Digital Commons Network^™

Mentorship Programs, Depression Symptomatology, And Quality Of Life, Tiesha L. Scott

Walden Dissertations and Doctoral Studies

Depression is a debilitating mental health disorder that has the potential to affect an individual's lifespan adversely; adolescents who reside in low-income urban environments are more at risk of developing the disorder. The purpose of this quantitative ex post facto study was to compare depression symptomatology and quality of life rates among emerging adults who enrolled and emerging adults who did not enroll in a mentorship program as an adolescent while in high school. Beck's cognitive model of depression was used as a theoretical foundation to determine how negative schemas are formed in adolescents who show symptoms of depression. The …

Employee Perceptions Of Fairness In Performance Appraisals And Job Satisfaction, Simon-Davies Amenyenu Nutakor

Walden Dissertations and Doctoral Studies

Business and management researchers have shown that performance appraisals have continued to remain a standard component of the human resource management (HRM) function and play an integral role in contributing to employee performance and job satisfaction levels. Recent researchers indicated that employees have continued to hold negative views about the degree of fairness and accuracy of appraisals, thus rendering the process a mere routine and periodic ritual detrimental to organizational efficiency and growth. The purpose of this study was to add to what is a paucity of data on perceptions of fairness of employees and examine the employee perceptions of …

Home Health Aides' Performance And Home Health Clients' Quality Of Life, Ronny Terrell Smith

Walden Dissertations and Doctoral Studies

Home health aides' performance can help home health clients achieve quality of life. This quantitative, cross-sectional study examined which work-related factors of home health aides influence home health clients' quality of life. A socioecological perspective was used to understand influences on behaviors. Participants in this study were 400 home health clients who received services from home health agencies. A binary logistic model was used to determine the predictor variables of home health aides that contributed to home health clients' quality of life. Findings indicated that psychosocial skills were among the most predicted work-related performance of home health aides that lead …

Educating Medical--Surgical Nurses To Improve Nursing Knowledge And Understanding Of Health Literacy, Heather Smith

Walden Dissertations and Doctoral Studies

Low health literacy levels put patients at greater risk for poorer compliance and access to care, which leads to worse patient outcomes. Nurses must understand health literacy to improve health literacy for their medical surgical patient population. It is necessary for a formal education program on this topic. The purpose of this project was to increase medical surgical nurses' awareness and knowledge of the importance of health literacy and to introduce the REALM-SF tool to assess a patient's literacy level, allowing a nurse to better individualize the education provided to the patient. Lewin's change management theory was key in the …

Student Learning Management System Interactions And Performance Via A Learning Analytics Perspective, Gina Maria Ricker

Walden Dissertations and Doctoral Studies

Enrollment in full-time, virtual, K-12 schools is increasing while mathematics performance in these institutions is lacking compared to national averages. Scholarly literature lacks research studies using learning analytics to better predict student outcomes via student learning management system (LMS) interactions, specifically in the low performing area of middle school mathematics. The theoretical framework for this study was a combination of Hrastinski's theory of online learning as online participation and Moore's 3 types of interactions model of online student behavior. The purpose of this study was to address the current research gap in the full-time, K-12 eLearning field and determine whether …

Mexican Women And Postpartum Depression In Maricopa County, Arizona, Julio Presendieu

Walden Dissertations and Doctoral Studies

Researchers have found that postpartum depression (PPD) affects 10 to 15% of new mothers in the U.S. and minority groups experience more depressive symptoms than most of the U.S. population. In Maricopa County, Arizona, research studies of PPD suggested that Mexican women had the highest PPD rate when compared to African-American, Cuban, and Puerto-Rican women. The purpose of this qualitative interpretive descriptive study was to explore what experiences Mexican women in Maricopa County had with PPD, their perceptions of factors such as low-income, cultural beliefs, intimate partner violence, social support, and healthcare services, and to explore barriers that may prevent …

Factors That Predict The Adoption Of Online Shopping In Saudi Arabia, Momen Nachar

Walden Dissertations and Doctoral Studies

Despite the increased numbers of online consumers, e-commerce growth is slow in the Kingdom of Saudi Arabia. In this correlational study, the technology acceptance model (TAM) was used as a theoretical framework to examine whether perceived ease of use of e-commerce platforms and perceived usefulness of e-commerce platforms could predict consumers' intention to adopt shopping online. A pre-existing TAM survey instrument was used to collect data from consumers (N = 95) who live in a City and have shopped at least once online. The regression analysis confirmed a positive statistically significant relationship between perceived ease of use of e-commerce platforms …

Geographically Distributed Employees' Perceptions Of Employee Assistance Program Access, Davina Smith

Walden Dissertations and Doctoral Studies

Many investigators have documented high levels of stress in the U.S. workplace and the underutilization of employee assistance programs (EAP). Researchers in other studies have concluded that an employee's perception of a service influences participation and service use. However, the perceptions of geographically distributed employees, who represent a growing population, have not been sufficiently examined. The purpose of this study was to investigate geographically distributed employees' perceptions regarding access to EAP stress management services to address the problem of EAP underutilization. Organizational justice theory served as the theoretical framework. The study design was generic qualitative. A purposeful sample of 15 …

Wright's Competency Model And Quality And Safety Competencies, Staci Shanks

Walden Dissertations and Doctoral Studies

Competent nurses are instrumental in assuring that a patient receives safe patient care of the highest quality. Patient care that lacks quality places patients at risk of poor health outcomes and results in negative financial impacts for the organization. The purpose of this staff education project was to develop nurse competency education for a facility's competency program, which merged the Wright competency model with quality and safety education for nurses' competencies. The nurse competency staff education program was evaluated by the organization's stakeholders for inclusion in the competency program. The whole-part-whole model, Knowles's adult learning theory, and Lewin's change theory …

African American Masculinity And Its Influence On Hypertension-Related Behaviors, Tangee Denise Thomas

Walden Dissertations and Doctoral Studies

High blood pressure (hypertension) is known to be one of the leading factors that directly contributes to heart disease and stroke, which are the first and third leading causes of disabilities and death in the general U.S. population. The prevalence of high blood pressure among African American men in the United States ranks as one of the highest in the world. Research indicates the roots of this phenomenon are found in physiological, psychosocial, cultural, and socioeconomic factors differentially affecting the African American population. The purpose of this study was to examine the interaction between African American males' masculine perspective and …

A Quantitative Evaluation Of The Productivity Of The Mercedes-Benz Production System, Derrick Tajuan Shaw

Walden Dissertations and Doctoral Studies

Productivity of automotive manufacturing production systems have been an area of study among researchers since the industrial revolution. Automotive manufacturing production systems that are implemented properly increase productivity in production environments. Researchers have demonstrated that productivity can be improved through modeling the Toyota production system. However, researchers have not established how implementing Mercedes Benz production system (MBPS) impacted Mercedes-Benz cars' productivity between 1999 and 2017. The purpose of this quantitative research study was to examine the effect of implementing the Mercedes-Benz Production System (MBPS). A survey was administered to 35 Mercedes-Benz employees that consisted of operation managers, plant managers, manufacturing …

Leadership Strategies For Increasing Employee Engagement In The Service Industry, Yavonda Malia Ulfig

Walden Dissertations and Doctoral Studies

Companies lose an average of $1,000 in profit each year for every employee who feels disengaged and uncommitted to the firm's success. Employee engagement is critical to an organization's productivity, profitability, and competitive edge. The purpose of this single case study was to explore strategies that business leaders in a service organization use to increase employee engagement and work performance. The conceptual framework for this study was Homans's social exchange theory. A purposeful sample of 6 company leaders participated in the study based on their success in developing strategies that enhanced employee engagement and performance in an advertising services firm …

Long-Term Implementation Of Temporary Immigration Policy On The Security And Integration Of Liberians In The U.S., Glendaly Sanchez-Alicea

Walden Dissertations and Doctoral Studies

Immigration policies such as temporary protected status and deferred enforced departure can serve as suitable humanitarian solutions to help displaced individuals. Notwithstanding, when implemented in the course of many years, the uncertainty and stress of living in limbo can pose significant challenges to beneficiaries and create a multifarious scenario for government leaders. This qualitative study examined the experience of Liberians, a group designated with temporary immigration protection in the United States since 1991, who have consequently formed lives in the United States while in temporary status. The purpose of this qualitative study was to explore the effects of temporary immigration …

Improving Provider A1c Testing Frequency Adherence To Recommended Diabetes Guidelines, Susan Ann Simmons

Walden Dissertations and Doctoral Studies

The Appalachian region of the United States has a high prevalence of diabetes, placing residents with diabetes at risk for physical, psychological, social, and financial burdens. To compound the issue, primary care providers often do not adhere to the guidelines established by the American Diabetes Association (ADA) regarding the recommended frequency of testing hemoglobin A1C in patients with diabetes. Lewin's planned change theory guided the project. The purpose of this project was to measure the knowledge of the primary care providers before and after an educational intervention covering the ADA guidelines for A1C monitoring and testing and to assess compliance …

The Experiences Of Counseling Graduate Students Who Participated In Professional Legislative Advocacy Training, Nakpangi Thomas

Walden Dissertations and Doctoral Studies

Legislative advocacy efforts are increasingly becoming part of a counselor's professional identity, yet scholarly literature lacks studies about experiences of counseling students involved in legislative advocacy for the counseling profession. The purpose of this study was to gain an understanding of the meaning counseling students ascribe to their involvement in legislative advocacy for the counseling profession. Astin's student involvement theory was the conceptual framework utilized to explore the lived experiences of counseling graduate students and recent graduates who participated in a 4-day long American Counseling Association Institute for Leadership Training on legislative advocacy and leadership or in professional legislative advocacy …

A Comparison Of The Safety And Efficacy Of Three Medical Abortion Protocols, Dhammika Perera

Walden Dissertations and Doctoral Studies

Unsafe abortions pose serious threats to women's health. Medical abortion provides safer abortion access to many. The lengthy interval between misoprostol and mifepristone creates multiple barriers for women and providers.

A paucity of research exists about medical abortion protocols that allow single day procedures. The efficacy and the safety of 3 medical abortion protocols of varying lengths were explored in this study.

A secondary data set of over 55,000 patients from the United Kingdom was retrospectively analyzed using binomial logistic regression. Efficacy results showed no significant difference between the conventional and the simultaneous protocols; when compared to those, the 6- …

Intake Case Managers' Perspectives On Rural Veteran Homelessness, Amanda Eun Jee Webreck

Walden Dissertations and Doctoral Studies

Homeless research has focused on the service-directed approach, but few qualitative studies have focused on the critical and sensitive nature of the intake process. Staff in rural and remote communities struggle to refer services and mainstream resources to homeless veterans. The purpose of this case study was to explore case managers' perspectives on intake procedures in rural Pennsylvania communities. Lewin's force field analysis was used as a theoretical basis to examine the rationale for behaviors and forces that impact an individual's state. Six case managers and 1 supervisor were selected for face-to-face interviews based on their experience, job duties, and …

Differences Between Nontraditional And Traditional College Students' Perceptions Of Transition Preparedness, Laila Erika Turner

Walden Dissertations and Doctoral Studies

While scholars have used Schlossberg's transition theory for more than 35 years to study college-to-work transition, researchers have yet to establish if there are meaningful differences in the perceptions of traditional and nontraditional college students regarding transition preparedness from college-to-work. Following the career transition model, this quantitative study was conducted to compare traditional and nontraditional college students' perceptions of transition preparedness, specifically the concepts of readiness, confidence, control, perceived support, and decision independence. The nontraditional students in this study were military veterans. The dependent variables were measured by the Career Transition Inventory (CTI) survey. Participants were selected via a web-based …

Stress, Social Support, And Mindfulness In Parents Of Children With Neurodevelopmental Deficits: A Quantitative Analysis, Branden D. Syrotchen

Walden Dissertations and Doctoral Studies

Parenting children with neurodevelopmental deficits (NDDs) is very stressful, more so than the parenting of typically developing children. There is considerable research on the topic of chronic stress experienced by caregivers; however, less is understood of parental stress experienced when raising children with NDDs. The purpose of this study was to examine how parental traits and habits, in the forms of mindfulness and social support levels, affect this cohort's general stress levels. The study was guided by Self-Determination Theory, which explored how parental acts could be classified along a continuum of being intrinsically or extrinsically derived. A convenience sample of …

Decreasing Catheter-Associated Urinary Tract Infections In The Acute Care Setting, Marshanell Wright

Walden Dissertations and Doctoral Studies

The most important risk factor for developing a catheter-associated urinary tract infection (CAUTI) is the prolonged use of the urinary catheter. To address the CAUTI rate at the project site, which was higher than the national benchmark, a team of healthcare practice leaders developed an evidence-based algorithm addressing the appropriate indications for inserting or discontinuing a patient's Foley catheter. Using the plan-do-study-act model, the purpose of this quality improvement evaluation project was to evaluate the effectiveness of the evidence-based Foley algorithm for decreasing the use of Foley catheters and reducing the CAUTI rate and to explore whether using the Foley …

Early Childhood Education Trainers' Knowledge And Use Of Andragogical Principles, Kimberly Thornton

Walden Dissertations and Doctoral Studies

Early childhood education (ECE) teachers often lack the experience and skills to provide children with supports necessary to foster academic and social skill development. Professional development can improve ECE teachers' skills, but ECE trainers often lack understanding of adult learning principles, known as andragogy. Knowles' conceptual framework of andragogy was used to explore the knowledge and use of andragogical principles of 8 ECE trainers selected via criterion-based purposive sampling. The research questions focused on ECE trainers' knowledge and use of andragogical principles. Three cases, each consisting of 2 or 3 live professional development trainings for early childhood educators, were used …

Influence Of Low Rate Of Reporting Of Adverse Events Following Immunization On Immunization Dropout, Samuel Errie Yenyi

Walden Dissertations and Doctoral Studies

Immunization protects millions of children. Yet, many children drop out of immunization in Jigawa State of north Nigeria. This cross-sectional quantitative correlational study based on the Health Belief Model was designed to determine whether the dropout from routine immunization (RI) was influenced by low rate of reporting of adverse events following immunization (AEFI) to health facilities by caregivers. Primary data was collected from 307 caregivers with dropout children using structured interviewer-administered questionnaire. The data were analyzed using logistic regression and descriptive statistics. The results showed that 61.3% of the children had AEFI and dropped out. Rate of reporting of AEFI …

Nonpharmacological Techniques And Pain Management, Nancy Arbuah

Walden Dissertations and Doctoral Studies

The opioid epidemic in the United States continues to be a national health crisis affecting all populations. From 1999 to 2016, more than half a million people died from drug overdose. Nonpharmacological therapies are underused in nursing practice due to the gap in nurses' baseline knowledge and confidence related to nonpharmacological techniques for pain management. The purpose of this scholarly project was to develop and implement an expert-reviewed, evidence-based education program focused on nonpharmacological techniques for pain management. Participants included 18 registered nurses (RNs) from an orthopedic unit in a large academic medical center. A 45-minute educational session was conducted …

Juvenile Offender Risk Factors Associated With Participation In Diversion Programs And Recidivism, Latasha Lavette Allen

Walden Dissertations and Doctoral Studies

Although reducing recidivism among juvenile offenders is an important goal of the criminal justice system and diversion programs are known to reduce recidivism, little is known about the risk factors associated with participation in diversion programs or recidivism. The purpose of this quantitative study was to identify the juvenile offender risk factors associated with participation in diversion programs and recidivism. Social learning theory was the theoretical framework. The key research questions focused on how juvenile offenders'€™ demographic characteristics, risk factors, and participation in different types of diversion programs were associated with recidivism. Archival data from a large juvenile justice agency …

The Relationship Between Information Quality And Construction Safety, Aloysius Attah

Walden Dissertations and Doctoral Studies

Fatal occupational injury is a construction and management problem in the United States. Fatality rates among specialty trade contractors made up the largest percent of fatalities in construction at 62% per year. The purpose of this nonexperimental study was to examine the relationship between the quality of information in construction safety plans and construction safety among specialty trade contractors. The theoretical foundations for the study were Petersen'€™s accident/incident theory and work systems theory. The key research question was to examine the relationship between information quality and construction safety among specialty trade contractors. A survey with closed-ended questions was used to …

Veteran Anger Dysregulation: A Phenomenological Analysis Of Help-Seeking Through Social Media, Deanna Bishop-Deaton

Walden Dissertations and Doctoral Studies

In combat, anger becomes a new baseline and is promoted by peers as an acceptable means of militaristic motivation and coping with the atrocities of war. Unable to reconcile anger upon returning home, some veterans are forced to seek help via nontraditional paths. This interpretative phenomenological study explored the lived experience of male combat veterans who struggled with anger dysregulation issues and sought help from veteran peers on social media. Research questions were developed using the modal model of emotion as a guide for emotional dysregulation. Interviewed participants were invited to share lived experience of anger dysregulation, what help-seeking meant, …

Support Services From Prison To Home: Reentry Programs In A Western State, Bridget Burden

Walden Dissertations and Doctoral Studies

People released from incarceration are not equipped to deal with the challenges of transitioning back into society. Previous research on reentry suggests that correctional institutions may fail to adequately prepare inmates to transition to community life at the time of release, and little research addresses the perspectives of incarcerated people who have experienced reentry. Using social justice theory and the institutional analysis and development framework as guides, the purpose of this ethnographic study of reentry programs in a western state was to (a) determine how well they meet the needs of ex-offenders receiving reentry services, (b) identify best practices if …

Examining Congestive Heart Failure Hospital Readmissions From Skilled Nursing Facilities, Katherine Mary Day

Walden Dissertations and Doctoral Studies

In the United States, congestive heart failure (CHF) is a cardiac condition with increasing hospitalization and rehospitalization burden to patients, families, and the healthcare system. This chronic condition is expected to affect more than 8 million people by 2030; however, not much is known about the relationship between risk factors and hospital readmissions once CHF patients are discharged to a skilled nursing facility (SNF). Applying a systems theory unbounded systems thinking, coupled with a systems-thinking approach the purpose of this quantitative, retrospective cohort study was to examine CHF hospital readmissions from SNFs within a 90-day period using a secondary data …

Decreasing The Primary Cesarean Delivery Rate, Lena Marie Fabian

Walden Dissertations and Doctoral Studies

Cesarean delivery is one of the most frequently performed surgical procedures in the United States with 1 in 3 women giving birth by cesarean section. Nurses play a significant role during the labor and delivery process; yet in a hospital in west Texas, nurses lacked knowledge of the current evidence-based obstetric guidelines that were developed to reduce the primary cesarean delivery rates and associated complications. The purpose of this project was to evaluate the content of educational materials developed to inform obstetrical nurses and midwives about labor support strategies to avoid cesarean delivery. Guided by Knowles's whole-part-whole model, a presentation …

The Transactional Theory Of Stress And Coping: Predicting Posttraumatic Distress In Telecommunicators, Dana Marie Dillard

Walden Dissertations and Doctoral Studies

Telecommunicators (e.g., dispatchers and 911 operators) experience firsthand the death and suffering of friends, family, peers, and strangers in a chaotic work environment characterized by chronic stress and lack of support. Previous research has demonstrated telecommunicators are at increased risk for negative health outcomes; however, existing research does not identify predictive pathways to posttrauma symptoms in telecommunicators. In an application of the transactional theory of stress and coping, I used structural equation modeling to examine occupational antecedents, work-family conflict, negative appraising, and coping as predictors of posttraumatic stress symptoms in telecommunicators. A convenience sample of 103 telecommunicators, recruited through agencies …