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 12901 - 12930 of 16849

Full-Text Articles in Entire DC Network

Online And Hybrid Graduate Student And Advisor Preferences, Melody Mayo Jan 2018

Online And Hybrid Graduate Student And Advisor Preferences, Melody Mayo

Walden Dissertations and Doctoral Studies

The focus of this study was the advising style preference of graduate-level students and advisors in online and hybrid programs at a university in rural Arkansas. Students and advisors will benefit from the results because the advisors will have a greater understanding of expectations during an advising session. The problem stems from the fact that graduate level advising is not considered important by administrators at the study institution. The purpose of this study was to determine how graduate level advisors can better serve students and to use the results as a tool for advisor training. The study was guided by …

Go to article

Life Stress, Coping, Perceived Health, And Health Outcomes Among Eastern Orthodox, Athina-Eleni Goudanas Mavroudhis Jan 2018

Life Stress, Coping, Perceived Health, And Health Outcomes Among Eastern Orthodox, Athina-Eleni Goudanas Mavroudhis

Walden Dissertations and Doctoral Studies

Clergy exhibit higher stress and mortality rates in relation to their nonclergy counterparts. Despite current research on clergy stress and mortality rates, health perceptions and health outcomes of Western religious oriented clergy have been understudied. Even less is known about health perceptions and health outcomes of Eastern religious oriented clergy. The role of stress, coping, and health perceptions in predicting actual health outcomes is important to study in clerical populations because of the impact their health might have on serving their parishioners. The purpose of this nonexperimental correlational study was to determine the relative strength of life stress, coping styles, …

Go to article

Individual Understanding Of The Risks Associated With Polypharmacy, Michelle Patricia Mchenry Jan 2018

Individual Understanding Of The Risks Associated With Polypharmacy, Michelle Patricia Mchenry

Walden Dissertations and Doctoral Studies

With many individuals experiencing multimorbidity, individuals are being prescribed more medications. Although there are benefits to taking medications to manage symptoms and treat disease processes, there are also risks to taking multiple medications. The purpose of this phenomenological study was to explore participants' understanding of the risks associated with practicing polypharmacy. Game theory, credibility theory, and belief bias were the conceptual frameworks used to explain how individuals experienced their care and being prescribed 5 or more medications. Eight participants residing in subsidized housing in a small Midwest city, who were taking 5 or more medications volunteered to take part in …

Go to article

Achieving Glycemic Control In Rural Clinics, Gayla Diane Mclaughlin Jan 2018

Achieving Glycemic Control In Rural Clinics, Gayla Diane Mclaughlin

Walden Dissertations and Doctoral Studies

Diabetes is the 7th leading cause of death in the United States and is the main cause of chronic kidney failure, nontraumatic limb amputations, blindness, myocardial infarction, and stroke. Many patients with diabetes do not meet goals for at least 1 control measure of blood sugar, blood pressure, or cholesterol. The purpose of the project was to implement a template for documentation--a toolkit for patient care management-to improve blood glucose and blood pressure levels in a rural health clinic in central Texas for 33 patients with diabetes during a 6- to 8-week timeframe. The practice-focused question asked whether management of …

Go to article

Laughter Frequency, Pain Perception, And Affect In Fibromyalgia Patients, Deidre Gayl Molchan Jan 2018

Laughter Frequency, Pain Perception, And Affect In Fibromyalgia Patients, Deidre Gayl Molchan

Walden Dissertations and Doctoral Studies

Fibromyalgia syndrome (FMS), a common chronic pain condition, is often incompletely treated by conventional medical therapies. It can cause disability, psychological distress, work-related absenteeism, increased use of healthcare resources, and result in the inability to carry out the tasks of daily living. The purpose of this quantitative, correlational study was to investigate the potential influence of laughter on affect and pain in individuals with FMS. Laughter produces beneficial effects on acute pain and on chronic pain in general and has been found to improve temporary affective states, but there have been no studies testing the effects of laughter on the …

Go to article

United States-Mexico Dual Resident's Perceptions Of Heritage And Acculturation, Alisia N. Muir Jan 2018

United States-Mexico Dual Resident's Perceptions Of Heritage And Acculturation, Alisia N. Muir

Walden Dissertations and Doctoral Studies

United States' policy makers have been challenged creating understandable nutrition labels and effective healthy food campaigns for consumers of mixed heritage. Previous studies explored the sociocultural factors that influence Hispanics' abilities to navigate consumer food education programs, but little was known about how Mexican culture impacts those programs. The purpose of this study was to better understand those factors. Research questions focused on the experiences of residents of a west Texas town regarding their food decision-making process about food choices and their understanding of food education information. The purpose of this phenomenological research was to explore how Mexican culture effected …

Go to article

Predictive Relationship Between Treatment Adherence, Glycated Hemoglobin And Diabetic Complications Among Jamaicans, Christian Anaba Nwaukwa Jan 2018

Predictive Relationship Between Treatment Adherence, Glycated Hemoglobin And Diabetic Complications Among Jamaicans, Christian Anaba Nwaukwa

Walden Dissertations and Doctoral Studies

Patient nonadherence to physicians' prescribed therapeutic regimen is the greatest challenge in the effective treatment of patients with diabetes worldwide. Scientific evidence has revealed that nonadherence to prescribed medication could result in diabetic complications such as cardiovascular disease, retinopathy, nephropathy, and neuropathic diabetic foot ulcers. The purpose of this study was to explore predictive relationships between levels of adherence to antidiabetic medications, patient HbA1c levels, and diabetic complications among Jamaicans, an understudied population. The research question that guided this study was: Do the patient level of adherence and HbA1c levels have any predictive relationship with the severity of diabetic complications …

Go to article

Countering Expansion And Organization Of Terrorism In Cyberspace, Sunday Oludare Ogunlana Jan 2018

Countering Expansion And Organization Of Terrorism In Cyberspace, Sunday Oludare Ogunlana

Walden Dissertations and Doctoral Studies

Terrorists use cyberspace and social media technology to create fear and spread violent ideologies, which pose a significant threat to public security. Researchers have documented the importance of the application of law and regulation in dealing with the criminal activities perpetrated through the aid of computers in cyberspace. Using routine activity theory, this study assessed the effectiveness of technological approaches to mitigating the expansion and organization of terrorism in cyberspace. The study aligned with the purpose area analysis objective of classifying and assessing potential terrorist threats to preempt and mitigate the attacks. Data collection included document content analysis of the …

Go to article

Relationship Between Job Embeddedness And Turnover Intention Of High School Math Teachers, Cynthia Davis Osowski Jan 2018

Relationship Between Job Embeddedness And Turnover Intention Of High School Math Teachers, Cynthia Davis Osowski

Walden Dissertations and Doctoral Studies

Teacher turnover has been a problem in U.S. public schools, especially among math teachers, and is more prevalent in schools that have a majority of students from low-income families. Teacher turnover has been shown to have a negative effect on student performance. The purpose of this quantitative, nonexperimental study was to investigate on-the job and off-the job embeddedness and its dimensions of links, fit, and sacrifice to determine effects on math teacher turnover intention. The theory of job embeddedness provided the framework for the study. Data were collected from 152 high school math teachers from 17 counties in a western …

Go to article

Measuring Self-Perceived Clinical Preparedness With Lesbian, Gay, Bisexual, And Transgender Clients, Kimerly D. Patterson Jan 2018

Measuring Self-Perceived Clinical Preparedness With Lesbian, Gay, Bisexual, And Transgender Clients, Kimerly D. Patterson

Walden Dissertations and Doctoral Studies

Counselors and counselor educators must serve clients regardless of culture, race, disability, sexual orientation, and age. Counselor educators have attempted to stay abreast of new methods to enhance counselor competencies to adequately counsel lesbian, gay, bisexual, and transgender (LGBT) clients. The purpose of this quantitative study was to determine the extent of the relationship between self-perceived clinical preparedness of working with LGBT clients and self-perceived attitudinal awareness towards LGBT clients as moderated by levels of religious commitment of licensed professional counselor (LPC) using a feminist and multicultural theory framework. Statistical Package for the Social Sciences (SPSS) quantitative analysis software program …

Go to article

An Evidence-Based Clinical Practice Guideline For Childhood Obesity, George Peterson Jan 2018

An Evidence-Based Clinical Practice Guideline For Childhood Obesity, George Peterson

Walden Dissertations and Doctoral Studies

Childhood obesity is a national problem in the United States and has known implications as a potential cause of chronic illnesses as the child transitions into adulthood. A primary care clinic in the southwestern United States had a high percentage of obese Hispanic children within its population; therefore, the nurses and the pediatrician needed an evidence-based clinical practice guideline (CPG) to manage Hispanic children with a body mass index greater than the 95th percentile for their age. The purpose of the project was to develop a culturally competent CPG to manage childhood obesity in this primary care practice. The social …

Go to article

Perspectives Among Successful Adult Learners In Two Diploma Completion Programs, Cheryl Rice Jan 2018

Perspectives Among Successful Adult Learners In Two Diploma Completion Programs, Cheryl Rice

Walden Dissertations and Doctoral Studies

More than 24,000 U.S. high school students drop out each year, contributing to the approximate 1.1 million U.S. adults who have not earned the high school diploma or General Education Development. This failure in educational attainment contributes significantly to the lack of economic and workforce development opportunities as well as the standard of living for more than 10% of the statewide population of a midwestern state. In response to this problem, the state entered into model programming in 2015 with 2 new approaches for adult education to diploma programs. The purpose of this basic qualitative interpretive research study was to …

Go to article

Tobacco Cessation Education For Primary Care Nurses And Advanced Practice Providers, Stephanie Scammell Jan 2018

Tobacco Cessation Education For Primary Care Nurses And Advanced Practice Providers, Stephanie Scammell

Walden Dissertations and Doctoral Studies

Tobacco use is the leading cause of premature and preventable death in the United States, yet millions of Americans continue to use tobacco. Nursing professionals comprise the largest health care provider group and can help improve tobacco cessation among their patients. The purpose of this doctoral project was to increase nursing staff and advanced practice providers knowledge, skills, and confidence related to tobacco cessation interventions. The project took place in a family medicine clinic in Central Texas. The nursing staff (which included 1 registered nurse and 3 licensed vocational nurses) and advanced practice providers (which included 3 nurse practitioners and …

Go to article

Strategies To Reduce Hospital Readmission Rates After Bariatric Surgery, Catherine Scarlett Jan 2018

Strategies To Reduce Hospital Readmission Rates After Bariatric Surgery, Catherine Scarlett

Walden Dissertations and Doctoral Studies

Bariatric surgery is a major surgery that has become a frequent procedure in North America; growth in the number of bariatric surgery procedures has resulted in an increase in readmissions after the procedure. A systematic review of the literature using the shifting processes model as a guide was used to answer the practice-focused questions regarding reasons for hospital readmissions for postoperative bariatric surgery patients and strategies that reduce complications of the procedure. Providing Innovative Service Models and Assessment chart (PRISMA) was used to quantify 17 studies that met the inclusion criteria. Results demonstrated that the reasons for readmissions after bariatric …

Go to article

Reducing Clabsi Rate Among Icu Patients, Rita L. Walker Jan 2018

Reducing Clabsi Rate Among Icu Patients, Rita L. Walker

Walden Dissertations and Doctoral Studies

Approximately 55% of intensive care unit (ICU) patients require the use of a central venous catheter (CVC). CVCs are often an essential component of care; however, CVCs can create avenues for pathogens to enter the bloodstream and cause a central line-associated bloodstream infections (CLABSI), which can lead to increased mortality and morbidity, prolonged length of stay, increased cost of care, decreased patient satisfaction, and increased workload. In 2017, the CLABSI rate at the project site was 4.3 per 1,000 catheter days as compared to the national rate of 0.8 per 1,000 catheter days. Based on Piaget's theory of constructivism, a …

Go to article

The Experience Of Parenting Stress In Parents Of Twice-Exceptional Children, Christiane Wells Jan 2018

The Experience Of Parenting Stress In Parents Of Twice-Exceptional Children, Christiane Wells

Walden Dissertations and Doctoral Studies

Parenting stress (PS) is a phenomenon experienced by all parents to varying degrees due to the demands of meeting a child's needs. This distinct type of stress is caused by an imbalance between the perceived demands of parenting and the perceived coping resources available to parents. The construct of twice-exceptionality (2E) is defined as the co-occurrence of giftedness and disability or possessing both high cognitive abilities and at least 1 of 13 potential disabilities identified under the Individuals with Disabilities Education Act of 2004. The purpose of this study was to understand how PS is experienced by parents of children …

Go to article

Generational Differences In The Level Of Commitment In The U.S. Marine Corps, Nadya Yvonee Yassa-Lopez Jan 2018

Generational Differences In The Level Of Commitment In The U.S. Marine Corps, Nadya Yvonee Yassa-Lopez

Walden Dissertations and Doctoral Studies

Generational differences directly impact the culture and discipline in the U.S. Marine Corps. Previous research suggests that Generation Y's characteristics do not align with traditional military service. The specific problem is that there is a gap in the research and scholarly literature on the level of commitment of Generation Y compared to Generation X Marines. The purpose of this nonexperimental, quantitative study was to examine the influence on Marine Corps culture due to the level of commitment of active duty, enlisted Generation Y Marines compared to active duty, enlisted Generation X Marines. The theoretical frameworks for this study were the …

Go to article

Health Literacy And Hypertension Management In Haitian Immigrants, Suzie Jean Jan 2018

Health Literacy And Hypertension Management In Haitian Immigrants, Suzie Jean

Walden Dissertations and Doctoral Studies

Patient compliance and health care communication are impacted by health literacy. Poor health choices, frequent hospital visits, noncompliance with health regimens, and higher health costs are all associated with low health literacy. The purpose of this cross-sectional study was to determine whether there was an association between health literacy as measured by primary language spoken in the home (Creole vs. English) and hypertension self-management as measured by regular use of medication and cutting down on foods high in salt, and whether there was an association between Haitian men, women, their education level, or level of poverty in relation to health …

Go to article

Professional Identity Differences In Novice Counselors, Mary Dolores Katalinic Jan 2018

Professional Identity Differences In Novice Counselors, Mary Dolores Katalinic

Walden Dissertations and Doctoral Studies

Many researchers have found that differences exist in counselors' professional identity (PI) associated with gender, learning opportunities, and specialty area. However, researchers have not focused on the impact of counselors' type of education program (online vs traditional) to PI. The purpose of this study was to address this gap and determine if differences exist in PI across program types for novice counselors. The framework for this study was built around the concept of PI, defined as including knowledge, expertise, professional roles, attitudes, behaviors, and interactions. The research question was designed to examine the differences in PIs across traditional and online …

Go to article

Relationship Between Liquidity, Asset Quality, And Profitability Of Mortgage Banks In Nigeria, Olabanjo Johnson Obaleye Jan 2018

Relationship Between Liquidity, Asset Quality, And Profitability Of Mortgage Banks In Nigeria, Olabanjo Johnson Obaleye

Walden Dissertations and Doctoral Studies

Liquidity (LQ) and asset quality (AQ) management present significant challenges to mortgage bankers in their efforts to improve profitability (PR). When liquidity increases, there is no positive impact on mortgage asset growth; however, this trend indicates that asset management and liquidity positions are not well managed. To run a viable mortgage business, mortgage bankers need to have a good grasp of the association between LQ, AQ, and PR. Anchored in the profit theory paradigm, the purpose of this multiple regression study was to examine the relationship between LQ, AQ, and PR of mortgage banks (MBs) in Nigeria. Archival financial data …

Go to article

Strategies To Minimize The Bullwhip Effect In The Electronic Component Supply Chain, Augustina Tina Onuoha Jan 2018

Strategies To Minimize The Bullwhip Effect In The Electronic Component Supply Chain, Augustina Tina Onuoha

Walden Dissertations and Doctoral Studies

Supply chain leaders in the information technology industry face challenges regarding their ability to mitigate amplified demand and supply variability in a supply chain network--the bullwhip effect--and reduce adverse implications on their component supply chain networks. The purpose of this multiple case study was to explore the strategies supply chain leaders in the United States used to reduce the bullwhip effect. Bullwhip effect theory served as the conceptual framework. Participants in the study were 5 purposefully selected supply chain leaders in the state of Texas who successfully implemented strategies to reduce the bullwhip effect on their networks. Data were collected …

Go to article

A Qualitative Grounded Theory Approach To Reducing Breast Cancer Disparities In The Latina Population, Dbora Schrett Jan 2018

A Qualitative Grounded Theory Approach To Reducing Breast Cancer Disparities In The Latina Population, Dbora Schrett

Walden Dissertations and Doctoral Studies

Breast cancer is the leading cause of death among Latinas. Several barriers persist when accessing health care and utilization of healthcare services such as annual mammograms, leading to a late-stage diagnosis or death related to breast cancer illness. Consequently, this study was important to further examine potential risk factors such as beliefs, cultural context, health insurance, and socioeconomic status for this population. Further, gaps in research provide limited evidence of risk factors adversely influencing high morbidity and mortality incidence. The purpose was to focus on disparities in breast cancer experiences within Latina communities in the United States. A qualitative foundation …

Go to article

How And Why International Nongovernmental Organizations Fill The Global Governance Institutional Gap, Joel James Weaver Jan 2018

How And Why International Nongovernmental Organizations Fill The Global Governance Institutional Gap, Joel James Weaver

Walden Dissertations and Doctoral Studies

Global governance refers to global cooperation through existing and developing structures, groups, and initiatives, yet little academic research focuses on the role of international nongovernmental organizations (INGOs) in promoting global governance. Using Benet's polarities of democracy as the theoretical foundation, the purpose of this critical case study was to explore why and how INGOs address the gap in global governance institutions in terms of humanitarian support. Data collection involved open-ended interviews with 12 members of an international, nonprofit service organization that provides humanitarian support services to a global community. Interview data were inductively coded and subjected to a thematic analysis …

Go to article

Moderating Effect Of Job Level On Work-To-Family Conflict And Job Attitudes, Shanu Loganathan Jan 2018

Moderating Effect Of Job Level On Work-To-Family Conflict And Job Attitudes, Shanu Loganathan

Walden Dissertations and Doctoral Studies

Past research has shown the likelihood of work-to-family conflict in employees' struggle to manage work, family, and personal life, however, work-to-family conflict remained unexamined in employees' job attitudes at different job levels. Previous studies highlighted that employees at higher job level experience greater work-to-family conflict than employees at lower job level. The purpose of the study was to examine the moderating effects of job level (supervisory or managerial and nonsupervisory or nonmanagerial) on the relationships between work-to-family conflict and job attitudes (job satisfaction, work engagement, organizational commitment, and turnover intention). In this quantitative study, the theoretical framework included conflict theory …

Go to article

Problem Behavior Of A Child With Autism And Problem Behavior Of A Typically-Developing Sibling Moderated By Maternal Parenting Stress, Jennifer Torchetti Jan 2018

Problem Behavior Of A Child With Autism And Problem Behavior Of A Typically-Developing Sibling Moderated By Maternal Parenting Stress, Jennifer Torchetti

Walden Dissertations and Doctoral Studies

Drawing on Bowen's family systems theory, this study was designed to fill a gap in research regarding how raising a child with autism impacts the systemic functioning of a family unit, and provide evidence of the need for more comprehensive resources and support for families of children with autism. In this study, families of children with autism were invited to complete the Parenting Stress Index and the Strengths and Difficulties Questionnaire. These measures were used to determine the relationship between the level of problem behavior of a child with autism and the level of problem behavior of a typically-developing sibling …

Go to article

Preoperative Nurses' Teaching For Open Heart Surgery Patients, Sofya Alshvang Jan 2018

Preoperative Nurses' Teaching For Open Heart Surgery Patients, Sofya Alshvang

Walden Dissertations and Doctoral Studies

Every year thousands of patients in the United States undergo cardiothoracic surgery. These patients have high levels of anxiety because they do not know what to expect. At the same time, many nurses on the cardiac telemetry/surgical floor are not aware that effective preoperative teaching can make a significant difference in patients' outcomes; thus, nurses had focused on postoperative teaching. The purpose of this project was to develop a preoperative teaching program through which nurses could help patients undergoing open heart surgery. The mentioned above practice initiative used Neuman's systems model as a framework. The project used a before-and-after design: …

Go to article

Improving Nursing Knowledge, Satisfaction, And Retention In Long Term Care, Ghislaine Barry Jan 2018

Improving Nursing Knowledge, Satisfaction, And Retention In Long Term Care, Ghislaine Barry

Walden Dissertations and Doctoral Studies

Through advancements in modern medicine, human beings worldwide are living longer. The increase in life expectancy creates a need for a more qualified and knowledgeable nursing workforce for the delivery of quality geriatric health care. Although nurses are the primary care providers for vulnerable older adults, they are generally not well trained or prepared in geriatric care. Therefore, the purpose of the project was to develop an education program aimed at improving nursing knowledge of geriatric care in the long-term care (LTC) setting. The goal of the project was to answer the research question: What impact would attendance in the …

Go to article

How Naturalized African-Americans Experience Racial Microaggressions In U.S. Federal Agencies, Casimir Yem Bilong Jan 2018

How Naturalized African-Americans Experience Racial Microaggressions In U.S. Federal Agencies, Casimir Yem Bilong

Walden Dissertations and Doctoral Studies

The Civil Rights Act was enacted more than 5 decades ago, and its provisions forbade discrimination on the basis of race in hiring, promoting, and firing. Yet some researchers argue that racial discrimination issues are still prevalent in the United States. They contend that modern racial discrimination is more covert and takes the form of racial microaggressions, which are subtle conscious or unconscious insults and derogatory attitudes directed towards minorities. Researchers have not fully addressed the prevalence of racial microaggressions in U.S. workplaces, however. The purpose of this qualitative phenomenological study was to explore the lived experiences of naturalized African-Americans …

Go to article

Mindfulness Meditation: A Self-Awareness Approach To Weight Management, Michelle Brown Jan 2018

Mindfulness Meditation: A Self-Awareness Approach To Weight Management, Michelle Brown

Walden Dissertations and Doctoral Studies

Obesity is a crucial health care issue that has a global effect on the health care industry. Not only does obesity decrease the patients' quality of life, it also places an astronomical burden on health care delivery systems. The purpose of this quality improvement project was to establish a weight management program derived from evidence-based research. The research question is can the utilization of mindfulness meditations and practices with traditional weight loss methodologies produce sustainable weight loss? Pender's health belief model was the conceptual framework utilized to guide and provides structure for this project. The health belief model has been …

Go to article

Influence Of Psychological Capital And Thinking Perspectives On Construction Safety Climate And Performance, Anne-Perrine Pascale Cades Jan 2018

Influence Of Psychological Capital And Thinking Perspectives On Construction Safety Climate And Performance, Anne-Perrine Pascale Cades

Walden Dissertations and Doctoral Studies

Understanding safety factors in construction is critical to reducing accident frequency and severity. Grounded in the safety performance model, this study was conducted to examine the impact of psychological capital (PsyCap), which consists of the shared variance of hope, efficacy, resilience and optimism, and Past, Present, and Future thinking perspectives, on safety climate and performance. A nonexperimental quantitative design was used to determine whether PsyCap and thinking perspectives of construction project employees predicted safety performance and/or moderated the relationship between safety climate and performance across construction sites in different countries. 411 construction employees were recruited via a multistage and clustering …

Go to article

First Prev Next Last