Digital Commons Network^™

Employee Wellness Model For Obesity, Barbara Siebold

Walden Dissertations and Doctoral Studies

Obesity, a condition of having a body mass index (BMI) greater than 30, is a universal epidemic with the greatest prevalence in the United States. The greatest concern with this epidemic health problem is that it presents with many comorbidities and is a risk factor for other chronic diseases. Employee wellness programs (EWP) have been in place for years and incorporate programs on weight management, nutritional education, and smoking cessation to reduce risk factors associated with chronic diseases. These programs utilize the concept of empowerment, often guided by Pender's self-management theory, to encourage employees to take onus for their health …

Information Operations Under International Law: A Delphi Study Into The Legal Standing Of Cyber Warfare, Kenneth Gualtier

Walden Dissertations and Doctoral Studies

The ever-growing interconnectivity of industry and infrastructure through cyberspace has increased their vulnerability to cyber attack. The lack of any formal codification of cyber warfare has led to the development of contradictory state practices and disagreement as to the legal standing of cyber warfare, resulting in an increased risk of damage to property and loss of life. Using the just war theory as a foundation, the research questions asked at the point at which cyber attacks meet the definition of use of force or armed attack under international law and what impediments currently exist in the development of legal limitations …

The Role Of Sociodemographic Characteristics And Antiretroviral Prophylaxis On Risky Sexual Behavior Among Men Who Have Sex With Men, Leonard Obodo

Walden Dissertations and Doctoral Studies

Recent multicenter, randomized, double blind clinical trials have shown no association between HIV preexposure prophylaxis (PrEP) and increased sexual risk behavior among high-risk men who have sex with men (MSM). However, little research has been conducted under natural conditions devoid of clinical trial controlled environment to confirm the lack of association between PrEP and increased sexual risk behavior. Also, research has shown conflicting associations between sociodemographic characteristics and sexual risk behavior among MSM. In this cross-sectional, web-based, primary data analysis, MSM who reside in United States of America (USA) and who make use of PrEP for HIV prevention were examined …

Community College Leaders' Experiences In Adapting To Changing Student Demographics, Joyce Hewett

Walden Dissertations and Doctoral Studies

The demographics of community colleges are rapidly changing. The culture composition of the student population in community colleges has expanded, and includes larger percentages of African Americans, Asian/Pacific Islanders, Hispanic Americans, and Native Americans than are found in other higher education institutions. The purpose of this phenomenological study was to examine the lived experiences of 10 community college leaders, consisting of 4 administrators, 5 faculty members, and 1 faculty/administrator, in their attempt to adapt to the changing demographics of the student population. Multicultural lens, the conceptual framework for the study, helped guide leaders in assessing their levels of multicultural sensitivity …

Improving Educational Technology Integration In The Classroom, Nicole Elizabeth Yemothy

Walden Dissertations and Doctoral Studies

Teachers' ability to integrate technology is a topic of growing concern given the importance of technology and 21st century skills readiness in both academics and the global society of 2014. This study investigated the technology integration barriers that educators faced, the training the educators received, and support needs of educators at a large, prominent, 30-year old international school located in Central America offering grades Pre-K 3 to 12. The social learning theory of Bandura, the constructivist theories of Piaget and Dewey, and the technology constructionism of Papert provided the theoretical framework. The research questions focused on understanding technology integration by …

Crash Risk Associated With Cellular Phone Use While Driving, Tiffani Ann Fordyce

Walden Dissertations and Doctoral Studies

There are inconsistencies in the published literature on the effect of cellular phone use while driving. The objective of this study was to estimate an adjusted nationwide crash rate associated with cell phone use while driving and to compare statewide crash rates prior to and following the implementation of legislation banning cell phone use while driving. Crash rates in nationally representative databases were calculated based on imputed values for cell phone use using the propensity score method. The imputed nationwide crash rate for fatal crashes (1.61 per 100 fatal crashes) and all crashes (1.409 per 100 crashes) represented a 2 …

Resiliency And Maternal Self-Efficacy Of Single African American Mothers: A Qualitative Study, Danielle Beatrice Massey

Walden Dissertations and Doctoral Studies

Traditionally, research involving single African American mothers (SAAMs) has been conducted using problem-focused or cultural deficit models with the emphases on the disadvantages. Consequently, little is known about how these women view their experiences as single mothers concerning their resilience and maternal self-efficacy. Using a snowball sampling method, 15 SAAMs were recruited to participate in this phenomenological study. This study employed a subject-intensive theoretical framework. Face-to-face interviews (using a questionnaire), participant observation, and a focus group were the methods used to capture the essence of the SAAMs' abilities to thrive despite the challenges associated with single parenting. All encounters were …

Educational Intervention To Impact Parental Decisions To Consent To Human Papillomavirus Vaccine, Tawa Bimbola Ibikunle-Salami

Walden Dissertations and Doctoral Studies

Educational Intervention to Impact Parental Decisions to Consent to Human Papillomavirus Vaccine

by

Tawa B. Ibikunle-Salami

MSN, Indiana Wesleyan University, 2010

BSN, Indiana Wesleyan University, 2005

Project Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Nursing Practice

Walden University

September 2015

Human Papillomavirus (HPV) is a global health issue that is transmitted sexually and affects both genders. Evidence shows that approximately 79 million people are affected in the United States with 14 million newly affected yearly. The Centers for Disease Control and Prevention indicates that teens and young adults under age 25 are at particular …

Consumer Perceptions Of Eco-Friendly Products, Sheik M. Isaacs

Walden Dissertations and Doctoral Studies

The rate of failure to manage e-waste and the business sectors' failure to produce more eco-friendly products is high. These failure rates cause companies to lose profits on expanding an eco-friendly customer market. The central research question addressed by this correlational design examined the quality, price, and brand loyalty of eco-friendly products related to customers' willingness to recycle e-products. Consumer and buying behavior theories served as the theoretical framework in this investigation. SurveyMonkey was used to distribute the researcher-developed survey to the participants for the collection of the data. The collection data instrument was validated by performing a pilot test …

Transforming Vulnerable Interactions To Effective Communication: An Application Of Evidence For The Tele-Intensive Care Unit Nurse, Bethann Mendez

Walden Dissertations and Doctoral Studies

Tele-intensive care collaboration in care of critically ill patients improves both the safety and quality of nursing care. However, the full benefits of the telemedicine service may not be realized unless tele-critical care nurses have the ability to communicate clearly with their remote nursing peers. The purpose of this DNP project was to create and validate an acronym style communication tool to assist the tele-critical care nurses with their communication. The relational coordination theory was the primary communication theory utilized for tool development. The tool creation phase of the project included informal observations and discussion with a convenience sample of …

Supporting Elementary Teachers In Effective Writing Instruction Through Professional Development, Whitney Nash Young

Walden Dissertations and Doctoral Studies

Common Core State Standards (CCSS) for writing have created a challenge for teachers at an urban elementary school as they struggled to provide effective writing instruction to support the rigorous expectations of the standards. The purpose of this study was to explore elementary teachers' lived experiences of instruction and better understand instructional writing procedures and strategies. The conceptual framework of this study was based on Dennick's work for incorporating educational theory into teaching practices, which combined elements of constructivist, experiential, and humanist learning theories. Research questions investigated how teachers perceived the impact of the CCSS writing standards on their practice …

The Effects Of A Concept-Based Curriculum On Nursing Students' Nclex-Rn Exam Scores, Patricia Allen Edwards

Walden Dissertations and Doctoral Studies

The Institute of Medicine and the National League of Nursing have called for curricular reform that promotes high first-time pass rates on the National Counsel of Licensure Examination for Registered Nurses (NCLEX-RN). A campus in the southeastern region of the United States implemented a concept-based curriculum; however, the effect on the first-time NCLEX-RN pass rates was unknown. The purpose of this comparative study was to determine if the concept-based curriculum improved student scores on the NCLEX-RN. Dreyfus' model of learning guided this study because of the andragogy tenets, which in turn supported the concept-based curricula. The research questions examined the …

Speech-Language Pathologists On Multicultural Counseling Competency, Denise Moore Revel

Walden Dissertations and Doctoral Studies

Despite reports of speech-language pathology graduate-level programs focusing on multicultural competence, the literature suggests speech-language pathologists are not adequately educated and trained to be culturally competent. The purpose of this study was to examine the experiences of public school-based speech-language pathologists' graduate-level academic instruction and the clinical practicum experiences in multicultural competence, specifically in the area of multicultural counseling. Guided by the theory of multicultural counseling and therapy, this study used a phenomenological approach, employing semistructured, in-person interviews with 7 participants. The inclusion criteria used for selecting study participants included: having a master's degree in speech-language pathology, graduation from an …

Implementing An Evidence-Based Educational Module On Nurses' Role On Management Of Postpartum Hemorrhage, Stella Motanya

Walden Dissertations and Doctoral Studies

Postpartum hemorrhage is the second leading cause of maternal death in the United States. According to American College of Obstetricians and Gynecologists, postpartum hemorrhage is an obstetric emergency. Between 2012 and 2013, a medical facility reported 369 postpartum hemorrhages, a 4.7% increase from previous years. It is important to address this practice issue because postpartum hemorrhage can lead to maternal mortality. The purpose of this project was to increase staff nurses' awareness and knowledge of their role on the management of postpartum hemorrhage. The outcome of the project paper was implementation of an educational module on postpartum hemorrhage at this …

Alarm Safety In A Regional Neonatal Intensive Care Unit, Piper Probst

Walden Dissertations and Doctoral Studies

Alarm fatigue is a practice problem that applies to hospitalized patients and the nurses who care for them. Addressing alarm fatigue is important to promote alarm safety and to decrease the risk of patient harm or death. The purpose of this study was to decrease alarm fatigue and improve alarm safety in a regional neonatal intensive care unit (RNICU). Guided by the conceptual model for alarm fatigue and alarm safety, this study addressed whether or not alarm management protocols designed to decrease false and nuisance alarms in the physiological monitoring of neonates improve alarm safety via decreased alarm burden and …

Self-Perception As A Predictor Of Academic Performance In Adolescents With Learning Disabilities, Kirk Lamar Rhodes

Walden Dissertations and Doctoral Studies

Adolescents often suffer with negative feelings and low self-esteem, leading to an overall negative self-perception. Prior researchers have linked adolescent self-perception, academic performance, and learning disabilities, but more research is required. This quantitative study examined relationships between self-perception of reading, writing, spelling, and mathematics competence. In addition, global self-worth was examined through the Harter-Renick Self-Perception Profile for Learning Disabled Students (HRSPP). Student academic performance as measured by Stanford Achievement Test-10 Total Reading (SATrd) and Total Math (SATmh) scores among adolescents with learning disabilities were also examined. Student records from the Green School were gathered (n = 128), with their perceived …

Social Skills Comparison Of Online And Traditional High School Students, Jo Shaw

Walden Dissertations and Doctoral Studies

Online education has evolved over the last 18 years as technology continues to advance. Starting at age 5, children are able to forego traditional classrooms and begin attending school from a computer in their homes. Research has not identified significant academic differences between traditional and online schools; however, there is limited research on differences in social competency in these settings. Bandura's social learning theory was used as a framework to compare social competency skills in traditional (n = 113) and online (n = 28) high school students living in Pennsylvania using the Social Skills Inventory (SSI). Participants were recruited using …

Social Media Strategies Used In Marketing Custom Bicycle Framebuilding Companies, Angela Au

Walden Dissertations and Doctoral Studies

Social media is a cost-effective marketing tool, and in a 2014 survey, 75% of small business owners reported that they used social media to market. However, many of these businesses merely set up social media profiles and do not use social media to its full potential. Microenterprise owners face barriers such as lack of time, financial resources, and marketing knowledge, preventing them from adopting social media as a marketing tool. This multiple case study explored what strategies microenterprise owners in the artisan economy need to market using social media. Data were collected from 5 custom bicycle framebuilders in a Southwestern …

Development Of Mentors To Facilitate Evidence-Based Practice In A Nurse Residency, Susan Annette Breit

Walden Dissertations and Doctoral Studies

Evidence-based practice has resulted in better patient outcomes, higher patient satisfaction, and effective patient-centered care. Leadership of a large teaching hospital determined that new nurses lacked the education and experience to design and implement an evidence-based project at the bedside, which was an expected outcome for completion of the established nurse residency program. The purpose of this project was to develop a design-only project in which Masters of Science in Nursing-prepared mentors were added to the residency program to establish the required evidence-based project. A mentor workshop was developed to guide the mentors in this role using Benner's novice to …

Ventilator-Associated Pneumonia Prevention Bundle, Patricia Cal

Walden Dissertations and Doctoral Studies

Ventilator-associated pneumonia (VAP) is a serious complication in critically ill patients; it can prolong intubation, increase intensive care unit and hospital length of stay, and increase mortality to twice the level of patients who do not develop VAP. The purpose of this project was to determine the effect of an evidence-based educational program to prevent VAP on ICU nurses' actual and documented practices for preventing VAP. The research questions addressed whether an educational program focused on VAP prevention will affect critical care nurses' compliance with a VAP prevention bundle, and whether the education will result in maintenance of a rate …

The Impact Of Peer-Mediated Video Modeling On The Mathematics Achievement Of High School Students, Keriann Currlin

Walden Dissertations and Doctoral Studies

A significant percentage of US students are not reaching expected proficiency on mathematics content. As a response, educators have been urged to use more evidence-based practices; however, due to the lack of readily available strategies, these efforts have been thwarted. In related fields, video modeling (VM) has been successful in teaching behavioral skills through edited video clips that allow target populations to observe models successfully performing featured tasks. Stemming from Bandura's social learning theory, the intent of VM is to increase the frequency of the modeled behavior through observational learning. Despite the many studies that have shown success with VM, …

Exploring Critical Success Factors Of The Redesigned Military Transitioning Program, Gloria Jean Edwards

Walden Dissertations and Doctoral Studies

A task force commissioned by President Obama overhauled the U.S. Military Transitioning Program (MTP) in 2012-2013. U.S. veterans have continued to struggle with military transitions following the MTP restructuring. The purpose of this phenomenological inquiry was to explore the critical success factors of the MTP after the redesign based on perceptions of 20 military officers intending to transition to the civilian sector in the National Capital Region. The problem studied was that there was no indication that the redesigned MTP was effective in helping officers transition to the civilian workforce. The study included 3 research questions and semistructured interviews were …

The Impact Of Crisis Alleviation Lessons And Methods Program On Injuries In Healthcare, Andra Lynn Ferguson

Walden Dissertations and Doctoral Studies

The purpose of this study was to examine whether Crisis Alleviation Lessons and Methods -© (CALM), as a behavioral crisis management program, was effective in reducing patient and healthcare professional injuries in a long-term residential care setting. This research was needed due to the lack of peer-reviewed scholarly literature on the effectiveness of behavioral crisis management programs, especially on programs using both nonphysical and physical de-escalation techniques, such as CALM. An auto-regressive integrated moving average (ARIMA) time series analysis was performed to examine the effect the implementation of the CALM program (independent variable) had on the rate of injuries to …

Employing Plns For The Self-Development Of Army Leaders: A Connectivist Approach, James K. Greer

Walden Dissertations and Doctoral Studies

The post-9/11 security environment is one that confronts the United States, and specifically the U.S. Army, with complex problems that require development of leaders with improved knowledge, skills, and attributes to meet the challenges of defending the nation. The problem confronting the U.S. Army is that Army leaders lack a learning environment or methodology that enables effective self-development throughout their career. Research suggests that PLNs (PLNs) and a connectivist approach may address that problem, but these have been limited to civilian educational environments. This qualitative case study explored the use of PLNs with a connectivist approach for leader self-development in …

Small Business Sustainability In The Salon Industry, Militea Johnson-Hilliard

Walden Dissertations and Doctoral Studies

Small businesses fail at high rates; 51% fail to succeed in business beyond the first 5 years. The purpose of this exploratory case study was to explore the strategies that salon business owners used to succeed in business. The sample comprised of 2 salon business owners in Savannah, Georgia who have been in business more than 5 years. The conceptual framework was based on the general systems theory. Data were collected from conducting semistructured interviews with each business owner, a review of company business plans, direct observation of participants during client interaction in the salon, as well as member-checking interview …

Impact Of Pretreatment Self-Perceived Quality Of Life On Chronic Pain Patients, Michelle Laird

Walden Dissertations and Doctoral Studies

Researchers and practitioners have developed new treatment options for chronic pain management based on biopsychosocial models of pain known as interdisciplinary pain management programs (IPMP), which involve interdisciplinary care that integrates physical treatment with emotional, environmental, behavioral, and cognitive interventions. Despite literature documenting the effectiveness of IPMPs, patients find it difficult to obtain authorization for these programs from third party insurance payers. The purpose of this quantitative causal comparative study was to explore whether a patient's perceived quality of life after injury but prior to treatment will affect his or her success in an IPMP. This study was based in …

Perceptions Of Empty Nest Mothers From Diverse Socioeconomic Backgrounds With Boomerang Kids, Banning Kent Lary

Walden Dissertations and Doctoral Studies

In the United States, a growing number of young people are failing to launch into self-sufficiency, a characteristic of adulthood recognized by most cultural groups. These "boomerang children" return home and interrupt the life course development of their "empty nest" mothers who must suspend plans for self-development. How mothers from different socioeconomic backgrounds cope with this countertransitional phenomenon while preparing their children for successful relaunch is not well known. Elder's life course paradigm provided the theoretical framework for this phenomenological study. Perceptions were collected from an ethnically diverse group of 23 empty nest mothers with 30 boomerang children and seven …

Increasing School Commitment By Listening To Veteran Teachers' Needs And Concerns, Carrie Mcatee

Walden Dissertations and Doctoral Studies

The role that support systems play in new teachers' levels of school commitment has been widely documented. However, veteran teachers' levels of commitment have not been as closely studied. According to the department of education in a Southeastern state, the veteran teacher attrition rate at a Title I school in an urban school district was in the double digits for several years. High veteran teacher attrition rates and low levels of commitment can cause problems such as loss of continuity of instruction for students. The purpose of this study was to identify veteran teachers' perceptions of their levels of school …

The Relationship Between Senior Healthcare Executives' Emotional Intelligence And Employee Satisfaction, Carmen Mcdonald

Walden Dissertations and Doctoral Studies

The healthcare industry evolved on March 23, 2010, when the Affordable Care Act (ACA) was signed into law. The general problem prompting the need for this study was that healthcare workers are affected by patient and family anxiety, evolving evidence based practices and treatments, and regulatory complexities. Outdated managerial skills with leaders lacking emotional intelligence may produce employee dissatisfaction, and satisfied workers may influence the quality of care and patient satisfaction. The purpose of this study was to examine the relationship between senior healthcare leaders' EI and employee satisfaction. EI theory was the conceptual foundation for this research. This quantitative …

Exploring Incivility Toward Employee Absenteeism, Productivity, And Effective Communication: Veterans Health Administration, Sharron Miller

Walden Dissertations and Doctoral Studies

Uncivil behavior in the workplace can cause absenteeism or low job performance among employees, yet little academic literature addresses this relationship, particularly in the public sector. The purpose of this phenomenological study was to use the transactional analysis of communication (TAC) model to explore the ramifications of incivility in the Veterans Health Administration (VHA). The central research questions focused on employee perceptions of incivility and effective communication within the VHA. Twelve VHA employees were recruited for participation through a snowball sampling technique. Data were collected through in-depth interviews with the participants along with some VHA archived video training. Data were …