Digital Commons Network^™

Curricular, Instructional, And Co-Curricular Factors Perceived To Influence Students Dropping Out, Kimberly Jones

Walden Dissertations and Doctoral Studies

District administrators face concerns over students dropping out of school without a high school diploma. District personnel in a Mississippi urban school district identified specific curricular, instructional, and co-curricular factors that prompted students to leave school. The purpose of this bounded qualitative case study was to explore perceptions of principals, teachers, and counselors regarding factors that influenced students' disengagement and dropping out of school. Battin-Pearson's theory of academic mediation, which attributes poor academic performance and student-centered learning to students dropping out, framed this study. The research questions focused on how district personnel identified and monitored at-risk students and provided interventions …

Antibiotic Overuse In The Geriatric Population, Kimberley Allison Kelly

Walden Dissertations and Doctoral Studies

The Centers for Medicare and Medicaid are requiring long-term care facilities (LTCFs) to implement antibiotic stewardship programs (ASPs) to alleviate overuse of antibiotics in the nursing home population. Current research shows that the benefits of ASPs include improved patient outcomes, reduced adverse events related to Clostridium difficile (C-diff) infection, improvement in rates of antibiotic susceptibilities, and optimized resource utilization. This project addressed the problem of antibiotic overuse and misuse in the geriatric population and whether the implementation of an ASP reduced the overuse of antibiotics, C-diff infection, and resistance rates in the LTCF. Application of the Johns Hopkins nursing model …

Management Strategies In Elementary Inclusion Classrooms, Ron Lilie

Walden Dissertations and Doctoral Studies

The increasing popularity of inclusion classrooms has placed a large number of students with special needs with the ones without disabilities. Often, general education teachers lack sufficient training in proven inclusion practices that is necessary to cope with the increase in diverse learning needs. The absence of sufficient training can lead to disruptive behavior and also, induce more stress in the classroom for the educator and the students. The qualitative case study aimed to explore the strategies and techniques used by elementary school teachers to successfully manage inclusion classrooms and to learn how the teachers handled stress. Vygotsky's sociocultural theory …

Reducing Internal Theft And Loss In Small Businesses, Eric L. Luster

Walden Dissertations and Doctoral Studies

Every year, several documented data breaches happen in the United States, resulting in the exposure of millions of electronic records. The purpose of this single-case study was to explore strategies some information technology managers used to monitor employees and reduce internal theft and loss. The population for this study consisted of 5 information technology managers who work within the field of technology in the southwestern region of the United States. Participants were selected using purposeful sampling. The conceptual framework for this study included elements from information and communication boundary theories. Data were collected from semistructured interviews, company standard operating procedures, …

Males' Spouses Experiences Of Deployed Wives, Pamela Morales-Garcia

Walden Dissertations and Doctoral Studies

The purpose of this qualitative phenomenological research study was to determine the psychological and emotional effects of female deployment on male spouses. The current research was designed to study the emotional and psychological experiences of male spouses of deployed women. The research question was focused on understanding the lived experience of the male spouses of their deployed active duty wives. The intent was to describe male spouses' lived experiences, focusing on mental health, physical health, marital problems, caregiving, and other reintegration related problems as well as the role transfer stress experienced by these male spouses of deployed wives. Gender role …

Stressors And Time-To-Degree For Online Social Sciences Doctoral Programs, Brandy R. Nelson

Walden Dissertations and Doctoral Studies

U.S. doctoral program completion rates have remained persistently low in the humanities and biomedical sciences despite educators' efforts. A variety of factors, including stress and dissitation advisor-related issues, were associated with high attrition rates and extended time-to-degree for PhD candidates. The purpose of this correlational study was to examine relationships among life stressors, advisor-related factors, and time-to-degree for a convenience sample of 74 online social sciences doctoral degree holders. Holmes and Rahe's work on stress and Tinto's framework for education program attrition provided the framework for the study. Linear regression and Pearson's correlation statistics were used to examine the relationships …

Influence Of An Educational Program On Opioid Drug Abuse, Gloria Nkiru Nnah

Walden Dissertations and Doctoral Studies

Prescription opioid abuse in the United States is an alarming health issue. In 2015, approximately 2 million people abused prescription opioids, and 12 million individuals misused their prescription opioid pain relievers. The percentage of individuals who died as a result of opiate abuse increased from 22% in 2013 to 76% in 2014. The purpose of this project was to evaluate the influence of an inner-city drug treatment (DTBF) program on opioid users' behavior. The practice question addressed whether knowledge of signs and symptoms of opioid withdrawal obtained from the DTBF program resulted in a significant behavioral change in opioid use …

Evaluation Of The Effectiveness Of An Established Glycemic Monitoring Program In A High School Setting For Adolescents With Type I And Type Ii Diabetes Mellitus, Tabatha Lee Obeda

Walden Dissertations and Doctoral Studies

Adolescents with Type I and Type II diabetes need to monitor blood glucose and food intake, administer insulin, and participate in activities including physical education during school hours to maintain glycemic control. Glycemic management programs (GMPs) exist for the improvement of diabetes management during school hours. The purpose of this project was to evaluate a GMP in a school system in a rural area in the Southeastern United States. The goal was to determine if the existing GMP met objectives and to make recommendations for continuation, revision, or discontinuation of the GMP. The logic model provided the basic framework for …

Sexual History Screening Tools For Individuals With Developmental Disabilities, Sarah Musu Onyenwe

Walden Dissertations and Doctoral Studies

Individuals with developmental disabilities are at high risk for sexual abuse, exploitation, sexually transmitted diseases and unwanted pregnancies. Thorough screening by clinicians in outpatient settings recommending preventative measures to promote reproductive and sexual health, and developing caregiver trust are essential. The aim of this systematic review was to provide screening tools to assist clinicians in assessing the sexual histories of individuals with developmental or intellectual disabilities. The Iowa model and the cognitive behavioral theory were used as the theoretical frameworks that guided and informed this project. A total of 148 articles were sought and, of the 34 articles reviewed, 19 …

Professional School Counselors And Motivational Interviewing With Student Clients, Robert Pincus

Walden Dissertations and Doctoral Studies

Mental health counselors who counsel adolescents suffering from substance abuse and obesity issues have successfully used motivational interviewing with their clients; however there is little data that has explored motivational interviewing when it has been used to address academic concerns in schools. The purpose of this study was to explore the experiences of school counselors who have used motivational interviewing to improve student academic performance. This heuristic phenomenological qualitative study examined the perceptions and experiences of professional school counselors who had used motivational interviewing in their schools. Criterion sampling was used to recruit 9 middle and high schools counselors from …

Sexual Orientation And Intimate Partner Violence Among Women Who Have Sex With Women, Shanna Renn Smith

Walden Dissertations and Doctoral Studies

Limited knowledge exists about sexual orientation and intimate partner violence among women who have sex with women. These women are at risk for adverse physical and mental health hygiene outcomes that may result from unhealthy lifestyles secondary to intimate partner violence. The purpose of this study was to examine the association between sexual orientation and intimate partner violence among women who have sex with women. The constructs of the biopsychosocial model guided the study and examination of the relationships among biological factors (sexual orientation), social contexts (support of family and friends and use of community services), and psychological influence (mental …

Maternal Characteristics And The Risk Of Cleft Lip And Palate In The United States, Letha Thomas

Walden Dissertations and Doctoral Studies

Cleft lip with or without cleft palate (CLP) is an ongoing public health issue across the globe, and in the United States. The estimated number of babies born each year in the United States with cleft palate (CP) is about 2,650, while CLP affects approximately 4,440 babies. The purpose of this quantitative cross-sectional study was to determine if there is a relationship between CLP and maternal characteristics such as reproductive history (advanced maternal age, maternal obesity, prenatal visits, month prenatal care began, number of pregnancies, gestational age at birth, assisted reproductive technology used, gestational diabetes, and hypertension), socioeconomic status of …

Beliefs Influencing Hiring Agents' Selection Of Qualified Autistic Candidates, Angela Marie Mai

Walden Dissertations and Doctoral Studies

Qualified and capable working age autistics face an 83% unemployment rate, thus, straining the economy and deteriorating their quality of life. This research examines potential contributing factors by inquiring what hiring agents' beliefs may be influencing their selection of qualified autistic candidates. This quantitatively weighted, concurrent, mixed methods (QUAN > qual), multiple linear regression study measured the influence of hiring agents' control, normative, and behavioral beliefs upon their selection of qualified autistic candidates. Through the theoretical lens of Ajzen's theory of planned behavior, conceptually crystallized with other validated theories; a representative, simple, random probability sample of hiring agents throughout the contiguous …

Hoteliers' Perceptions Of Sustainable Practices On Small Hotel Optimization: A Phenomenology Inquiry, Keneika Rowe

Walden Dissertations and Doctoral Studies

The management practices of the hotel industry are under scrutiny for having an adverse impact on the environment. This study addressed the problem that hoteliers in Jamaica only focus on foreign exchange earnings and job creation, rather than on sustainable development in their operations. There is a lack of research on small hoteliers' integration of sustainable practices in their operations. The purpose of this phenomenological study was to explore and understand the lived experiences of 8 small hotel managers on the effect sustainable practices have on small hotel optimization. The conceptual framework consisted of stakeholder theory and corporate social responsibility. …

Adherence To The Icu Liberation Abcdef Bundle Improves Patient Outcomes In The Icu, Jennifer Sweeney

Walden Dissertations and Doctoral Studies

Delirium is a frequent complication of intensive care unit (ICU) admissions manifesting as acute confusion with inattention and disordered thinking. Patients in the ICU who develop acute delirium are more likely to experience long term disability and mortality. The purpose of this doctoral project was to evaluate an existing organizational quality improvement project to guide recommendations on improving care in the ICU. The practice-focused research question was: Does improving adherence to the ICU Liberation ABCDEF bundle for patients admitted to the ICU decrease incidence of delirium compared to outcomes prior to implementation? The Program Logic Model served as a framework …

The Effects Of Academic Parent Teacher Teams On Latino Student Achievement, Barbara Dee Bench

Walden Dissertations and Doctoral Studies

Decades of research have noted the importance of parent involvement in students' academic success. Less is known about parent engagement models that aim to increase Latino students' reading achievement. This project study examined the effectiveness of a 2-year parent engagement program implemented to address poor reading achievement of Latino elementary school students in a small urban district. The purpose of this study was to determine disparities in student scores between those parents who participated in the program and those parents who did not participate. The research questions examined parent engagement levels in comparison to increased summative reading scores. Based on …

Effect Of Military Law Enforcement Interviews On Victims Of Military Sexual Trauma, Paul Broner

Walden Dissertations and Doctoral Studies

Effect of Military Law Enforcement Interviews on Victims of Military Sexual Trauma

by

Paul Brian Broner

MS, Chaminade University, 2011

BA, Chaminade University, 2004

Dissertation Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Philosophy

Criminal Justice Administration

Walden University

May 2018

Childhood Lead Exposure And Attention-Deficit/Hyperactivity Disorder Symptoms: A Meta-Analysis, Megan Glenn Brown

Walden Dissertations and Doctoral Studies

Lead exposure during childhood is a significant global public health concern as the potential effects of exposure can result in the need for long-term treatment, diminished productivity in society, and financial strain on the health care system. There is strong evidence of a relationship between lead exposure and attention-deficit/hyperactivity disorder (ADHD); however, there is a gap in the current literature regarding the relationship between lead exposure and specific symptoms of ADHD and the strength of that relationship. The purpose of this meta-analysis was to examine and help quantify this relationship. Cohen's d was used as the standardized mean effect size …

Factors Affecting Employee Persistence In An Online Management Development Certificate Program, Todd D. Chester

Walden Dissertations and Doctoral Studies

An important approach to prepare new managers for increased responsibility is participation in online management development programs; however, there is a lack of information about the factors that affect employee completion of these programs. This study addressed how chief executive officers (CEOs) can implement these programs to rapidly develop new managers who are qualified to serve in the leadership roles left behind by many retirees. This qualitative descriptive case study explored employees' perceptions about persistence in an online management development certificate program at a U.S. nonprofit organization. Herzberg's motivation-hygiene theory and Rovai's composite persistence model provided the conceptual framework for …

Stress And Coping Abilities Of Swat Personnel In A Metropolitan Area Of Florida, Pedro Corpas

Walden Dissertations and Doctoral Studies

For decades, stress has been scientifically studied and found to have effects on the law enforcement community. Furthermore, scholars have thoroughly studied the correlation between stress and the law enforcement occupation which has been proven to affect their well-being. Although there is currently ample literature on stress and police officers, to date there has been little research on factors associated with stress and SWAT police officers. Using Lazarus and Folkman's cognitive theory of stress and coping as the foundation, the purpose of this phenomenological study was to explore how SWAT police officers cope with stress while on duty and off …

Effectiveness Of Practice Change From Risk Model To Safety Model At Dhs, Shirlana Norene Dash

Walden Dissertations and Doctoral Studies

In 2012, the U.S. Department of Health and Human Services reported an estimated 686,000 victims of child abuse and neglect. Forty-nine states reported a total of 1,593 fatalities. This quantitative research study examined the relationship between the variables: age of child, gender of child, age of parent/caregiver, prior substantiated reports of abuse, and incidents of abuse in Philadelphia at the Department of Human Services using risk practice model (RPM) and safety practice model (SPM). Although child welfare practitioners have examined the relationship between family and societal factors that affect child abuse; few researchers have examined the correlation between service delivery …

Strategies For Low Employee Turnover In The Hotel Industry, Odetha Antonnett Davis

Walden Dissertations and Doctoral Studies

Employee turnover affects the profitability, performance, and customer service of an organization. The purpose of this multiple case study was to explore strategies that leaders in the hotel industry used to maintain a low rate of employee turnover. Motivation-hygiene theory was the conceptual framework for the study. The study population included 9 hotel leaders from 2 international hotels operating in Jamaica. Methodological triangulation involved the comparison of data from observation of hotel facilities and leaders' interactions with employees, review of company documents, and semistructured interviews. Data were analyzed into emerging themes using a Gadamerian hermeneutics framework of interpretation. Four major …

Effect Of Lung Cancer Treatment On Health-Related Quality Of Life, Festus Frempong Dokyi

Walden Dissertations and Doctoral Studies

Advances in lung cancer treatment among older adults require a risk-benefit analysis for health professionals, patients, and family members to assess increased survival and health-related quality of life (HRQL). The purpose of this study was to assess the effect of lung cancer treatment with surgery or tumor ablation on HRQL domains. A lung cancer quality of life model guided the study. The research design was a quantitative ancillary study in which 70 participants were recruited from those who had already consented to undergo a randomized clinical trial of lung cancer treatment. Data consisted of repeated administrations (baseline, 1- and 3-months) …

Causes Of Burnout Among Church Leaders: A Qualitative Phenomenological Study Of Pastors, Craig Fee

Walden Dissertations and Doctoral Studies

After 30 plus years of research, clergy burnout is an ongoing concern; as such, it is important to identify the causes of this phenomenon. Researchers have already demonstrated that internal factors such as personality types, personal mastery, or conflict management and external factors such as role conflict, excessive activities, or unrealistic expectations, can lead to burnout. The problem that led to this study was that more exploration is needed about clergy's perceptions on leadership and burnout within the church. The purpose of this qualitative phenomenological study was to explore clergy within the Wesleyan Church in the Midwest to discover their …

Entrepreneurial Opportunities To Develop Strategies For Small Business Success, Tawanda Gilliard

Walden Dissertations and Doctoral Studies

Entrepreneurs of small businesses fail because of the lack of strategies to improve business performance. Using the model of strategic entrepreneurship, the purpose of this multiple case study was to explore strategies entrepreneurs used to exploit entrepreneurial opportunities to improve their business performance. Three entrepreneurs from different fitness businesses in South Carolina shared strategies used to exploit entrepreneurial opportunities to business performance. Data were collected from semistructured, face-to-face interviews and a review of company documents such as business performance plans, consolidated financial statements, and a digital equipment user log. Member checking and methodological triangulation increased the validity of the data. …

Developing Ecological Citizenship: The Role Of Political Agents Using Bronfenbrenner's Bioecological Model, Teresa Victoria Grabs

Walden Dissertations and Doctoral Studies

Despite decades of research on environmental behavior, it is unknown how various political actors aid in the development of ecological citizenship (EC). The purpose of this correlational study was to determine the relationship between environmental worldview (NEP) and willingness to take action (WTTA) among political actors within 5 states: Iowa, Kansas, Nebraska, South Dakota, and North Dakota. The overarching research question examined how EC can be increased within the 5-state region by identifying the similarities and differences in NEP and WTTA between state legislators, state partners, and nongovernmental organizations (NGOs). Bronfenbrenner's bioecological model provided the theoretical framework for the study. …

Parental Alcoholism, Triangulation, And Self-Differentiation In The Sibling Relationship, Tiffany Latrice Graham

Walden Dissertations and Doctoral Studies

Exposure to parental alcohol use disturbs important family relationships and may influence self-differentiation and triangulation, especially among siblings. The sibling relationship provides a foundation for future relationships, yet researchers know little about how parental alcohol abuse influences the sibling relationship. The purpose of this descriptive phenomenological inquiry was to explore the influence of parental alcohol abuse on triangulation and self-differentiation in the sibling relationship in families of origin. Purposeful sampling and semistructured, face-to-face interviews were used to gather information from 12 self-identified adult children of alcoholics to explore triangulation and self-differentiation among siblings. The research questions guided the study to …

Rem Initiative To Develop Educational Strategies For Inductions Of Labor, Chandra Evette Jones-Worthing

Walden Dissertations and Doctoral Studies

Inductions of labor that occur prior to 39 weeks' gestation can pose increased risks for the mother-baby dyad. In the target setting, there is a gap in knowledge among the pregnant women about options for delivery, hospital policies and procedures, and what to expect in the labor and delivery experience. Because of this gap in knowledge, the pregnant patient is unable to make informed decisions regarding her needs, expectations, and care. This lack of knowledge has resulted in a 40-50% rate of inductions of labor at the target site, which is well above the 2014 national average of 25%. In …

Compassion Fatigue And Burnout: Awareness And Prevention For The Novice Nurse Population, Jamie B. Lopez

Walden Dissertations and Doctoral Studies

Compassion fatigue (CF) and burnout (BO) in the novice nurse population can negatively affect the organization, patient safety, patient satisfaction, and the individual. Novice nurses are susceptible to the development of CF and BO due to a lack of knowledge about the causes and the stress experienced as the novice nurse transitions to practice. The purpose of this staff education project was to fill the gap in practice by creating awareness about CF and BO during the nurse orientation process and by providing prevention strategies. The relationship-based care model and the theory of planned behavior were used to guide the …

Employee Job Satisfaction And Attitudes In Virtual Workplaces, Rebecca K. Mansfield

Walden Dissertations and Doctoral Studies

People who telecommute or work in virtual settings report higher satisfaction from increased flexibility and autonomy. However, relationships with leaders are more difficult to build, particularly as leadership in virtual workplaces tends to be less hierarchical. It is known that leader-member communication is an important aspect of employee job satisfaction and a significant problem exists for leaders who are ill-prepared to function in the leadership role required by a virtual workplace. The purpose of the quantitative study was to examine if employee job satisfaction predicts attitude toward virtual workplace setting and if this relationship is moderated by leader-member communication and …