Doctoral Studies

Promoting informal workplace learning to improve workplace learning and performance within a competitive business environment presents a challenge for customer service training managers within a large corporation. The purpose of the study was to determine which attributes of informal workplace learning experiences contributed to meaningful professional development and improved performance. Constructivism and experiential learning provided the theoretical foundations for this study. Conceptually, learning is mediated by the meaning learners attribute to it. The primary research question concerned how customer service training associates perceived informal workplace learning experiences as having meaningful impact on their overall professional development and work performance. An …

A Case Study Investigating Secondary Science Teachers' Perceptions Of Science Literacy Instruction, Phyllis Ann Blackmon

Walden Dissertations and Doctoral Studies

This project study addressed the lack of inclusion of discipline literacy pedagogy in secondary classrooms in a rural school district in eastern North Carolina. Discipline literacy practices are recommended in the Common Core Standards for History/Social Studies, Science, and Technical Subjects. The district had implemented content area reading strategies across content areas, yet no significant progress in secondary students' reading abilities had been demonstrated in statewide or national assessments. The conceptual framework that drove this study was disciplinary literacy, founded by the literacy research of Shanahan, Shanahan, and Zygouris-Coe. Within a qualitative case study method, this investigation of 8 secondary …

Visual Arts And Chronic Pain: Thematic Analysis To The Artistic Statements Of Visual Artists, Susan Beth Janicke

Walden Dissertations and Doctoral Studies

The relief of pain is an essential element of nursing practice. Nursing has begun to successfully use art to assess and reduce pain among hospitalized children, surgical patients, and oncology patients. Structured art projects have been used to provide distraction from pain and patient drawings have allowed nurses to assess pain. This project employed grounded theory and thematic analysis to uncover significant concepts in the artists' statements. The Roy adaptation model and Saunders' total pain theory provided the project theoretical framework. The artistic statements and the art of chronic pain patients were examined using thematic analysis to identify recurrent themes. …

Impact Of Professional Learning Community On Coteaching, Lalita Karpen

Walden Dissertations and Doctoral Studies

A professional learning community (PLC) is designed to increase pedagogical knowledge and encourage collaboration amongst teachers. Many schools are using a variety of PLCs to increase collaboration and improve teaching and learning. The study school implemented a PLC, but collaboration and effective coteaching practice have not improved. Guided by social constructivism and social cognitive learning theories, the goal of this research was to explore coteachers' perceptions, attitudes, and beliefs about the overall effectiveness of the PLC coteaching model to improve instructional strategies. A qualitative case study with semistructured interviews to collect data and a narrative analysis for reporting was utilized. …

Parental Confidence In U.S. Government And Medical Authorities, Measles (Rubeloa) Knowledge, And Mmr Vaccine Compliance, Wendy Leonard

Walden Dissertations and Doctoral Studies

Parents' refusal to immunize their children with the measles, mumps, and rubella (MMR) vaccine has resulted in a surge of measles outbreaks in the United States. The purpose of this correlational study was to examine the relationships between parental knowledge and trust of the MMR vaccine, and their trust in government and medical authorities. The theoretical foundation for this study was the health belief model (HBM). This study determined if there was any relationship between general trust in doctors/governments (i.e., the predictor variable) and attitudes toward MMR vaccine (i.e., the sole dependent variable), and whether gender, age group, or level …

Survival Analysis Of Total Therapy 3 In Newly Diagnosed Multiple Myeloma, Scott Edward Bowman Miller

Walden Dissertations and Doctoral Studies

Multiple Myeloma (MM) is a hematologic malignancy that accounts for approximately 1% of all adult cancers. This study investigated the impact of patient distance traveled to MM care sites, which was not considered in previous research on any disease-specific staging or prognostic schema despite evidence suggesting that distance impacts patient outcome. This study investigated the impact of patient distance from the site of care on survival outcomes using a group of 480 clinical trial participants. Andersen's behavioral model of health services use functioned as the theoretical model for this study. The independent variable was patient travel distance, controlling for established …

The Impact Of Self-Imposed Barriers On African Americans Successes, Pennie L. Murray

Walden Dissertations and Doctoral Studies

Researchers and economists have argued that the economic and social stagnation of African Americans is the result of their lack of self-confidence, initiative, and commitment toward their own advancement. This qualitative study examined whether historical conditioning and personal experiences have created a hypersensitivity in this population to events triggering behaviors that mirror the success fearing personality when seeking social, economic, and political advancement. It used Zuckerman and Allison's fear of success scale to identify the range of success fearing in 30 African American men and women aged 35 years or more; this group was also interviewed regarding their lived experiences …

Effect Of Placard Grading On Food Safety In Retail Food Facilities, Christopher Ogbonna Ogbu

Walden Dissertations and Doctoral Studies

Most people have had an episode of foodborne illness at one time or another; however, the majority of those stricken with foodborne illness fails to associate ill health with something consumed within the past 72 hours. The World Health Organization (WHO) estimates that foodborne diseases affect 30% of the population in developed countries, and that in developing countries, about 2 million people die yearly due to foodborne illness. Previous researchers have indicated that food handlers with poor personal hygiene are potential sources of infection. Although public health agencies in many countries already regularly inspect food facilities to control potential foodborne …

Volunteers' Engagement And Retention In The Community Of Bosniaks Georgia, Inc., Senija Orlovic

Walden Dissertations and Doctoral Studies

Members of ethnic- and nationality-based community organizations in the United States support their communities with their membership fees and donations, but they often show little interest in participating in volunteer activities. The purpose of this case study was to examine what motivates people to engage in ethnic- and nationality-based community organizations and provide information to leaders of the ethnic- and nationality-based community organizations to develop best practices with ways to attract and retain volunteers. This study was based on Clary, Snyder, and Stukas's conceptualization of functional motivations of volunteerism. Interview data were collected from 32 individuals who volunteer in a …

Development Of A Nursing Informatics Competency Assessment Tool (Nicat), Alphonsa A. Rahman

Walden Dissertations and Doctoral Studies

Nursing workforce competency in informatics is crucial to providing safe patient care, improving quality, and reducing healthcare costs. Assurance of informatics competency in a workforce with increasingly diverse educational preparations, demographics, and informatics skills poses significant challenges. The question addressed was the lack of nursing informatics competency assessment tool relevant to bedside nursing. The purpose of this project was to develop and review a new nursing informatics competency assessment tool designed to address the individual educational needs of newly hired nurses. The tool was designed to measure nurses' competency in computer literacy, informatics literacy, and informatics management skills recommended in …

Health Education To Decrease Obesity In Adolescents With Asthma, Mitzie Eumarie Thomas

Walden Dissertations and Doctoral Studies

Obesity increases asthma severity and is costing the health care industry a significant amount of money. Decreasing adolescents' obesity will decrease the risk for chronic health problems, which can have a significant impact in adulthood. Implementing a school-based health education program can decrease the prevalence of obesity amongst adolescents. This program will be implemented by school nurses in the after-school program at Public School 59 (P.S) in New York City. The purpose of this project is to develop adolescents' school-based obesity prevention policies and documentation which will focus on increasing their nutrition education, increasing physical activities, and providing skills to …

The Emotional Impact On Elderly Spouses Who Placed Their Loved Ones In Long-Term, Barbara Hunt

Walden Dissertations and Doctoral Studies

Aging may bring mental and/or physical decline. There may come a point when a loved

one needs long-term care in a nursing home. The purpose of this phenomenological study

was to examine the community dwelling spouses' emotional state. A study was

conducted with 10 individuals (5 men and 5 women) who had a spouse in long-term

nursing care. Inclusion criteria was to be at least 65-years old, have been married at least

30 years, and reside alone in his or her own home. The social emotional selectivity theory

and the construct of boundary ambiguity were applied to view the epoch. …

The Relationship Between Customer Relationship Management Usage, Customer Satisfaction, And Revenue, Robert Lee Simmons

Walden Dissertations and Doctoral Studies

Given that analysts expect companies to invest $22 billion in Customer Relationship Management (CRM) systems by 2017, it is critical that leaders understand the impact of CRM on their bottom line. The purpose of this correlational study was to investigate potential relationships between the independent variables of customer satisfaction and CRM utilization on the dependent variable of business revenue. The service-profit chain formed the theoretical framework for this study. The study population included 203 service branches for an industrial equipment manufacturer in North America. The service director for the subject organization provided the data for the study via data extracts …

Crisis Preparedness Of Leadership Behaviors Among Elected Leaders During Hurricanes, Fredric Marc Francis

Walden Dissertations and Doctoral Studies

Crisis preparedness is the responsibility of every person, business, and leader, and leadership behavioral skills are an essential characteristic of crisis preparedness. The purpose of this case study was to explore the decisions of elected leaders along the Gulf Coast during Hurricanes Katrina and Ike in order to understand their leadership behaviors in crisis preparedness. The conceptual framework was based on the emergency management theory presented by McEntire in 2004, which helped to define the necessary components for leaders' successful crisis preparedness. Data were collected through interviews with 5 members from the National Emergency Management Agency along with a document …

Knowledge Of Domestic Minor Sex Trafficking Among African American Parents, Jamille T. Harrell

Walden Dissertations and Doctoral Studies

Abstract Domestic minor sex trafficking in the United States is a human rights issue and social problem affecting over 300,000 children ages 12-17, 43% of whom are African American girls. This survey was an exploration of domestic minor sex trafficking knowledge among African American parents and their protective strategies to prevent victimization. Ecological systems theory provided a conceptual framework to examine the environmental factors shaping parental knowledge. The sample consisted of 2 Southern California African American churches (n = 38, n = 32) that served different socioeconomic groups. The African American Sex Trafficking Knowledge survey was researcher designed and pretested …