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 11731 - 11760 of 16849

Full-Text Articles in Entire DC Network

Factors Associated With Prostate Cancer Screening Intentions Among Adult Men In Nigeria, Ifeanyi N. Malu Jan 2019

Factors Associated With Prostate Cancer Screening Intentions Among Adult Men In Nigeria, Ifeanyi N. Malu

Walden Dissertations and Doctoral Studies

Timely detection of prostate cancer (PCA) with prostate-specific antigens (PSA) and digital rectal examinations (DRE) are essential in optimizing incidence, minimizing prevalence, and reducing mortality rates. Given the low levels of participation in cancer screening, this study was conducted to examine the factors men consider when deciding whether to screen for PCA in Nigeria. A cross-sectional, online-based survey of 180 consenting Nigerian men 50 years old and older was carried out. Logistic regression analysis and descriptive statistics were used to analyze the data. Based on the data, there was a moderate positive association between the health belief model constructs and …

Go to article

Admission Predictors Of Student Success On The Physician Assistant National Certifying Exam, Thomas Frank Moore Jan 2019

Admission Predictors Of Student Success On The Physician Assistant National Certifying Exam, Thomas Frank Moore

Walden Dissertations and Doctoral Studies

In 2009, a local physician assistant (PA) program lost accreditation due to decreased success in licensure pass rates on the Physician Assistant National Certification Examination (PANCE). In response, the program's admissions committee required additional metrics for accepting quality candidates more likely to pass the licensure examination on the first attempt. The purpose of this study was to gain a better understanding of these metrics, specifically the relationship between demographics, prerequisite admission requirements, and PANCE success. The theoretical framework and conceptual model shaping this study was Bordage's illumination and magnify framework and Swail's geometric model of student persistence and achievement. The …

Go to article

Addressing Human Papillomavirus Vaccination In Primary Care Pediatrics, Natasha Marie Subramaniam Jan 2019

Addressing Human Papillomavirus Vaccination In Primary Care Pediatrics, Natasha Marie Subramaniam

Walden Dissertations and Doctoral Studies

Human papillomavirus (HPV) is the most common sexually transmitted disease in the United States. Despite most common transmission, HPV immunization in adolescents remains below target rates of 80% as outlined by Healthy People 2020 Objectives. Nearly all individuals will contract HPV during their lifetime. The purpose of this project was to educate providers on successfully promoting HPV immunization in adolescents utilizing evidence-based methods. The health belief model (HBM) was the theoretical underpinning utilized to teach providers on discussions about 9vHPV immunization with parents of adolescents. The practice focused question explored whether an education program using concepts from the HBM would …

Go to article

Improving Retention Strategies For Experienced Nurses, Kimberly M. Hollis Jan 2019

Improving Retention Strategies For Experienced Nurses, Kimberly M. Hollis

Walden Dissertations and Doctoral Studies

Experienced nurses depart the workforce in significant numbers; therefore, it is critical to understand how those departures affect patient care and safety. The focus of this systematic review included appraisal of recent research to provide an understanding of strategies used in acute care settings to retain experienced nurses. Guided by Benner's model of skill acquisition, the purpose of this systematic review was to identify factors that influence the decision of nurses with experience to leave or remain working in acute care work settings. The 19 articles selected for this review were limited to those pertaining to experienced registered nurses who …

Go to article

Psychological Distress Among High-Risk Youths First-Year In Collegiate Sport, Cassidy Janay Jenkins Jan 2019

Psychological Distress Among High-Risk Youths First-Year In Collegiate Sport, Cassidy Janay Jenkins

Walden Dissertations and Doctoral Studies

It is well documented that students from low socioeconomic backgrounds face a significant degree of deficiencies in college opportunity. Previous researchers have shown an estimated 1 in 5 student athletes given the opportunity to compete at the college level come from low socioeconomic backgrounds and encounter more adjustment issues than other students because of the psychological barriers they face. Using Pearlin's theory of psychological distress and Selye's GAS as the foundation, this study explored the extent to which the difference between the perceived time needed and actual time spent in both sports and academic commitment predict psychological distress in first-year …

Go to article

Strategies Hospital Administrators Utilize To Optimize Patient Services, Vicente Njoku Jan 2019

Strategies Hospital Administrators Utilize To Optimize Patient Services, Vicente Njoku

Walden Dissertations and Doctoral Studies

Hospital administrators face challenges that arise from environmental factors or psychosocial factors, and lack resources to deliver valuable medical services to stakeholders, including patients and employees. A multicase study served to explore experiences and gain a broader perspective of hospital administrators' use of strategies to optimize patient services. Ten hospital administrators from acute care hospitals in Nevada and California were purposefully selected from the population of hospital managers with a minimum of 2 years of documented experience in successfully implementing management strategies to improve patient services. The conceptual framework was Drucker's management theory. Data were collected from semistructured interviews with …

Go to article

Predictors Of Rapid Repeat Pregnancy In Zimbabwe, Thenjiwe Sisimayi Jan 2019

Predictors Of Rapid Repeat Pregnancy In Zimbabwe, Thenjiwe Sisimayi

Walden Dissertations and Doctoral Studies

Rapid repeat pregnancy (RRP) is associated with adverse maternal and infant outcomes and a range of undesirable social and economic challenges for the mother, her baby, and society. Although the consequences of RRP are well known, Zimbabwe—a country with some of the poorest maternal health indicators—has not investigated or made efforts to directly address this problem. This is confirmed by the lack of targeted programs to curb RRP, the unavailability of documented evidence regarding RRP significant risk factors, and the lack of understanding of the extent of RRP in the country. Using social cognitive theory as the theoretical framework, an …

Go to article

Breast Cancer Screening Knowledge And Beliefs Of Nigerian Women Living In The United States, Enobong Clement Utin Jan 2019

Breast Cancer Screening Knowledge And Beliefs Of Nigerian Women Living In The United States, Enobong Clement Utin

Walden Dissertations and Doctoral Studies

Breast cancer is one of the leading causes of death and disability globally. Although mammogram has been identified as a significant breast screening tool in the United States, researchers have indicated that African-born women in the United States are diagnosed with advanced stages of breast cancer because of underutilization of mammogram from diverse reasons. The purpose of this quantitative study was to determine the association of demographic factors, breast cancer knowledge, health beliefs, and the utilization of mammogram among Nigerian women, 40 years and older in the United States (N=200). The study was guided by the health belief model and …

Go to article

Graduate Student Self-Efficacy During The Psychology Practicum Experience, Janice Baylor Jan 2019

Graduate Student Self-Efficacy During The Psychology Practicum Experience, Janice Baylor

Walden Dissertations and Doctoral Studies

There has been limited attention as to whether effective clinical supervisors help to build self-efficacy in clinical trainees by focusing on positive instances of their behavior during practicum. Trainees' may enter practicum with lower self-efficacy regarding their skills and having a supervisor that provides an experience that was positive would be expected to lead to higher self-efficacy. The purpose of this study was to quantitatively examine whether a relationship existed between self-efficacy and graduate students' experience in practicum training as measured by the role conflict subscale of the role conflict and role ambiguity inventory); working alliance inventory-supervisee; supervision evaluation questionnaire; …

Go to article

The Lived Experiences Of Those Bereaved By Suicide, Vincent Kinsey Jan 2019

The Lived Experiences Of Those Bereaved By Suicide, Vincent Kinsey

Walden Dissertations and Doctoral Studies

This study sought to explore the lived experience of the bereaved-by-suicide and to provide a detailed description of their experience with the loss of a loved one. The study participants were 12 bereaved-by-suicide individuals between the ages of 21 and 65 who had experienced the loss of a loved one by suicide two or more years before the interviews. The research question was made up of three parts, "How do the bereaved-by-suicide describe their grief in personal, practical, and existential terms?" The theoretical framework for the study was derived from Neimeyer's meaning reconstruction theory. Data were collected via individual interview …

Go to article

Progress On The Economic Empowerment Of Female Entrepreneurs In Kenya's 30% Preferential Public Procurement Policy, Rukaya Mohammed Jan 2019

Progress On The Economic Empowerment Of Female Entrepreneurs In Kenya's 30% Preferential Public Procurement Policy, Rukaya Mohammed

Walden Dissertations and Doctoral Studies

In Kenya, a 2013 presidential directive reserved 30% of government procurement opportunities for enterprises owned by women, youth, and persons with disabilities to promote economic empowerment; however, as of 2016, female entrepreneurs continued to be outpaced by their male counterparts. The lack of policy evaluation from the female entrepreneur perspective limits the ability to assess progress and identify obstacles. Through purposeful sampling and semistructured interviews, this qualitative phenomenological study obtained the perceptions of the implementation and impact of Access to Government Procurement Opportunities (AGPO) on economic empowerment from the perspective of 20 female entrepreneurs in Kenya previously awarded procurement contracts. …

Go to article

Funding Strategies For Smallholder Rice Farmers In Afadzato South District, Ghana, Faith S. Ababio-Twi Jan 2019

Funding Strategies For Smallholder Rice Farmers In Afadzato South District, Ghana, Faith S. Ababio-Twi

Walden Dissertations and Doctoral Studies

Agriculture revenue contributions to Ghana's gross domestic product have declined because of limited farm funding, which has constrained some smallholder rice farmers access credit to acquire necessary inputs, and to secure a stable market for their harvests. The purpose of this qualitative multiple case study was to explore successful strategies some smallholder rice farmers in the Afadzato South District of Ghana used in obtaining farm funding. Data collection included semistructured, face-to-face interviews with 9 smallholder rice farmers who successfully obtained farm funding. Previous research, reports, and policies of the Ghana Ministry of Food and Agriculture served as additional data collection …

Go to article

Gifted Students In Poverty's Perceptions Of Blended Learning, Darren Chase Crutcher Jan 2019

Gifted Students In Poverty's Perceptions Of Blended Learning, Darren Chase Crutcher

Walden Dissertations and Doctoral Studies

Students who are raised in poverty and are not adapted to technology use have less positive learning experiences with technology usage than other students. The purpose of this qualitative study was to explore students' perceptions of blended learning among gifted students who are enrolled in the free and reduced lunch program in a public high school district in the southeastern United States. Davis's version of the technology acceptance model was used as the conceptual framework. The research questions explored the perceptions of these gifted students when they are taught using blended learning in terms of their attitudes, perceived usefulness, perceived …

Go to article

Optimizing Green Supply Chain Management Strategies, Mark Derek De La Grandiere Jan 2019

Optimizing Green Supply Chain Management Strategies, Mark Derek De La Grandiere

Walden Dissertations and Doctoral Studies

Some business leaders in the manufacturing industry lack strategies to optimize green supply chain management strategies that increase profitability while reducing the carbon footprint. The lack of green supply chain strategies sub optimizes the use of resources business leaders use to meet their financial goals. The purpose of this qualitative single case study was to explore successful green supply chain strategies leaders used to increase profitability while reducing the carbon footprint. The participants were 7 business leaders in one manufacturing organization headquartered in Massachusetts who have sophisticated green supply chain strategies in place. The natural resource-based view theory was the …

Go to article

A Geographic Study Of Lung And Bronchus Cancer Rates In Kentucky, Gabriel Njoh Dikong Jan 2019

A Geographic Study Of Lung And Bronchus Cancer Rates In Kentucky, Gabriel Njoh Dikong

Walden Dissertations and Doctoral Studies

The average age-adjusted incidence and mortality rates of lung and bronchus cancer is 55% and 56% higher in Kentucky than the national averages in the United States, respectively. Populations with low income and educational attainment, and those who live close to the mining regions across Kentucky are more affected by the high prevalence and resulting mortality rates of lung and bronchus cancer. This study was conducted because of the high incidence of lung and bronchus cancer and resulting mortality rates in the state of Kentucky that may not be caused solely by social and demographic factors. The theoretical foundation for …

Go to article

Exploring The Mechanisms Of Racial Disparity In Infant Mortality: A Grounded Theory Approach, Barry Chukwugekwu Eneh Jan 2019

Exploring The Mechanisms Of Racial Disparity In Infant Mortality: A Grounded Theory Approach, Barry Chukwugekwu Eneh

Walden Dissertations and Doctoral Studies

Infant mortality (IM) is a critical health-disparity problem in the United States. Of the 23000 infants who die each year, the highest number occurs among African Americans. Previous studies implicated a mix of health determinants and risk factors, but no study has explored the mechanisms by which IM predictably persists among African Americans. This study uncovers the complex network of risk factors that underlies racial death disparities in infants. Two theoretical lenses chosen for this study were social systems theory (SST) and critical race theory (CRT). SST explains human behavior as an intersection of interrelated systems. CRT interrogates inherent social …

Go to article

Exploring Prayer Functions And Posttraumatic Growth Among Informal Caregivers In Hospice Settings, Nicole Beth Fortin Jan 2019

Exploring Prayer Functions And Posttraumatic Growth Among Informal Caregivers In Hospice Settings, Nicole Beth Fortin

Walden Dissertations and Doctoral Studies

Posttraumatic growth is a positive psychological transformation resulting from the struggle to cope with a challenging life event. There is a significant association between prayer coping functions and posttraumatic growth, but its process remains unclear and studies on informal hospice caregivers are scarce. The purpose of this quantitative, correlational, cross-sectional study was to explore the relationship between prayer functions and posttraumatic growth among informal caregivers while considering differences due to the caregiving environment and prayer practices. The shattered assumptions theory and model of growth in grief were used as a theoretical framework to evaluate the relationship between prayer functions, using …

Go to article

Leisure Computer Usage And Perceived Body Weight, Diet, And Physical Activity, Santina Jaronko Jan 2019

Leisure Computer Usage And Perceived Body Weight, Diet, And Physical Activity, Santina Jaronko

Walden Dissertations and Doctoral Studies

Screened media platforms have been blamed for contributing to the childhood obesity epidemic. The purpose of this study was to determine if leisure computer usage, such as engaging in social media, impacted perceived body weight, dietary habits, and physical activity. The social network theory and the social cognitive theory were the theoretical frameworks of this cross-sectional study using secondary data. The data set used was the 2015 Centers for Disease Control and Prevention's Youth Risk Behavior Surveillance Survey including a sample size of 8,241 youths between Grades 9 and 12. Chi-square test and binary logistic regression analysis were performed to …

Go to article

Patient Awareness And Knowledge Of Medically Induced Radiation Exposure, Travis L. Mann Jan 2019

Patient Awareness And Knowledge Of Medically Induced Radiation Exposure, Travis L. Mann

Walden Dissertations and Doctoral Studies

The level of knowledge and awareness among patients about the concepts and implications of medical radiation is unknown. The purpose of this qualitative, case study was to explore patients' awareness and knowledge of information regarding this topic from their perspectives. The health belief model provided the framework for the study. A total of 20 individuals were recruited using purposive sampling. All participants were above the age of 18 in central North Carolina and had undergone or are currently undergoing medical radiation exams. Data were collected using semistructured interviews and analyzed using Yin's 5-phased cycle, which involved compiling, disassembling, reassembling, interpreting, …

Go to article

Examining K-6 Teachers' Stages Of Concerns Related To Implementation Of I-Ready, Cristy Mckinley Jan 2019

Examining K-6 Teachers' Stages Of Concerns Related To Implementation Of I-Ready, Cristy Mckinley

Walden Dissertations and Doctoral Studies

Low reading proficiency rates have been observed throughout the United States including a rural school in southwestern New York State. Although the Outstanding School District (pseudonym) purchased i-Ready, an adaptive diagnostic and instructional program, only 35% of students in Grades 3 through 8 demonstrated proficiency in reading in 2018. The problem is that i-Ready has not been implemented as intended. The purpose of this case study was to investigate teachers' concerns related to implementation and use of i-Ready. The guiding research questions examined the teacher's most common concerns and challenges faced during implementation. The Concerns-Based Adoption Model served as the …

Go to article

Staff Education For Providers In An Outpatient Hemodialysis Center, Ibijoke Owolabi Jan 2019

Staff Education For Providers In An Outpatient Hemodialysis Center, Ibijoke Owolabi

Walden Dissertations and Doctoral Studies

The impact of end-stage renal disease (ESRD) on healthcare costs is significant. In 2013, the cost of providing care for the ESRD patient population was 7.1% of total Medicare expenses. ESRD patients' non-adherence with the medical plan is a reason for the high cost of care and poor patient outcomes. Staff education can have a positive impact on patient adherence in terms of the management of chronic illnesses, such as ESRD. This DNP project was an education program for hemodialysis (HD) staff regarding empowering patients to learn about self-care strategies aimed at improving ESRD patients' adherence to fluid restriction and …

Go to article

Law Enforcement Perception Of Social Media As An Influence In Mass Shootings, Jazma Mekelle Parker Jan 2019

Law Enforcement Perception Of Social Media As An Influence In Mass Shootings, Jazma Mekelle Parker

Walden Dissertations and Doctoral Studies

Mass shootings have been a persistent issue in the United States, and the underlying factors that continue to influence this crime are not yet evident. This study explored the effects of social media as an influence on mass shootings in the United States. Its purpose was to address the role of social media in spreading opinionated ideologies. The research question addressed the role of social media in influencing the actions of perpetrators of mass shootings in the United States. The study framework was based on the social-ecological model to facilitate classification of the susceptibilities of social media users to adverse …

Go to article

The Perceptions Of Transgender Patients Toward Nursing Care, Debra Ann Quenga Jan 2019

The Perceptions Of Transgender Patients Toward Nursing Care, Debra Ann Quenga

Walden Dissertations and Doctoral Studies

Transgender individuals present unique issues when seeking care that many nurses are not prepared for. Nursing education is lacking in transgender care for both nursing students and practicing nurses, which may delay care or lead to patients not disclosing their gender if they feel their needs are not understood or that there is bias toward them. Due to the limited research available, educators are not prepared to include transgender care in their nursing curricula, leading to a lack of knowledge and skills needed to care for this population. The purpose of this qualitative study was to explore the perceptions of …

Go to article

Director Of Nursing Role Conflict And Ambiguity, Commitment, And Intent To Stay, Amy Elizabeth Thiesse Jan 2019

Director Of Nursing Role Conflict And Ambiguity, Commitment, And Intent To Stay, Amy Elizabeth Thiesse

Walden Dissertations and Doctoral Studies

High rates of turnover and the limited tenure of directors of nursing (DONs) in long-term care creates instability in the nursing workforce and the quality of care provided. Organizations, industry, and stakeholders have made little progress to change this turnover crisis. The purpose of this quantitative study, guided by organizational role and social exchange theories, was to determine if there was a difference in levels of affective organizational commitment and intent to stay mediated by leader-member exchange in long-term care DONs with different levels of role conflict and role ambiguity. The key variables were measured with the Role Questionnaire, Leader-Member …

Go to article

Mental Health Service Providers' Engagement Experiences Of Homeless Individuals, Tarsha Thomas-Richardson Jan 2019

Mental Health Service Providers' Engagement Experiences Of Homeless Individuals, Tarsha Thomas-Richardson

Walden Dissertations and Doctoral Studies

Limited literature exists regarding best engagement practices of mental health service providers in encouraging the homeless individuals to participate in clinical mental health services in New York City. New York City has a population of more than 8.5 million, and in 2017 more than 129,803 homeless individuals slept in shelters. The purpose of this phenomenological qualitative study was to gain more insight and knowledge about the best engagement practices and experiences of mental health service providers in encouraging homeless individuals to participate in clinical mental health services. The conceptual framework used to guide this study comes from Kearsley and Shneiderman's …

Go to article

Jamaican Kindergarten And First Grade Teachers’ Expectations For Readiness Skills, Sadie Henrietta Harris-Mortley Jan 2019

Jamaican Kindergarten And First Grade Teachers’ Expectations For Readiness Skills, Sadie Henrietta Harris-Mortley

Walden Dissertations and Doctoral Studies

Children’s readiness to meet demands in Grade 1 is a common concern in most primary schools in Jamaica. Teachers have voiced their expectations that students should display a level of mastery in readiness skills so that they can be engaged in academic tasks when they transition from the kindergarten to Grade 1. The purpose of this qualitative case study, guided by social constructivism, was to explore kindergarten students’ readiness for Grade 1 based on the perceptions of kindergarten teachers compared to Grade 1 teachers on readiness skills, instructional practices, and expectations of students’ competency. The research questions were designed to …

Go to article

Lived Experiences Of African Students With Microaggressions In U.S.-Based Higher Education Institutions, Amevi Molley Jan 2019

Lived Experiences Of African Students With Microaggressions In U.S.-Based Higher Education Institutions, Amevi Molley

Walden Dissertations and Doctoral Studies

The prevalence of microaggressions in higher education institutions in the United States is a major issue for individuals of color and international background. Microaggressions can interfere with international students' smooth transition into their new academic system and social environment. The purpose of this qualitative study with a transcendental phenomenological approach was to explore the lived experiences of Sub-Saharan international graduate students who have experienced microaggressions in a higher education institution in the United States. The racial microaggression theory and the theory of neo-racism served as a guiding conceptual framework for this study. The research question was to examine the lived …

Go to article

Timing Of Substance Use Initiation: Assessing The Role Of Trauma And Race, Rebecca Petrie Jan 2019

Timing Of Substance Use Initiation: Assessing The Role Of Trauma And Race, Rebecca Petrie

Walden Dissertations and Doctoral Studies

The purpose of this study was to examine the strength of the association between race, trauma, and the age of initiation for substance use, specifically tobacco, marijuana, alcohol among high school students aged 13-18 in the United States. This research is critical because prior research has shown that trauma and race led to higher rates of substance use in adulthood. Still, limited research has shown how these factors affect the age of substance use initiation. The theoretical foundation for this study was the general strain theory since the theory posits that exposure to stresses or strain leads to delinquency, which …

Go to article

Job Retention Of Childcare Workers In A Military Child Development Center, Janet Marie Hooten Jan 2019

Job Retention Of Childcare Workers In A Military Child Development Center, Janet Marie Hooten

Walden Dissertations and Doctoral Studies

This study explored the low retention rates of childcare workers at a military child development center in the northeast United States. The purpose of this case study was to explore the work experiences of childcare employees during their first year of employment at a child development center to discover the factors that influenced their decision to resign. The conceptual framework that guided this study was a 2-factor approach of motivator and hygiene factors associated with experiences and perceptions. Transcripts from interviews with 15 current and prior childcare workers and management team members were coded, triangulated, and thematically analyzed. The themes …

Go to article

What Drives Underprepared Students From The First Year On, Shanetta S. Lillard Jan 2019

What Drives Underprepared Students From The First Year On, Shanetta S. Lillard

Walden Dissertations and Doctoral Studies

College students often enter college academically unprepared, as evidenced by low high school cumulative GPAs or poor SAT scores. In response to this problem, administrators at a 4-year university in the Mid-Atlantic region of the Unites States implemented an intensive, semester-long program to introduce and acclimate conditionally admitted students to the rigors of collegiate life. The purpose of this study was to understand how to assist students in moving from Year 1 to full admission and beyond. In accordance with Bandura's reciprocal causation of social cognitive theory model, the research questions centered on conditionally admitted students' descriptions of their experiences …

Go to article

First Prev Next Last