Digital Commons Network^™

Effective Strategies Nonprofit U.S. Leaders Use To Assess And Mitigate Occupational Fraud, Fahim Mazumdar

Walden Dissertations and Doctoral Studies

A lack of effective strategies to assess and mitigate occupational fraud can negatively impact nonprofit organizations. Nonprofit organizational leaders in the United States who lack the strategies to assess and mitigate occupational fraud are at high risk of incurring loss due to fraud. Grounded in Cressey’s fraud triangle theory, the purpose of this qualitative single case study was to explore strategies nonprofit officers use to assess and mitigate occupational fraud in a nonprofit organization. The participants comprised 2 internal auditors in the northeast region of the United States who effectively used strategies to assess and mitigate occupational fraud in the …

Prekindergarten Educators' Perspectives On Professional Development About Transgender And Gender-Nonconforming Children, Danita Marie Norris Mccray

Walden Dissertations and Doctoral Studies

Young children start to develop an understanding of gender and gender identity in prekindergarten. Early childhood educators require professional development in creating safe, supportive learning environments for transgender and gender nonconforming children. Limited research has focused on prekindergarten educators' knowledge, skills, and dispositions about supporting transgender and gender nonconforming children in their classrooms. Framed by Bronfenbrenner’s bioecological systems theory and Derman-Sparks antibias early childhood concepts, the purpose of this basic qualitative study with interviews was to explore prekindergarten educators' perspectives on professional development about transgender and gender nonconforming children. Data were collected using semistructured, in-depth interviews with 12 prekindergarten educators …

Servant Leadership And Job Satisfaction As Moderated By Workplace Spirituality, Shellie Kae Mcnabb

Walden Dissertations and Doctoral Studies

Job satisfaction has been the focus of scholars for decades. Employers must create a workplace where the employee receives more than a paycheck. Servant leaders speak directly to the decisive leader-follower relationship. Workplace spirituality is a place where the employee is a valued part of the membership. Combining the three elements may answer the current problem of the aligning of business goals with employee needs. Existing research supports that servant leadership enhances job satisfaction. Researchers have demonstrated that the employee lead by example is more content. Missing are the contexts where these workers excel. The purpose of this study was …

Examining Teacher Decision Making And Instructional Practice In Data Teams, Kelly Jo Moffett

Walden Dissertations and Doctoral Studies

Administration in a mid-Atlantic elementary school in the United States mandated implementation of the Data Wise improvement process (DWIP) to address accountability and student achievement concerns. Leaders were unsure if elementary educators used the approved DWIP within their data teams and how the data were used to support instructional practices. The purpose of this bounded qualitative descriptive single case study was to explore teachers’ collaboration and planning using DWIP in data teams, teachers’ perceptions of the influence of data team participation on their instructional practices, and how teachers demonstrated the use of data in planning for classroom instruction. The data-driven …

Improving Care Of Patients With Asthma Through Staff Education, Nicholas Moscatelli

Walden Dissertations and Doctoral Studies

Chronic asthma is a health epidemic and an increasing problem in the pediatric population. The purpose of this project was to raise nursing staff awareness of symptom recognition, treatment protocols, preventive measures, and detrimental effects of asthma for children. Adult learning theory provided the framework to support the staff education program on asthma. The project site stakeholders and the DNP student identified educational opportunities to assist staff in meeting caregiver needs, improving symptom recognition, and improving asthma outcomes. Prior to presentation of the educational program to the clinic nursing staff, it was reviewed by an expert panel including the clinic …

Prior Military Combat Experience And Domestic Policing Use-Of-Force Decisions, Ernesto Munoz

Walden Dissertations and Doctoral Studies

Use-of-force decisions are made in both the military combat and domestic policing environments. In this phenomenological study I aimed to examine what, if any, the effect of military combat experience has on domestic policing use-of-force decisions for military combat veteran police officers. Schneider and Shiffrin’s dual process of automatic and controlled processing theory offered the theoretical framework that was applied to how military combat veteran police officers may be affected by their military combat experience in the application of domestic policing use-of-force decisions. This qualitative study was designed to collect lived experiences of military combat veteran police officers who transitioned …

Risk Perception Of Terrorism And Individual Preparedness In Thailand, Pinida Neenlapathna

Walden Dissertations and Doctoral Studies

Since 2001, terrorist incidents in Thailand have caused more than 6,600 deaths and nearly 13,000 people have been injured. The Thai government has employed various counterterrorism measures, but there is little attention paid to terrorism awareness and preparedness. Following the tenets of social cognitive theory, the purpose of this quantitative study was to examine the predictive relationship between the risk perception of terrorism (i.e., perceived probability, perceived seriousness, perceived impact, perceived coping efficacy, perceived government preparedness, and perceived frontline responder preparedness) and individual preparedness among Thai people. The study was conducted with a convenience sample of 327 Thai adults who …

Association Of Working Therapeutic Alliance And Psychopathy In Civilly-Confined Sex Offenders, Kearie Ann Newman

Walden Dissertations and Doctoral Studies

Over the past decade, researchers have focused attention on the therapeutic alliance (TA) and its impact in treatment outcomes. The literature on TA has been focused primarily on its impact on the client’s participation, the accomplishment of goals, and treatment completion. However, very little of this research includes individuals who have psychopathy. Therefore, the purpose of this quantitative survey study was to explore the relation between the level of psychopathy (high versus low) and TA ratings of 16 therapists and 64 clients in the population of convicted civilly-confined male sex offenders. Bordin’s theory grounded the study. Data were gathered from …

Impact Of Kenya’S Public Debt On Economic Stability, Liston Willy N. Njoroge

Walden Dissertations and Doctoral Studies

Kenya’s public debt has grown rapidly, precipitating debate on its impact on economic performance and causing public anxiety. The purpose of this quantitative ex post facto study was to investigate the long run and causal relationship between Kenya’s public debt and economic growth. Keynesian theory, Ricardian equivalence theory, and neoclassical theory provided the framework for the study. Research Questions 1 and 2 addressed the causal relationship between public debt and select covariates as independent variables and real gross domestic product (GDP) growth rate as the dependent variable. Research Question 3 addressed the relationship between primary budget balance and public debt. …

Exploring Gender Dysphoria Among Active-Duty Transgender Service Members In A Right-To-Serve-Openly Military, Ralph Ogburn

Walden Dissertations and Doctoral Studies

The U.S. Department of Defense’s June 2016 directive-type memorandum 16-005 permitting transgender service members to serve openly in the U.S. military disqualifies transgender personnel with a history of gender dysphoria from serving in the military unless a licensed medical doctor certifies that they have been free from significant distress for 18 months. Research has illuminated the prevalence of gender dysphoria among military veteran transgender members due to their military experiences, but not in active-duty military. Informed by role theory and minority stress theory, the purpose of this interpretive phenomenological analysis study was to explore role conflict and stress in the …

Fall-Related Patient Education: An Essential Feature Of A Fall Prevention Program, Immaculata Okonkwo

Walden Dissertations and Doctoral Studies

This project documented the evaluation of a voluntary patient falls prevention education

program (VPFPEP) of a rehabilitative facility in a Mid-Atlantic US state and ascertained

its sustainability. The project was designed using the customized Moore et al. evaluation

model and Lippitt’s planned theory of change to encourage patient engagement in

physical activity (PA) through fall prevention education to allay patients’ fear of falling.

The sample included patients who opted into the facility’s VPFPEP. Evaluation was

performed using run charts to visually and quantitatively monitor trends and patterns of

fall incidents over time. Run charts also facilitated comparison of injuries sustained …

Adult Attachment For African American Women Who Have Mothers With Borderline Personality Disorder, Elizabeth Uchechi Onyeali

Walden Dissertations and Doctoral Studies

The effects that borderline personality disorder (BPD) can have on the loved ones of those who suffer from the mental illness is significant and can be deleterious and enduring. Maternal BPD can adversely impact mother-daughter relationships by fostering abnormal connections and insecure attachment bonds. This is particularly the case for African American mothers, of whom research suggests that the early attachment bond between them and their daughters significantly shapes how their daughters behave, perceive themselves, and relate to others. The purpose of this qualitative transcendental phenomenological study was to explore how the experiences of being raised by a mother diagnosed …

Previously Incarcerated Individuals’ Perceptions Of Decision-Making Leading To Their Solitary Confinement, Rita Pavone

Walden Dissertations and Doctoral Studies

This study explored the issue of communication in prison systems in conjunction with an overextended utilization of isolation confinement methods. Using Sexton’s conceptualization of the penal subjective consciousness model as a guide, the purpose of this phenomenological study was to better understand the experiences of confined offenders related to their experiences regarding the perspectives of prison officials based on a variety of factors including criminal background, social status, and programming needs. Data from semi-structured interviews with 25 participants addressed the process of communication between prison personnel and inmates from the time of incarceration through placement in isolation confinement, and then …

Program Evaluation Of A Black Barbershop Health Outreach Campaign, Berkina Denise Porter

Walden Dissertations and Doctoral Studies

Black-owned barbershops in the Black community lack barber administered interventions to provide education and health screenings to Black men. Increasing knowledge of health assessments in a black barbershop setting increases the number of health screenings and preventative care among Black men. Grounded in general systems theory, the purpose of this qualitative summative program evaluation was to explore the extent to which a nonprofit Black barbershop health program aligns with the Health Research (HR) program objectives. The evaluation was performed for a nonprofit organization located in Maryland, 6 years after the organization implemented the HR Program Network of barbers and salon …

Predictors Of Condom Use Among High School Students In North Carolina, Danielle Cierra Robinson

Walden Dissertations and Doctoral Studies

The spread of sexually transmitted diseases is a major ongoing public health issue in North Carolina. Adolescents between the ages of 13 and 19 years have consistently contributed to this trend. Researchers have found that condom use among high school students has decreased. High school students continue to engage in sex with multiple partners, with lack of knowledge about sexually transmitted diseases, even though sex education and prevention programs have been recommended. The purpose of this quantitative study was to evaluate the predictors of condom use among adolescents. The socioecological model theoretical framework was applied to guide this research involving …

Reducing Payment-Card Fraud, Chares R. Ross

Walden Dissertations and Doctoral Studies

Critical public data in the United States are vulnerable to theft, creating severe financial and legal implications for payment-card acceptors. When security analysts and managers who work for payment card processing organizations implement strategies to reduce or eliminate payment-card fraud, they protect their organizations, consumers, and the local and national economy. Grounded in Cressey’s fraud theory, the purpose of this qualitative single case study was to explore strategies business owners and card processors use to reduce or eliminate payment-card fraud. The participants were 3 data security analysts and 1 manager working for an international payment card processing organization with 10 …

Evidence-Based Pediatric Diabetic Ketoacidosis Education, Sonya Sandhu

Walden Dissertations and Doctoral Studies

Pediatric patients with diabetic ketoacidosis (DKA) are a unique subset of patients who arrive to the emergency department (ED) for care, and differ from adults regarding symptomology, treatment, and adverse effects. Nurses who will encounter this patient population must have adequate knowledge and confidence to care for them, yet research continues to show a gap in practice. The purpose of this doctoral project was to determine if a staff education project would increase ED nurse knowledge and confidence in caring for pediatric emergency patients with DKA. Utilizing Kirkpatrick’s evaluation model, an evidence-based staff education program was formulated, reviewed by an …

Culture And Hiv/Aids-Related Psychological Distress, Ndayiziveyi Constance Scott

Walden Dissertations and Doctoral Studies

The over-representation of HIV infections among Black populations relative to the mainstream population continues to be documented in Canada. Previous research has implicated cultural factors in the transmission of HIV in addition to linking HIV/AIDS to psychological distress. Some studies established a link between awareness of increased HIV/AIDS risk and vulnerability to distress, and others indicated cultural differences in the experiences of cognitive dissonance as a function of cultural variations in beliefs and practices. The purpose of this quantitative study was to examine cultural variables associated with cognitive dissonance (dependent variable) arousal as a function of cultural sexual gender-role socialization …

Stress And Coping Methods In Law Enforcement Personnel, Brandon M. Sheard

Walden Dissertations and Doctoral Studies

A notable problem exists within law enforcement due to the lack of mental health assistance offered for police officers, as well as little to no literature available pertaining to officers in law enforcement who may have mental health issues. Without proper coping methods, there is a higher possibility of suicide among police officers. Therefore, the purpose of this phenomenological qualitative study was to investigate why officers were choosing to not seek mental and behavioral health assistance, as well as determine factors that could both prevent as well as encourage officers to seek mental health assistance if needed. Grounded in the …

Factors Affecting The Customer Relationship Management System Implementation Process, Enshrah Shashoug

Walden Dissertations and Doctoral Studies

Managers in the telecommunications industry face a high failure rate of customer relationship management (CRM) system implementations. The dynamic culture of employees’ resistance to and readiness for CRM system implementation may contribute to successful implementation in U.S. commercial organizations. The purpose of this quantitative cross-sectional study was to examine the relationship among employee’s resistance to and readiness for CRM system implementation, the culture of the organization, prerequisites for successful CRM system implementation, age, and gender. Using Rogers’s innovation-decision process theory, an online survey was created and sent to a random sample of all customer service employees using CRM systems in …

Differences In Financial Literacy Across Generations, Audra R. Sherwood

Walden Dissertations and Doctoral Studies

The United States federal government allocates $670 million annually towards financial literacy despite the fact 73 million adults are struggling financially, and over 65% of Americans are financially illiterate and unable to manage their finances. The specific management problem addressed in this study was the awareness of the differences in financial literacy between Millennials and Generation Xers who have and have not taken personal finance courses in high school in the United States. The purpose of this quantitative, nonexperimental, causal-comparative study was to test the self-efficacy theory and goal-setting theory in determining the differences between the two generational groups of …

Socioeconomic And Sociocultural Factors Associated With Parenting Choice And Fertility Experience Among Lesbian And Nonlesbian Women, Annette Silvia

Walden Dissertations and Doctoral Studies

Minorities including lesbians may face disparities that contribute to minority stress, which leads to adverse health outcomes. The purpose of this social epidemiology study was to examine the association between insured status, perceived stress, and parental status among lesbians and nonlesbians. The theoretical foundation was minority stress, and the design was quantitative with a convenience sample of women aged 18 years and older. Data on demographics, perceived stress, fertility quality of life, and lesbian identity disclosure were collected via online survey. Among the 314 respondents, 102 self-selected as lesbian (49% parents), and 212 self-selected as nonlesbian (73.1% parents). More than …

The Experiences Of Noncustodial Fathers Enrolled In The Georgia Fatherhood Program, Patricia Ann Smith

Walden Dissertations and Doctoral Studies

The federal child support program was designed in the United States in 1975 to reduce the amount of public assistance that is needed by collecting child support from noncustodial fathers. Due to financial barriers, many noncustodial fathers face challenges in paying their child support consistently. Noncustodial fathers are referred to Fatherhood Programs when they are delinquent in paying their child support. While extensive research was conducted on the impact of child support delinquency on families, very little focus has been placed on the challenges that noncustodial fathers face when attempting to complete Fatherhood Programs. The purpose of this generic qualitative …

Food Advertisements And Access To Primary Care And The Impact On Family Food Decisions Made By Women, Linda Soriano-Copelin

Walden Dissertations and Doctoral Studies

Women are responsible for preparing family meals in 71% of American households. The meal choices that women make has an impact on lifestyle choices for themselves and their family. The purpose of this research was to evaluate the extent to which food advertisements and access to primary care influence a woman’s food-making choices. The first question focused on how exposure to food advertisements on television may impact the food choices of women. The second question asked how food advertisements affect women’s eating habits. The third question asked how access to primary care impacts food decisions. The theoretical framework integrated the …

Effective Strategies Processing Companies Use To Sustain Business Operations Beyond 5 Years, Travis C. Souders

Walden Dissertations and Doctoral Studies

Some small food processing businesses in the United States lack strategies to remain financially viable beyond 5 years of operation. Owners and managers of small food processing businesses could benefit from an improved understanding of the importance of effective strategies to improve small business sustainability. Grounded in systems theory, the purpose of this qualitative single case study was to explore strategies small food processing companies use to sustain operations beyond 5 years. The participants were 1 small-business owner and 8 managers in Lexington, Kentucky, who used effective strategies to sustain business operations beyond 5 years. Data collected came from semi-structured …

Primary Payer Status And 30-Day Readmission Rates Among U.S. Diabetes Patients, Christina Marie Swilling

Walden Dissertations and Doctoral Studies

Diabetes is a leading cause of hospitalization and readmission in the United States. The 30-day readmission rate for diabetic patients represents substantial costs to the nation’s health care system. The purpose of this quantitative study was to examine the relationship between primary payer status and hospital readmission rates among individuals whose primary or secondary reason for admission was Type 2 diabetes mellitus (T2DM). Secondary data from the Healthcare Cost Utilization Program Nationwide Database of the 2015 National Readmission Database was analyzed. Participants in the data set included 41,068 diabetes patients, 53.8% of whom were female. The average age was 67.26, …

Improving The Ethical Use Of E-Health And Emr, Josephine Tafie

Walden Dissertations and Doctoral Studies

Improving the Ethical Use of E-health and EMR

by

Josephine Tafie

MS, Walden University

BS, Washington Adventist University

Project Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Nursing Practice

Walden University

August 2020

Abstract

The healthcare industry is experiencing ethical problems with the integration of new technological applications, such as e-health and electronic medical records (EMRs) in service delivery. Thus, the purpose of this capstone project was to conduct a systematic literature review to determine the best practices that are well suited to a large urban hospital, to ensure patients’ privacy with the continued use …

Correctional Officers' Perspectives On Cellphone Contraband Introduction By Fellow Officers, Kamaria Taylor-Mccune

Walden Dissertations and Doctoral Studies

Occupational deviance in the form of cellphone contraband introduction poses a serious threat to the safe and secure operations of correctional facilities across the United States. More importantly, security staff members who participate in this form of unethical and illegal behavior undermine and impair both staff-inmate relationships as well as collegial relationships among officers. The purpose of this study was to explore the perspectives of correctional officers who have experienced contraband introduction by fellow correctional officers and to understand the overall impact within the correctional environment. Based on ethical climate theory, this qualitative phenomenological study sought to describe the contributions …

Examining The Relationship Between Rural African-American Adolescents’ Self-Perception And Their Academic Performance, Vincent Dewayne Tompkins

Walden Dissertations and Doctoral Studies

Poverty, crime, and the need for public assistance are associated with dropping out of high school in the United States. African American adolescents have a higher dropout rate than their White peers, especially in the rural south. Moreover, racial discrimination toward African American adolescents is more prevalent in the rural south compared with the urban areas of United States. Academic self-perception and experienced racial discrimination are probable factors that influence African American adolescents to leave school before they graduate. This study was conducted to determine a relationship between the combination of rural African American adolescent’s academic self-perception as measured by …

Small Business Owners’ Strategies To Mitigate Employee Theft, Aurora Jacquese Trigg

Walden Dissertations and Doctoral Studies

Ineffective strategies and a lack of internal controls to address employee theft can negatively impact small businesses. For most small business owners impacted by employee theft, the loss of resources could be detrimental, and in some cases, force the business closure. Grounded in Cressey’s fraud triangle theory, the purpose of this qualitative multiple case study was to explore strategies successful small business owners use to deter employee theft behaviors. The participants comprised 8 small business owners in southeast Florida who successfully used strategic internal controls to deter employee theft and enhance employee trust in the workplace. Data were collected from …