Digital Commons Network^™

Strengthening Jamaica's Anticorruption Policy With An Independent Agency, Curt Brown

Walden Dissertations and Doctoral Studies

Corruption is a kind of behavior that undermines good governance. Current research has suggested that Jamaica's present anticorruption policy is ineffective, and needs strengthening. A civic organization in Jamaica has advocated for an independent anticorruption agency, with both investigative and prosecutorial powers to strengthen Jamaica's anticorruption policy. Little is known about the perspectives from the Jamaican business community on this concept. The purpose of this study was to discover and understand perspectives from the Jamaican business community on this concept. A framework included in this study is the principal-agent theory, which provides an understanding of the essence and relevance of …

Inpatient Rehabilitation, Diabetes, And The Risk Of Clostridium Difficile Infection, Kerry A. Flint

Walden Dissertations and Doctoral Studies

Clostridium difficile is a frequent cause of healthcare-associated infections (HAI) and is associated with increased risk of morbidity and mortality. Studies suggest environmental and host characteristics increase patient's susceptibility to C. difficile infection (CDI). However, few studies have examined the risk of CDI among those with diabetes or patients in the acute rehabilitation (AR) setting. A case-control study, using secondary data (n = 473), evaluated the relationship between CDI and diabetes and identified modifiable environmental exposures. An ecosocial framework was used to examine the relationship between these two complex diseases among hospitalized patients in an AR setting. Results of the …

Strategies For Virtual Sales Leaders To Increase Productivity Of Remote Employees, Tamera Monai Gaines

Walden Dissertations and Doctoral Studies

An employee's contributions toward the success of organizational results and objectives are essential to how virtual sales leaders implement strategies to improve productivity. In 2014, 21% of virtual leaders received formal training to manage remote employees, and 17% of remote employees received formal training on how to work productively. The purpose of this single qualitative case study was to explore strategies virtual sales leaders used to improve remote sales employees' productivity. The population included 6 virtual sales leaders in 1 staffing organization located in Michigan. The conceptual framework for this study included the job demands-resources model. Data were collected through …

Using Calcaneal Heel Ultrasounds To Screen For Osteoporosis At Alaska Health Fairs, Heather Guess

Walden Dissertations and Doctoral Studies

Osteoporosis is a major health problem. The Alaska Department of Health and Social Services reports national rates of osteoporosis at 13-18% of women and 3-6% of men over age 50, but current evidence suggests that osteoporosis rates in Alaska are more equal between sexes. Known risk factors for osteoporosis that are very common among Alaskans include arthritis and low vitamin D and calcium levels. The U.S. Preventive Services Task Force (USPSTF) recommends dual-energy x-ray absorptiometry (DXA) scans of the hip and lumbar spine as the gold standard of screening for osteoporosis; however, DXA scans are expensive, not portable, and not …

A Nursing In-Service For Diabetes Education, Heidi Steiner

Walden Dissertations and Doctoral Studies

Nurses play a central role in preparing patients for discharge. Diabetes affects one-third of all hospitalized patients, with readmission rates 20% higher for patients with diabetes. Low health literacy affects patients' ability to understand education provided during a hospitalization, especially in diabetic patients who are required to perform complex self-care activities. The rehabilitation nurses within the practicum site struggled to provide adequate diabetes education, leading to patients' readmissions and frequent calls to the nursing unit post discharge. The purpose of this project was to educate nurses on an inpatient unit about survival skills and teach-back approaches to improve inpatient diabetes …

Relationship Between Health Literacy And End-Stage Renal Disease Among Type Ii Diabetics, Joelle M. Stolte

Walden Dissertations and Doctoral Studies

The progression of End Stage Renal Disease (ESRD) among type II diabetics is preventable, yet complications continue to plague many. Reports show that 29.1 million people (9.3%) in the United States have diabetes, and 40% of those individuals develop ESRD. Four research questions explored the relationship between ESRD, health literacy, and healthcare. Data from 2010-2015 from the National Institute of Health (NIH) was quantitatively analyzed. The conceptual framework was the revised health service utilization theory. The target population included 3939 diverse males and females between the ages of 20-75 diagnosed with type II Diabetes. Results from Chi-square, cross-tabulation, binary, and …

Increasing The Value Of Medicare Annual Wellness Visits For Patients And Providers, Stephanie Hope Turner

Walden Dissertations and Doctoral Studies

The Medicare Annual Wellness Visit (AWV) has been available to Medicare beneficiaries since 2005; however, most eligible individuals have not taken advantage of this benefit. The literature supports that patients are willing to schedule and complete an AWV if urged to do so by their primary care provider; however, providers are reluctant to advise patients to pursue the AWV due to the lack of perceived value and overall health benefit. The integrative theory of health behavior change was used as the theoretical framework for the project. By increasing patient self-management skills through education, engagement, and support, the project was designed …

Black Business Owners Overcoming Barriers In Texas, Henry Williams

Walden Dissertations and Doctoral Studies

Black entrepreneurs in the state of Texas reported that they did not achieve the same level of success as nonminority enterprises. Many Black entrepreneurs have obtained education from top tier institutions and have the managerial experiences, skills, and working knowledge that facilitate business success, but they are not able to sustain business growth. The purpose of this phenomenological study was to explore the lived experiences of Black Texan entrepreneurs. This research was established using the conceptual framework of human capital. The overarching research question concerned the lived experiences of Black Texas entrepreneurs who were not as successful in business as …

Procurement Strategies In Nigerian Ceramics Manufacturing, Emmanuel Korede Alege

Walden Dissertations and Doctoral Studies

Some developing nations struggle with a diminishing manufacturing output market share because of a lack of appropriate procurement strategies. The purpose of this single case study was to explore the procurement strategies that managers successfully developed and deployed to improve company performance. The strategic alignment model was the conceptual framework for the study. Data were collected through semistructured interviews of 6 members of a Nigerian ceramics manufacturing company, as well as from a review of publicly available documents related to the performance of the company. A thematic analysis of the data was conducted to identify codes, extract subthemes and themes …

Early Radiation Therapy And Cervical Cancer Survival In The United States, Olufunmiso Oyetunde Asamu

Walden Dissertations and Doctoral Studies

A paucity of information exists on the benefits of using radiation therapy for treating women with early cervical cancer detection. The purpose of this cross-sectional study was to investigate the association between early versus late testing of Human papilloma virus (HPV), age, race, radiation therapy, and regions in United States, and survival rates among women diagnosed with early cervical cancer. The epidemiological triad of person, time, and space guided this study to explain the regional spread of cervical cancer, and the effect of early testing. Secondary data from Surveillance, Epidemiology, and End Results (SEER) were used (N= 520,153). Statistical analyses …

Emergency Room Nurse Perceptions Of Emotional Intelligence, Ingrid Astralaga

Walden Dissertations and Doctoral Studies

The delivery of quality care has been a priority for the health care industry in the United States. Researchers have established positive correlations between the levels of emotional intelligence of registered nurses and their clinical performances. However, new evidence suggests the need to enhance the use of emotional intelligence (EI) in high-risk clinical units. With the intent to understand the use of EI, a phenomenological research approach was used to identify the emergency room nurse's understanding of EI. The Four-branch Model of Emotional Intelligence was used as the theoretical framework, while the research question identified the emergency room nurse's perception …

Sexism, Just-World Beliefs, And Defensive Attribution: Relationship To Online Discourse And Child Sexual Abuse, Andrea M. Barbis

Walden Dissertations and Doctoral Studies

Research has shown that individuals' willingness to believe a disclosure of childhood sexual abuse (CSA) is related to just-world beliefs, ambivalent sexism, and defensive attribution. However, researchers do not know whether these variables relate to posts made in response to online articles describing CSA. Negative or disbelieving posts may impact not only the author, but also readers who view these comments via hindrance of disclosures, increased self-blame, and avoidance of help seeking. In this quantitative study, just-world, ambivalent sexism, and defensive attribution theories provided the theoretical basis used to determine whether just-world beliefs, ambivalent sexism, and defensive attribution influenced comments …

Measuring Skill Decay In Fire Ground Commanders, Joe Bonnell

Walden Dissertations and Doctoral Studies

Despite improved technology and equipment and a steady decline of structure fires, firefighter line-of-duty deaths and injury rates have increased over the past 10 years. Independent reports indicated poor decision-making by fire ground incident commanders (FGCs) as the primary cause of deaths and injuries. FGCs are vulnerable to skill decay given the expertise needed to manage an incident and limited opportunities to remain proficient. Guided by skill decay theory, the purpose of this quantitative study was to examine the relationship between skill decay among FGCs and experience, drilling and training opportunities (overlearning), years of experience, and time since initial training. …

Korean Immigrant Women's Perceptions Of Cervical Cancer Screening In Hawaii, Eurina Yujin Cha

Walden Dissertations and Doctoral Studies

Minority immigrant women are more likely to be diagnosed with and suffer from cervical cancer compared to other minority women in the United States. The purpose of this qualitative ethnographic study was to explore cultural health perceptions, behaviors, and barriers to cervical cancer prevention among Korean immigrant women (KIW) in Hawaii. The health belief model and the social-ecological model were used to guide the study. Data were collected using individual structured interviews with 20 KIW ages 21 to 65 who are first-generation KIW immigrant to Hawaii. Data were coded and analyzed to identify themes. Findings revealed that participants (a) prefer …

Exploring Restorative Factors For Trafficked And Sexually Exploited Women, Carol C. Chilaka

Walden Dissertations and Doctoral Studies

Abstract

Many women who survived sex trafficking continue to suffer from severe and persistent psychological distress even after the traditional treatment and rehabilitation program. The lingering psychological symptoms that these survivors suffer make reintegration into their families and communities difficult. This phenomenological study identified the restorative factors that helped some women who were earlier engaged in sex trafficking to recover, readjust, and reintegrate into their families and communities. Six female survivors of human trafficking and six program directors/counselors at different rehabilitation centers were individually interviewed in in-depth with semi-structured questionnaires and audio recorded. I kept diary of my readings and …

Teacher Effectiveness With At-Risk Students In Alternative Education Settings, Natasha Conover

Walden Dissertations and Doctoral Studies

At-risk youth come to school with a variety of challenges that sometimes lead to voluntary or involuntary disengagement from traditional high schools. Alternative education programs are an alternate placement for students who have disengaged from traditional high schools. Although researchers have shown that teacher and staff approaches to the overall educational experience of a student contribute to student success in alternative education programs, they have also highlighted that the lack of teacher-student relationships contributes to student disengagement. These findings may indicate that not all teachers are willing or able to connect with at-risk students. The purpose of this qualitative case …

Predictive Relationship Between Anger And Violence In Canadian Secondary Students, Lawrence Alfred Deck

Walden Dissertations and Doctoral Studies

Violence among Canadian secondary students remains a concern for administrators, teachers, community members, and students. The purpose of this retrospective quantitative nonexperimental study was to examine the predictive relationship between anger and violence among secondary students in Canada using the Anger Regulation and Expression Scale (ARES). The general aggression model provided the framework for the study. Survey data were collected from 138 students using the ARES. Demographic data and archival data from students' school files were also collected. Results of receiver operator characteristic analysis and binary logistic regression indicated that the ARES total score provided fair to good predictive ability …

Parental Involvement In Individual Education Plan Development For Students With Significant Intellectual Disabilities, Tanya A. Dodge

Walden Dissertations and Doctoral Studies

Research indicates a connection between successful outcomes for students with significant intellectual disabilities and the individual education program (IEP) team's efforts in the IEP development process. However, little research has been conducted on the perceptions of parents and teachers of students with significant disabilities about parent participation in the IEP development process. Therefore, the purpose of this phenomenological study was to explore parent and teacher perceptions of parent participation in the IEP development process. The conceptual framework of this study was ecological design theory, based on Bronfenbrenner's theory of human development and Neal and Neal's theory of networked systems. Participants …

Nigerian Hospital-Based Interprofessional Collaborative Patterns And Organizational Implications, Osaeloka Christiandolus Ekwueme

Walden Dissertations and Doctoral Studies

Interprofessional collaboration is recognized as the innovative, evidence-based strategy that strengthens health systems and improves performance and health outcomes. While resource-rich countries have benefited much from the implementation of this initiative, literature is scarce regarding sub-Sahara Africa. This quantitative cross-sectional descriptive study described the extent of interprofessional collaborative practice at the tertiary care level in Nigeria and its implications on patient health outcomes, professionals' performance, satisfaction, and healthy practice environment. The relational coordination theory (RCT) provided the conceptual framework for the study. Key research questions were on the association between the extents of interprofessional practice and each of the outcome …

Strategies For Improving Technology Startup Capital, Inibehe Eno-Adams

Walden Dissertations and Doctoral Studies

Funding is one of the most critical resources high potential technology startup (HPTS) ventures need to achieve success. Some startup founders lack access to capital, a critical resource for HPTS founders to create value for customers and capture value for their organizations. Capital constraints can hinder business performance, endanger growth and the ability to grow and scale into the global markets. This multiple case study explored the strategies HPTS firms used to access capital to grow and scale into global markets. Mishra's venture capital investment model and Blank's customer development model served as the conceptual framework for this study. Data …

Holistic Health And Hawaii's Renewable Energy Future, Richard M. Esterle

Walden Dissertations and Doctoral Studies

Collective efficacy, time urgency, and health literacy have been a focus of research since the 1970s. Researchers have demonstrated that these factors influence health and decision making. However, researchers have yet to establish how these factors may be connected to the achievement of policy aims that impact holistic or environmental health. This study utilized the health belief model, social cognitive theory, time urgency theory, health education and promotion theory, Bronfenbrenner's ecological systems theory, and the Meikirch model. The purpose of this quantitative study was to determine if the factors of collective efficacy, perceived time urgency, perceived health literacy, ethnicity, age, …

Nyc Administration For Children's Services Child Abuse And Neglect Prevention Polices, Program And Laws, Oluropo Abiodun Fele

Walden Dissertations and Doctoral Studies

Despite efforts and financial resources invested in the prevention of child abuse and neglect in New York City (NYC), many children are still in danger of being victimized by their parents or caregivers. The general public's assumption is that the NYC Administration for Children's Services (ACS) either does not have efficient policies, programs, or laws to protect at-risk children, or these are not being properly implemented. The purpose of this qualitative study was to provide a thorough analysis of ACS policies, programs, and laws based on information gained from interviews with child welfare experts. Newberger and Newberger's social support theory …

Use Of Facebook As A Social Support System To Maintain An Individual's Resource Pool, Michelle Fontaine

Walden Dissertations and Doctoral Studies

Stress affects individuals' physiology, mood, behavior, and cognitive abilities. Social support has been found effective in buffering stress. The social networking site Facebook allows individuals to connect to others to share stories, pictures, and general life events and, in so doing, offers a means of social support that bridges geographical distances for friends and family. There is limited research, however, on whether using Facebook buffers against stress. The purpose of this quantitative study was to examine the use of Facebook for social support using the conservation of resources theoretical model of stress management. Fifty-seven Facebook users over the age of …

Women's Experiences Using Health Facilities For Childbirth In South Sudan, Gillian Magda Garnett

Walden Dissertations and Doctoral Studies

There is low use of health facilities for childbirth in South Sudan despite the majority of households reporting access to a health facility. South Sudan has a high maternal mortality ratio with 789 maternal deaths for every 100,000 live births. The absence of a midwife during labor and delays in reaching health facilities for childbirth remain the leading contributing factors to the high maternal mortality. Little is known, however, about factors influencing use and non-use of health facilities for delivery in the country. This phenomenological study, therefore, seeks to build a body of evidence by describing the experiences of women …

Exploring Possibilities With Professionals On Youth Aging Out Of Placement, Karen L. Garrett

Walden Dissertations and Doctoral Studies

Homelessness with youth aging out the child welfare system has proportionally risen over the years. It is important that policy makers, professionals, and practitioners in the field of foster care understand the conditions youth find themselves in at the time of leaving placement. The purpose of this study was to describe problems that exist for youth aging out of foster care. Post placement outcomes have not generated results that suggest youth are thriving as they return to communities. Attachment Theory outlines relational bonds that form with caregivers when youth are entering and exiting placements. This qualitative study collected data from …

Socioeconomic Characteristics Of Farmers And Agrochemical Use In Grenada, Lindonne Marcia Glasgow

Walden Dissertations and Doctoral Studies

The World Health Organization classified carbaryl, glyphosate, and paraquat as hazardous to human health. In the Agriculture Health Study in the United States, health problems were associated with the use of these 3 agrochemicals 12 or more times per year. These 3 agrochemicals were commonly used in Grenada. The purpose of this quantitative cross-sectional study was to investigate the relationship between the social and economic characteristics of the farmers who participated in the 2012 agriculture survey and the use of agrochemicals at frequencies that could pose health risks. Five constructs of the social cognitive theory were used as the premise …

Preparing Novice Nurses For Early Recognition Acute Deterioration, Norma Patricia Harris

Walden Dissertations and Doctoral Studies

Hospitalized patients increasingly present with complex health issues that place them at risk for acute patient deterioration (APD). Novice nurses are ill-equipped with the critical clinical skills to function competently in recognizing APD, placing patients at risk for negative health outcomes. This project addressed the need to educate novice nurses to recognize APD and answered the project focused questions that asked if an educational intervention with high-fidelity simulation (HFS) would improve nurse knowledge and clinical confidence in recognizing APD. Benner's novice-to-expert and the constructivism theory were used to guide the project. Based upon a review of the literature, the HFS …

Staff Educational Program To Prevent Medication Errors, Rita Chinyere Hawthorne-Kanife

Walden Dissertations and Doctoral Studies

Medication administration errors (MAEs) may lead to adverse drug events, patient morbidity, prolonged hospital stays, and increased readmission rates, and may contribute to major financial losses for the health system. MAEs are the most common type of error occurring within the health care setting leading to an estimated 7,000 patient deaths every year. Interventions have been designed to prevent MAEs including education for nurses who administer medications; however, little effort has been made to design systematic educational programs that are based on local needs and contexts. The purpose of this project was to identify internal and external factors related to …

Public Policies Involving Pregnant And Parenting Secondary Students From Perspectives Of Educators, Tomecole Hilliard-Carlton

Walden Dissertations and Doctoral Studies

Despite a significant drop in the number of pregnant adolescents and reforms to fight

gender discrimination under Title IX, teen pregnancy and risk factors including poverty,

stigma, and substance abuse, which may lead to different negative outcomes, such as

depression, social isolation, and lowered self-esteem remain a persistent problem in the

United States. Due to these factors, pregnant and parenting teens have been noted to drop

out of high school prematurely. Using incrementalism as a theoretical framework, the

purpose of this qualitative exploratory case study was to explore and describe Title IX

compliance and local policies and practices of educators …

Country Girls Fight, Too: The Relationship Between Social Support And Rural Female Youth Violence, Redhonda Vanessa Malone

Walden Dissertations and Doctoral Studies

This study was conducted to explore the relationship between social support and youth violence by testing the relationships between violence victimization, violence exposure, violence perpetration, delinquency, and the moderating variable of social support for rural female adolescents in the United States. This research, guided by the social disorganization theory, involved analyses of data from Wave 3 of the National Survey for Children's Exposure to Violence. The logistic regression analyses (n = 278; female; rural area; mean age 13.5) showed no moderating effect of social support on youth violence perpetration. However, there was a positive association between delinquency and violence perpetration, …