Open Access. Powered by Scholars. Published by Universities.®

Digital Commons Network™

Open Access. Powered by Scholars. Published by Universities.®

Walden University

Discipline
Keyword
Publication Year
Publication
Publication Type
File Type

Articles 11251 - 11280 of 16851

Full-Text Articles in Entire DC Network

The Effectiveness Of Two Types Of Adjunct Acupuncture Exposures On In Vitro Fertilization Outcomes, Lindsey Vacovsky Jan 2019

The Effectiveness Of Two Types Of Adjunct Acupuncture Exposures On In Vitro Fertilization Outcomes, Lindsey Vacovsky

Walden Dissertations and Doctoral Studies

One out of every 8 couples experiences infertility. Few publications exist examining the association between the addition of adjunctive therapies when applied to the in vitro fertilization (IVF) procedure and pregnancy outcome. The purpose of this study was to compare the effectiveness of 2 types of adjunct acupuncture exposures on IVF outcomes by applying the concept of the epidemiology triad. The association between the type of adjunct acupuncture exposure received (the independent variable) and pregnancy (the outcome) was determined via binary logistic regression using SPSS software. Medical records of women having received the IVF procedure along with adjunct acupuncture were …

Go to article

Challenges Faced By U.S. Student Veterans Transitioning To A Community College, Adam Walter Jan 2019

Challenges Faced By U.S. Student Veterans Transitioning To A Community College, Adam Walter

Walden Dissertations and Doctoral Studies

Increasing numbers of student veterans in the United States are transitioning into a higher education culture that reflects major differences from the military culture. Higher education leaders need to understand what these students require and what will help them transition smoothly into higher education. The purpose of this quantitative case study was to understand why freshman student veterans stop attending community college temporarily or permanently. Schlossberg's transition model that includes the 4 concepts of situation, self, support, and strategies was used as a conceptual framework. The research questions focused on perceptions of student veterans and faculty/staff related to challenges faced …

Go to article

Female Persistence In Fully Online Allied Health Programs At A Career College, Melissa A. Wertz Jan 2019

Female Persistence In Fully Online Allied Health Programs At A Career College, Melissa A. Wertz

Walden Dissertations and Doctoral Studies

Persistence to program completion is critical for online students. Retaining online students is a struggle in higher education with online persistence rates being significantly lower than nononline students. In this qualitative case study the perceptions of female graduates who persisted in a fully online allied health program at a career college were investigated. Using Tinto's theory of student departure and self-determination theory, the characteristics, attitudes, and motivations of female online learners explored to discern their perceived success in the online classroom. The research questions focused on participants' perceptions, skills, and attitudes that contribute to their success, experiences with support services, …

Go to article

Impact Of Work-Related Electronic Communications Behavior Outside Of Normal Working Hours, Beulah Lavell Williams Jan 2019

Impact Of Work-Related Electronic Communications Behavior Outside Of Normal Working Hours, Beulah Lavell Williams

Walden Dissertations and Doctoral Studies

Employers' reliance on asynchronous electronic communications, connective technology devices, and remote work arrangements has led employees to feel preoccupied with staying connected after-hours to be responsive to work-related demands. The purpose of this transcendental phenomenological study was to describe the lived experiences of professional workers who coped with constant pressure to monitor and immediately respond to work-related electronic communications during nonwork hours. The conceptual framework was supported by boundary and border theory and the constructs of work-life balance, flexible work arrangements, information and communication technology. Data were collected using semistructured interviews with 16 professional workers near Washington, DC. Moustakas's modified …

Go to article

Lived Experience Of Tongans With Obesity And Diabetes, Gladys Adjei-Poku Jan 2019

Lived Experience Of Tongans With Obesity And Diabetes, Gladys Adjei-Poku

Walden Dissertations and Doctoral Studies

People of Pacific Island descent are afflicted by obesity and diabetes more than other populations. Although interventions have succeeded in reducing these conditions among other groups, they have been unsuccessful among Tongans and other Pacific Islanders. Furthermore, little is known about the cultural perspectives of this population with a high rate of obesity and diabetes. Accordingly, this descriptive phenomenological study was conducted to investigate the lived experiences of Tongans with obesity and diabetes in a western metropolitan area of the United States to understand their predisposition toward these conditions and suggest appropriate interventions. Purposive sampling was used to recruit 11 …

Go to article

Socioeconomic Impacts: Exploring Relationships Between Parenting Styles And Emotional Intelligence In Odd, Radhia Afif Jan 2019

Socioeconomic Impacts: Exploring Relationships Between Parenting Styles And Emotional Intelligence In Odd, Radhia Afif

Walden Dissertations and Doctoral Studies

Children diagnosed with Oppositional Defiant Disorder (ODD) are at a higher risk to develop other serious problems based on reoccurring symptoms such as; aggression, hostility, and lack of empathy for others. Based on the emotional intelligence theory, it may be possible that understanding emotional intelligence in children with ODD could help reduce future psychological and social problems. This quantitative study addresses the problem of poor or low Emotional Intelligence (EI) in children diagnosed with ODD. A correlation between parenting style, as defined by Baumrind's parenting style theory, and the development of emotional intelligence has been found in current research. However, …

Go to article

Cultural Factors Affecting African Americans Of Caribbean Descent With Type Ii Diabetes, Ruth Runette Aguy-Paulsaint Jan 2019

Cultural Factors Affecting African Americans Of Caribbean Descent With Type Ii Diabetes, Ruth Runette Aguy-Paulsaint

Walden Dissertations and Doctoral Studies

Type II diabetes is a significant problem in the United States that had affected almost 10% of the American population and over 13% of African Americans. Although culturally competent diabetes education and treatment programs have been significantly more successful, little is known about the cultural factors affecting type II diabetes in African Americans of Caribbean descent (AACD). The purpose of this qualitative, phenomenological study was to explore the cultural factors relevant to the treatment and prevention of type II diabetes among AACD. The theoretical framework for the study consisted of cultural adaptation theory and the transtheoretical model. Data collection consisted …

Go to article

Reducing Door-To-Provider Times By Using Nurse Practitioners In Triage, Megan Lynnell Anderson Jan 2019

Reducing Door-To-Provider Times By Using Nurse Practitioners In Triage, Megan Lynnell Anderson

Walden Dissertations and Doctoral Studies

Increased patient wait times it the emergency department (ED) have been linked to poor patient outcomes and adverse health care events. The purpose of this quality improvement project was to determine if placing a nurse practitioner (NP) in the triage area would reduce door-to-provider times and improve patient throughput within the ED. The primary question for this quality improvement project was whether the use of NPs in the triage area would improve patient throughput and decrease wait times in the ED. A secondary question identified was if implementing an NP in the triage area would decrease patient length of stay …

Go to article

Factors Affecting Employee Intentions To Comply With Password Policies, Ernest Tamanji Anye Jan 2019

Factors Affecting Employee Intentions To Comply With Password Policies, Ernest Tamanji Anye

Walden Dissertations and Doctoral Studies

Password policy compliance is a vital component of organizational information security. Although many organizations make substantial investments in information security, employee-related security breaches are prevalent, with many breaches being caused by negative password behavior such as password sharing and the use of weak passwords. The purpose of this quantitative correlational study was to examine the relationship between employees’ attitudes towards password policies, information security awareness, password self-efficacy, and employee intentions to comply with password policies. This study was grounded in the theory of planned behavior and social cognitive theory. A cross-sectional survey was administered online to a random sample of …

Go to article

Primary Care And Behavioral Health Services In A Federally Qualified Health Center, Svetoslav A. Arsov Jan 2019

Primary Care And Behavioral Health Services In A Federally Qualified Health Center, Svetoslav A. Arsov

Walden Dissertations and Doctoral Studies

Between 2013 and 2016, 8.1% of U.S. adults 20 years and older suffered from depression, but only 29% of them sought help. This project addressed the low depression screening rate in a Federally Qualified Health Center (FQHC) that supported integrated care. The purpose of the project was to evaluate the integration of behavioral health into primary care in an FQHC through the rate of depression screenings. Two theoretical frameworks, the find-organize-clarify-understand-select/plan-do-study-act model and the Centers for Disease Control and Prevention's framework for program evaluation in public health were combined into a list of questions and data validity tests that were …

Go to article

Suicide Attempts And Their Contributing Factors Among African American Veterans, Gervline Blaise Jan 2019

Suicide Attempts And Their Contributing Factors Among African American Veterans, Gervline Blaise

Walden Dissertations and Doctoral Studies

Suicide is one of the leading causes of death in the United States. The rate of suicide attempts among veterans in the United States has increased tremendously since 2001, which has left the Department of Veterans Affairs deeply concerned. The purpose of this study was to examine if there is an association between suicide attempts among African American/Black veterans and mental health support, income level, marital status, education level, and unemployment status. This quantitative study used the socio-ecological model to explain the association of the contributing factors to suicide attempts. Descriptive statistics, chi-square, and logistic regression were used to analyze …

Go to article

On-Campus Employment And Retention Of First-Time, Full-Time College Students, Joel Bluml Jan 2019

On-Campus Employment And Retention Of First-Time, Full-Time College Students, Joel Bluml

Walden Dissertations and Doctoral Studies

Retention of 1st-year students is a challenge facing higher education and remains relevant for all stakeholders. Low persistence negatively affects individual students, institutions, and society as a whole. Nationally, a significant number of students have reported working while in college, particularly 1st-generation, low socioeconomic status (SES), and racial and ethnic minority students, those same groups who are at higher risk of experiencing low retention rates. Guided by Tinto's interactionalist model of student departure, binary logistic regression analyses of archival data were used in this retrospective prediction study. The focus was to determine how on-campus employment (OCE), 1st-generation, low-SES, and racial …

Go to article

Experiences Of Parents With Chronically Ill Children Regarding The Affordable Care Act, Kimberly Vaunterice Bracey Jan 2019

Experiences Of Parents With Chronically Ill Children Regarding The Affordable Care Act, Kimberly Vaunterice Bracey

Walden Dissertations and Doctoral Studies

Ways in which the implementation of the Patient Protection and Affordable Care Act (ACA) affect parents with chronically ill children are not well understood. The purpose of this phenomenographic study was to gain greater insight into the perceived experiences of parents of chronically ill children regarding implementation of the ACA in a southern state. Argyris's intervention theory provided the framework for the study. Face-to-face interviews were conducted with a purposeful sample of 12 female parents who are caregivers of chronically ill children. Data were analyzed and coded to identify categories and themes. Findings indicated that parents view physicians and policymakers …

Go to article

Job Satisfaction, Employee Engagement, And Turnover Intention In Federal Employment, Kristina J. Calecas Jan 2019

Job Satisfaction, Employee Engagement, And Turnover Intention In Federal Employment, Kristina J. Calecas

Walden Dissertations and Doctoral Studies

The U.S. Federal Government had a turnover of more than 3.6 billion employees in 2018. The purpose of this secondary data analysis was to use data drawn from the Federal Employee Viewpoint Survey to determine if there were a statistically significant relationship between job satisfaction, employee engagement, and turnover intention among U.S. Federal Government employees. The population for this study consisted of 598,003 individuals surveyed in 2018. The multiple linear regression results revealed a statistically significant relationship between job satisfaction, employee engagement, and turnover intention, F(2, 563,432) = 33,273, p <.001, R² = .106. Herzberg’s motivationhygiene theory and Adams’s equity theory were used as frameworks for this study. The study can be extended to more specific branches of the U.S. Federal Government. The study could impact social change by allowing human resource managers to change strategies related to retention to decrease turnover and retain knowledge in the U.S. Federal Government. Retention efforts could be translated to other industries to create long-term employment and increase overall employee job satisfaction.

Go to article

Strategies To Improve Customer Care Services In Urgent Care Businesses, Marcus Ellis Caster Jan 2019

Strategies To Improve Customer Care Services In Urgent Care Businesses, Marcus Ellis Caster

Walden Dissertations and Doctoral Studies

Healthcare industry owners who have unsatisfactory customer care services may experience a financial risk and create dissatisfied patients. The purpose of this case study was to explore customer care strategies that managers of urgent care businesses used to improve customer care services and patient satisfaction. The target population consisted of 1 urgent care manager from 3 separate urgent care clinics with the highest customer satisfaction ratings in Alabama. The urgent care managers were knowledgeable about effective customer care strategies that improved customer care services and patient satisfaction. Customer loyalty theory with emphases on customer behavior, customer attitude, repeat patronage, and …

Go to article

Perceptions Of Access To Healthcare In Cameroon By Women Of Childbearing Age, Wenceslaw Chap Chapnkem Jan 2019

Perceptions Of Access To Healthcare In Cameroon By Women Of Childbearing Age, Wenceslaw Chap Chapnkem

Walden Dissertations and Doctoral Studies

Increased poverty and unemployment rates, minimal investment in social amenities, a shortage of healthcare professionals, poor infrastructure, inadequate social services, and poor institutional and political leadership have weakened the healthcare status of Cameroon's women who have reached the age of childbearing. The World Health Organization expressed increased urgency for healthcare providers and patients to develop new healthcare policies to eliminate health-related disparities. The aim of this phenomenological study was to examine the perceptions of women of childbearing age living in Mamfe rural community in regard to Cameroon's healthcare system and its impact on their lives. The theoretical foundation of the …

Go to article

Dissertation: Professionalism In Trinidad And Tobago's Early Childhood Sector: A Case Study, Cynthia Juliana Celestin Jan 2019

Dissertation: Professionalism In Trinidad And Tobago's Early Childhood Sector: A Case Study, Cynthia Juliana Celestin

Walden Dissertations and Doctoral Studies

This case study explored early childhood practitioners' response to government mandates for increased professionalism in Trinidad and Tobago; the impact of mandates on their personal and professional lives; and their conceptions of professionalism. The study addressed government concerns about lack of professionalism in Early Childhood Care and Education; informed policymakers of the myriad challenges therein; and included practitioners' voices in international discourse on professionalism. Change theory, systems thinking, and voice elicitation formed the conceptual framework for understanding changes needed to increase professionalism in the sector. The meaning of professionalism as defined in mandates; difference between practitioners and officials' definitions of …

Go to article

Secondary School Educators' Perspectives On Strategies To Support Acculturation Of Haitian Students, Brian Clarke Jan 2019

Secondary School Educators' Perspectives On Strategies To Support Acculturation Of Haitian Students, Brian Clarke

Walden Dissertations and Doctoral Studies

Adjusting socially and emotionally to a new cultural environment can be challenging for immigrants. Yet, the academic and behavioral performance of immigrant children can be enhanced when acculturative strategies are implemented in schools to address their unique cultural differences and needs. However, a scarcity of information exists pertaining to educational strategies to support acculturation of Haitian students, particularly those with disabilities. A qualitative case study was conducted to explore strategies that support acculturation of Haitian students with disabilities and the link between the use of acculturation strategies and student achievement from the perspectives of 3 regular education educators, 2 special …

Go to article

Effectiveness Of Physiological Alarm Management Strategies To Prevent Alarm Fatigue, Amy Clemens Jan 2019

Effectiveness Of Physiological Alarm Management Strategies To Prevent Alarm Fatigue, Amy Clemens

Walden Dissertations and Doctoral Studies

There is limited clinical research on the effectiveness of alarm management strategies and nursing behaviors related to alarms in clinical settings. As many as 76% of physiological monitor alarms are overlooked as clinically insignificant by nursing staff. Excessive alarms may impact patient outcomes and cause cognitive overload for nurses that can result in medical errors and missed patient resuscitations. The purpose of this systematic review was to rate alarm management studies on level of evidence for interventions, nursing responses to alarms, and impact on alarm fatigue behavior. The nursing role effectiveness model guided this project. Twenty-seven studies were reviewed to …

Go to article

Building A Compassion Fatigue Toolkit, Stephanie C. Correa Jan 2019

Building A Compassion Fatigue Toolkit, Stephanie C. Correa

Walden Dissertations and Doctoral Studies

Compassion is an important tenet of nursing care delivery. When compassion is compromised, such as with compassion fatigue (CF), not only is patient care compromised, but also caregivers can be physically and psychologically affected, resulting in stress and burnout. The purpose of this project was to create a web-based educational toolkit focused on prevention of CF, establish the content validity of the elements in this toolkit, and make recommendations regarding its implementation and sustainability. Watson's theory of human caring guided this project. Ten experts with at least 10 years of experience and CF knowledge, a bachelor's degree in nursing, and …

Go to article

Instructional Practices Of Career And Technical Teachers Toward English Language Learners, Alan Kendall Crouch Jan 2019

Instructional Practices Of Career And Technical Teachers Toward English Language Learners, Alan Kendall Crouch

Walden Dissertations and Doctoral Studies

In Midwestern high schools, English language learners (ELLs) who are enrolled in Career and Technical Education (CTE) classes transition from school to the workforce at unacceptably low levels. This loss of opportunity has been linked to CTE instructional practices. The purpose of this study was to explore the instructional practices used by CTE teachers to support ELL instruction and how the teachers perceive those practices to improve ELL transition from school to the workforce. The conceptual framework included Freire's critical consciousness theory, which holds that it is important to include learners in the learning process. The framework grounded the study …

Go to article

A Survey Study Of Elementary Teachers' Perceptions Of Student Classroom Behavior, Duane L. Davis Jan 2019

A Survey Study Of Elementary Teachers' Perceptions Of Student Classroom Behavior, Duane L. Davis

Walden Dissertations and Doctoral Studies

In a midwest, rural, and high-poverty elementary school, teachers expressed concerns about difficult student behaviors in their classrooms. It was important to address the problem because student misbehavior disrupts the learning of all students in the classroom. To provide information to the school that could inform possible interventions, a survey was conducted that measured the perceptions of 24 classroom teachers about concerning student behaviors, their methods of dealing with such behaviors, their needs for further support, and their confidence in dealing with difficult student behaviors. The conceptual frameworks that guided this study were the behaviorist theories of Watson and Skinner. …

Go to article

Validating Bloom's Revised Taxonomy As A Rubric For Assessing Middle School Students' Levels Of Thinking, Siri Torrence Deforest Reynolds Jan 2019

Validating Bloom's Revised Taxonomy As A Rubric For Assessing Middle School Students' Levels Of Thinking, Siri Torrence Deforest Reynolds

Walden Dissertations and Doctoral Studies

Educators in a rural charter middle school in the United States were challenged with the reliable assessment of student thinking skills even though the development of higher order thinking was an espoused goal for the school. The purpose of this study was to validate a new rubric based on Bloom’s Revised Taxonomy (BRT) to reliably assess student levels of thinking as reflected in the students’ written work. A quantitative, nonexperimental design was used. The focus of the research questions was on the BRT rubric’s reliability and validity. Interrater reliability was assessed using Krippendorff’s alpha. Validity was explored by assessing the …

Go to article

Factors For Parent-Reported Adhd Diagnosis In Hispanic Elementary School-Aged Children, Maria Elva Diaz-Garcia Jan 2019

Factors For Parent-Reported Adhd Diagnosis In Hispanic Elementary School-Aged Children, Maria Elva Diaz-Garcia

Walden Dissertations and Doctoral Studies

Attention/deficit hyperactivity disorder (ADHD) affects a sizable number of children ages 4 to 17 and can be impairing into adulthood. Genetics are partly responsible, but research shows that psychosocial disparity and the interaction of select demographic factors significantly influence ADHD prevalence. There is limited research on the primary factors for an ADHD diagnosis in Hispanic elementary school-aged children. The purpose of this quantitative cross-sectional survey research was to determine the impact of disparity and interaction of psychosocial factors on an ADHD diagnosis. The research questions asked whether there was a relationship between the independent variables (mother's marital status, family income, …

Go to article

Classroom Teacher And Adminstrators Perception Of The Teacher Librarians' Contribution To Student Academic Achievement, Barbara Florence Dowell Jan 2019

Classroom Teacher And Adminstrators Perception Of The Teacher Librarians' Contribution To Student Academic Achievement, Barbara Florence Dowell

Walden Dissertations and Doctoral Studies

Library research studies have provided evidence that teacher-librarians (TLs) impact student academic success; nevertheless, TLs statewide and internationally are at a critical juncture due to stakeholder groups' ambiguous perceptions regarding their influence on student achievement. The problem in this study involves a local independent school district's lack of conclusive evidence to demonstrate TLs' contribution to student achievement on standardized testing. The purpose of this study was to examine the perceptions of TLs, classroom teachers (CTs), and administrative staff (AS) concerning student achievement as instructed by local TLs. Using Piaget's cognitive theory and Mezirow's transformative learning theory, this qualitative case study …

Go to article

Hispanic Parents' Perceptions Of Human Papillomavirus Vaccination For Male Children, Christy Dubuisson Jan 2019

Hispanic Parents' Perceptions Of Human Papillomavirus Vaccination For Male Children, Christy Dubuisson

Walden Dissertations and Doctoral Studies

Hispanic Americans experience a disparate burden of human papillomavirus vaccination (HPV)-related cancers. Despite vaccine availability, HPV vaccine uptake amid Hispanic American adolescent males in the United States is under the national goal. Furthermore, childhood vaccination compliance is driven by the parents; yet, there is little research on parents' perceptions of HPV vaccination of male children. The purpose of this phenomenological study was to explore the attitudes, beliefs, concerns, and decision- making factors of Hispanic American parents of male children aged 11- to 13- years-old surrounding HPV vaccination. The health belief model provided the framework for the study. Face-to-face interviews were …

Go to article

Gaming, Workplace, Self-Esteem, Counterproductive Work Behaviors, Sarah Marie Dyson Jan 2019

Gaming, Workplace, Self-Esteem, Counterproductive Work Behaviors, Sarah Marie Dyson

Walden Dissertations and Doctoral Studies

Although there is ample information on the negative aspects of video game playing, we know less about the benefits and how the benefits transfer to the gamers’ workplace. Further understanding of these relationships may offer employees and employers more insight on how they can reduce counterproductive workplace behaviors (CWB) while also improving workplace morale and productivity. The purpose of this quantitative nonexperimental study is to examine the relationships between time spent engaging in gameplay, workplace self-esteem, and positive and negative workplace behaviors among gamers. Participants anonymously completed an online questionnaire utilizing the Behind the Screen Measure, Counterproductive Workplace Behavior Checklist, …

Go to article

Experiences Of Young Homeless Adults In Transitional Housing, Cornelia Edoh Jan 2019

Experiences Of Young Homeless Adults In Transitional Housing, Cornelia Edoh

Walden Dissertations and Doctoral Studies

Homelessness continues to be a major and a comprehensive issue facing the United States, and it is a broad concern when it affects young adults. Research on the way individuals who are homeless perceive shelters, transitional programs, and housing program in general has been limited. Transitional living programs deliver critically needed temporary services for vulnerable and disadvantaged populations and provide them with the skills and the experiences needed to become independent. The study used a phenomenological design to explore the experiences of young homeless adults who are using transitional housing. The findings of this study may help young adults to …

Go to article

Implementation Of A Transcultural Nursing Education Program To Improve Nurses' Cultural Competence, Ann Marie Elizabeth Edwards Jan 2019

Implementation Of A Transcultural Nursing Education Program To Improve Nurses' Cultural Competence, Ann Marie Elizabeth Edwards

Walden Dissertations and Doctoral Studies

The exponential growth of culturally diverse populations in the United States has led to a multicultural patient population while the nursing workforce remains predominantly White. At the project site, managers identified that staff nurses struggled to deliver culturally competent care. The purpose of this project was to improve the cultural competence of registered nurses (RNs) through a transcultural nursing education program. Leininger's transcultural nursing theory guided the project. Sources of evidence used to develop a face-to-face educational program included peer-reviewed journals, credible websites, and the Inventory for Assessing the Process of Cultural Competence Among Healthcare Professionals-R tool. Aggregate pretest and …

Go to article

Bioterrorism Hardening: An Exploratory Study Of Emts Preparedness And Practices, Ndubuisi Chinemerem Ejike Jan 2019

Bioterrorism Hardening: An Exploratory Study Of Emts Preparedness And Practices, Ndubuisi Chinemerem Ejike

Walden Dissertations and Doctoral Studies

The 2001 anthrax attacks heightened awareness of the possibility of weaponizing biological agents such as Ebola, anthrax, and smallpox and hence, the Bioterrorism Act of 2002 to prevent biological attacks and reduce bioterrorism threats and vulnerabilities. However, the 2014 Ebola epidemic raised concerns about unpreparedness for bioterrorism within the healthcare community and about secondary infections from healthcare workers. Using Kingdon's conceptualization of multiple streams as the foundation, the purpose of this case study was to explore the nature of bioterrorism threats and the level of preparedness of Emergency Medical Technicians (EMTs) who were involved in the 2014 Ebola epidemic in …

Go to article

First Prev Next Last