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An Evaluation Of Customer Satisfaction Dimensions In The Ghanaian Banking Industry, Joyce Esther Dadzie

Walden Dissertations and Doctoral Studies

The banking industry in Ghana has seen tremendous growth in recent times. This exponential growth has led to high levels of competition and necessitated that all banks devise strategies to improve customer satisfaction to gain competitive advantage. The growing demands of customers have a significant impact on bank management's ability to attract and retain them. The ability to retain customers depends on the strategy in place to exceed customer expectations and satisfaction. Grounded in relationship marketing theory, the purpose of this qualitative multiple case study was to explore strategies banking leaders use to increase customer satisfaction. Data were collected through …

Decreasing Primary-Care-Related Emergency Department Visits In The Hispanic Population Using Patient Navigators, Arthur Dominguez Jr.

Walden Dissertations and Doctoral Studies

Primary-care-related emergency department (PCR-ED) visits by Hispanic patients enrolled in a not-for-profit Medi-Cal and Medicare health plan resulted in longer wait times in the emergency department (ED) at a regional medical center in Southern California. This congestion decreased access for those with true emergencies, created capacity issues, increased ED length of stay, and resulted in potential safety risks. This project focused on decreasing PCR-ED visits in the Hispanic population using patient navigators in Southern California. Applying the health belief model and Lippitt's theory of change, this doctoral project involved the creation and implementation of a culturally appropriate, population-specific patient navigator …

Impact Of The Affordable Care Act On The Hiv Care Continuum, Ebere Erugo

Walden Dissertations and Doctoral Studies

People living with human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS; PLWHA) are at increased risk of insufficient medical care due to lack of insurance. Inadequate medical care for PLWHA contributes to increases in HIV transmission rates. The U.S. Surveillance Report noted that in 2015, over 1.2 million people were living with HIV infection, and there were approximately 50,000 new infections every year. The report further stated that about 675,000 people have died from HIV-related illnesses since its discovery in 1981. The implementation of the Affordable Care Act (ACA) in 2014 was intended to provide Americans, including people at …

Postpartum Mothers' Attitudes Toward Breastfeeding, Jackie Denise Jones

Walden Dissertations and Doctoral Studies

Breast milk is the optimal source of nourishment for babies, providing positive nutritional and psychosocial benefits for infants' growth and development. Rates for initiation of breastfeeding and exclusive breastfeeding at 6 months in the United States are well below the target rates for the Healthy People 2020 Maternal, Infant, and Children's Health objectives. Using Ajzen's theory of planned behavior, the purpose of this project was to ascertain how knowledge and attitudes influenced a mother's intent to breastfeed during her hospital stay and the likelihood of exclusive breastfeeding continuing after discharge. A convenience sample of 68 postpartum mothers was recruited from …

Faculty Competence In Facilitating Clinical Simulation, Rose Kronziah-Seme

Walden Dissertations and Doctoral Studies

Clinical simulation is a teaching strategy to assist nursing students to connect classroom knowledge to the clinical setting. Teaching clinical simulation requires special training, but many nursing faculty who teach clinical simulation do not receive clinical simulation training. The purpose of this study was to determine if the effects of formal versus informal simulation training impacted nursing faculty's self-ratings of their competency in facilitating simulation and identify areas for needed educational support. A quantitative descriptive approach was used and grounded in the National League for Nursing and Jefferies (NLN/JSF) theoretical framework. This framework focuses on the relationship between teacher, student, …

Exploring Strategies For Early Identification Of Risks In Information Technology Projects, Nina Michele Mack-Cain

Walden Dissertations and Doctoral Studies

Project managers must ensure risk management and business justification for their projects. Approximately, 53% of IT projects failed due to project managers not identifying risks early in the projects' lifecycle. The purpose of this single case study was to explore strategies IT project managers utilize to identify risks early in the project's lifecycle. The study population consisted of 5 lead IT project managers from a telecom company located in the Midwest region of the United States who had managed IT projects. The conceptual framework that grounded this study was the general systems theory. The data collection process involved semistructured interviews, …

Improving Parental Involvement In An Inner-City Elementary School, Veronica D. Marion

Walden Dissertations and Doctoral Studies

A pattern of low parental involvement exists at in an inner-city school in the northeast region of the United States, where 90% of the students are students of color and fewer than 10% of parents attend school-based activities. Low parental involvement at the local school may lead to decreased student achievement and limited access to needed resources and information. A qualitative case study design was used to explore the problem. Epstein's typology, which includes the traditional definition of parental involvement and acknowledges the parents' role in the home, provided the conceptual framework for the study. Research questions focused on perceived …

The Relationship Between Financial Performance, Firm Size, Leverage And Corporate Social Responsibility, Fraser T. Nega

Walden Dissertations and Doctoral Studies

Approximately $25.2 trillion in total assets under management in the United States is involved in some strategy of socially responsible and sustainable investing. Grounded in the stakeholder theory, the purpose of this correlational study was to examine the relationships between financial performance, firm size, leverage, and corporate social responsibility. A random sample included 119 large companies located in the United States from the population of companies listed in the Russell 100 index. The data were collected via Bloomberg Terminal. Multiple linear regression analysis was used to predict Environmental, Social, and Governance (ESG) activity scores. The 3 predictor variables accounted for …

Leadership Strategies For Managing Change In The Nigerian Banking Industry, Jude Ememe

Walden Dissertations and Doctoral Studies

The Nigerian banking system is experiencing changes brought about by globalization. Operating in a changing business environment requires that bank leaders evolve strategies to manage and adapt to change. There are direct and indirect costs associated when banks are unable to adapt to change such as bank closures, and loss of economic and business opportunities. The purpose of this phenomenological study was to explore the lived experiences of Nigerian bank leaders regarding strategies they used to manage change in the banking industry. The conceptual framework was based on transformational leadership theory and change management theory. Data were collected from document …

Issues Related To Implementing High-Fidelity Simulation In A Nursing Program, Sherry Rene Ray

Walden Dissertations and Doctoral Studies

Due to the shortage of clinical sites, nursing educators, deans, and directors are compelled to implement alternative clinical solutions such as high-fidelity simulation (HFS). The problem is that nursing educators are often not prepared to implement HFS as a teaching strategy. Faculty readiness is imperative for a successful simulation program and student outcomes. Therefore, the purpose of this study was to investigate the perceptions and practices of faculty, deans, and directors on the implementation of HFS across the nursing curriculum. Kolb's experiential learning theory provided the theoretical support for both the teaching and learning required by faculty for a successful …

First-Time Fathers' Perspectives On Pregnancy, Birth, And Fatherhood, Lynette Marie Talley

Walden Dissertations and Doctoral Studies

Ineffectively addressing a first-time fathers' perception of pregnancy, childbirth, and fatherhood by medical providers and other medical personnel, may lead to problems of inadequate support, increased tension, anger, concern, and fear at a personal level and between partners. The purpose of this interpretive phenomenological study was to explore the perspective of first-time fathers during pregnancy, childbirth, and fatherhood. The biopsychosocial model was used as the framework to provide the foundation for this study. Research questions addressed first-time fathers' biggest fears, deepest concerns, and most embarrassing questions related to pregnancy, childbirth, and fatherhood as well as the emotion and physical changes …

Working Memory Difficulties And Eligibility For K-12 Special Education, Corrie L. Wilson

Walden Dissertations and Doctoral Studies

Working memory (WM) has long been associated with deficiencies in reading. Approximately 35% of students in the United States who receive special education services do so under the category of specific learning disability (SLD). The study's theoretical underpinning was Baddeley's model of WM; previous research revealed a significant literature gap regarding how WM difficulties affect eligibility for special education under the category of SLD in reading. In this quasi-experimental study, a purposive sample was taken from archival data of two groups of K-12 students who had been referred for special education eligibility evaluation: The two groups were students evaluated for …

Import And Export Strategies To Sustain Business Under Economic Sanctions, Essam Abdalla

Walden Dissertations and Doctoral Studies

Economic sanctions can result in more than a 70% decrease in business activities in a sanctioned country. The purpose of this qualitative single case study was to identify the strategies import and export small business owners use to sustain businesses under economic sanctions. The population for this study was import and export small business owners in the state of Khartoum, Sudan. General systems theory served as the conceptual framework and underpinned the study. The data collection included semistructured interviews and government financial reports. Adhering to an interview protocol, conducting transcript reviews of participants' interviews, member checking, and methodological triangulation represented …

Impact Of Social Support Networks On Level Of Stress And Self-Esteem Among Canadian Immigrants, Jackie Williamson

Walden Dissertations and Doctoral Studies

Immigration may be an effective survival strategy for individuals from countries involved in war or political unrest.However, the immigration process may exacerbate a number of physical and psychological health symptoms. There are limited data on the health status of new Canadian immigrants, and some social support networks are not formally connected to settlement programs.The purpose of this cross-sectional quantitative study was to assess the level of stress and self-esteem of 400 recent and older immigrants in Canada, and to investigate the impact of social support networks on the mental well-being of recent immigrants.Cultural care and general adaptation theory provided the …

Addressing Challenges Faced By Small Business Immigrant Entrepreneurs In Houston, Texas, Yahya Alghafir

Walden Dissertations and Doctoral Studies

Immigrant entrepreneurs play a significant role in the economic development of the United States. However, some small business immigrant entrepreneurs are less successful than small business nonimmigrant entrepreneurs. The purpose of this multicase study was to explore the strategies some small business immigrant entrepreneurs use to sustain and grow their businesses profitably. Using a purposeful sampling technique, the population for this study consisted of 5 small business immigrant entrepreneurs having sustained and grown businesses for a minimum of 5 years in Houston, Texas. The conceptual framework that grounded this study was a combination of Barney's resource-based theory and the Light's …

Effectiveness Of A Medication Administration Protocol On Medication Errors And Inpatient Falls, Avril Dolly

Walden Dissertations and Doctoral Studies

Effectiveness of a Medication Administration Protocol on Medication Errors and Inpatient Falls

By

Avril Dolly

MS, University of the West Indies, 2010

BS, University of the West Indies, 2009

Project Submitted in Partial Fulfillment of the Requirements for the Degree of

Doctor of Nursing Practice

Walden University

November 2017

Adverse events such as medication errors and inpatient falls have been reported as the leading cause of safety incidences at the acute care facility in Trinidad and Tobago where this project was conducted. These mishaps aroused concerns about patient safety and led to a quality improvement (QI) initiative at the hospital. …

Effect Of Public And Private Preschool Attendance On Kindergarten Literacy, Matthew Garofolo

Walden Dissertations and Doctoral Studies

Students who enter kindergarten lacking readiness skills often struggle to meet literacy benchmarks and to successfully complete school. The problem to be investigated by this study is the low literacy scores on the standardized Fountas and Pinnell Benchmark Assessment test at 2 public New Jersey elementary schools. While some students attended public or private preschools, others did not attend any preschool prior to starting kindergarten. The purpose of this quantitative study was to determine the difference in kindergarten literacy gain scores among students who attended public, private, and no preschool. Vygotsky's sociocultural theory and emergent literacy theory served as the …

Best Practices For Glucose Management Using A Computer-Based Glucose Management, Oteka Jackson-Cenales

Walden Dissertations and Doctoral Studies

The prevalence of diabetes mellitus (DM) continues to be a global concern among health care practitioners. Without collaboration and interventions, this chronic disease, which poses a significant financial burden for health care institutions, will continue to be problematic. Promoting the use of glycemic control measures among diabetic patients is an intervention, which has the potential to reduce diabetic complications and improve outcomes. The purpose of this doctoral project was to explore available evidence through a systematic review of the best practices for glucose management. The chronic care model served as the theoretical framework. The evidence based practice question was, What …

Perceptions Of Women Of Color On Career Advancement In High Technology Management, Angela Michelle Charles

Walden Dissertations and Doctoral Studies

In information technology, few women of color hold senior level executive leadership positions in the United States. Currently, in the high-tech industry, Asian and Black women hold 1.7% of executive/senior-level positions, and only 0.2% are in CEO positions. The purpose of this research was to understand professional executive women of color experiences in career advancement in the high technology fields. The study's conceptual framework included organizational culture theory, Krumboltz's theory of career counseling, and the leadership pipeline model. The overarching research question and subquestions addressed the lived experiences of 15 professional senior executive women of color in relation to career …

Intimate Partner Violence During Pregnancy And Prenatal Care Attendance In Abuja, Nigeria., Dorothy Ijeoma Ezekwe-Anya

Walden Dissertations and Doctoral Studies

Intimate partner violence (IPV) among women poses a significant threat to maternal mortality during pregnancy in Nigeria with a prevalence rate of 14% in the southern region versus 43% in the northern region. Early and adequate prenatal care is essential for improving pregnancy outcomes and the reduction of the maternal mortality rate. Previous studies in several countries have demonstrated a unique barrier to healthcare access among women exposed to IPV. This study assessed the association between IPV during pregnancy and prenatal clinic attendance, using a cross-sectional quantitative study design guided by the social learning theory. The modified Conflict Tactile Scale …

Clinical Social Work With Underserved Persons In Colorado In An Integrated Healthcare Facility, Trisha Sue Goetz

Walden Dissertations and Doctoral Studies

There is significant documentation showing that health disparities experienced by underserved persons can be mitigated through the provision of quality integrated healthcare. This research project was grounded in social support theory and how support influences improvements in physical, psychological, and overall health. Social workers in integrated healthcare are in a unique position to be the source of social support for individuals experiencing health disparities, yet there is little research concerning how these social workers are providing services and how they affect health outcomes. This research addressed gaps in the literature concerning social worker roles in order to improve integrated healthcare …

A Structural Equation Of Leader-Member Exchange, Employee-Supervisor Relationship, Performance Appraisal, And Career Development, William Joseph Henkel

Walden Dissertations and Doctoral Studies

Some employees perceive that supervisors do not accurately reflect employees' performance or effectively differentiate among employees' performances during performance appraisals (PAs). Other employees believe the performance feedback they receive is not valuable for supporting their career development (CD). Employing leader-member exchange (LMX) theory and the distributive and interactional justice dimensions of organizational justice theory as the theoretical framework, this correlational study examined the relationships among LMX and employee-supervisor relationships (ESRs) and the relationships' influence on employees' CD through the mediating effect of employees' perceived efficacy of the PA process. Participants consisted of 44 defense contractor employees in the United States …

Elements Impacting The Integration Of The National Network Of Fusion Centers With The U.S. National Security Strategy, Nicholas Klem

Walden Dissertations and Doctoral Studies

The National Network of Fusion Centers (Network) represents one of the post-9/11 era organizational efforts to strengthen the security of the homeland through collaboration, analysis, and information sharing. These entities have been subjected to criticisms and have been noted in studies as being deficient in certain areas suggesting that the Network has been experiencing problems with integrating the U.S. national security strategy. Using the multiple streams framework, the purpose of this phenomenological study was to identify and understand elements that have been impacting the Network's integration with broader national security efforts as well as identify items contributing to negative perceptions …

A Document Analysis Of Two States' Child Protective Services Agency Permanency Policies, Barbara Christine Liston-Garcia

Walden Dissertations and Doctoral Studies

U.S. Child Protective Services Agencies (CPSA) have had mixed success in achieving stable, permanent placements for foster care children. To address the adverse effects of unstable placements on foster care children's emotional well-being and physical development, the Adoption and Safe Families Act of 1997 was enacted to better ensure permanency, safety, and well-being of children in foster care. Using Stone's policy paradox as the framework, the purpose of this qualitative document analysis was to explore whether policy constructs contributed to the success or failure of promoting permanency for foster care children. Data was used from 2 states, representing those most …

Strategies To Reduce Effects Of Organizational Stress In Health Care Workplaces, Kate Chinyere Mbidoaka

Walden Dissertations and Doctoral Studies

Workplace stress has become a frequent occurrence in the race for competitive business advantage. This stress leads to negative physiological consequences in the workplace, causing productivity and profitability to suffer. The purpose of this single case study was to explore the stress management strategies that some health care business leaders used to reduce the effects of work-related stress on their employees to improve productivity. The interview process included 3 managers employed at a health care institution in Houston, Texas, with records of implementing successful strategies for mitigating the effects of workplace stress. The conceptual framework was job demands-resources model, pertinent …

Leadership Transition Strategies For Medium-Sized Family Businesses' Sustainability, Okechukwu Vitalis Nwuke

Walden Dissertations and Doctoral Studies

Medium-sized family businesses are major contributors to economic activities and job creation in Nigeria, but more than 50% of such family businesses fail after leadership succession. The purpose of this multiple case study was to explore the strategies that owners of medium-sized family businesses use to sustain the businesses after the leadership transition from the founders. The population for this study included 3 family business leaders in Lagos and Port Harcourt in Nigeria who have sustained their family businesses after the leadership transition from their founders. The conceptual framework for the study was based on the transformational leadership theory and …

Innovation Strategies Of Independently Owned, Nonfranchise Restaurants, Kurt W. Winter

Walden Dissertations and Doctoral Studies

The restaurant industry is the second largest employee workforce in the United States. However, less than 35% of independently owned restaurants succeed beyond the first three years of operation. Some restaurant managers do not use innovation strategies to succeed beyond three years. The purpose of this multiple case study was to explore innovation strategies that some independent nonfranchise restaurant owners in Omaha, Nebraska used to succeed beyond 3 years. The conceptual framework utilized in this study was dynamic capabilities. Dynamic capabilities create avenues of innovation to restaurant owners who do not have quick access to resources, such as an innovation …

Strategic Cyber-Risk Implications Of Cloud Technology Adoption In The U.S. Financial Services Sector, Olatunji Mujib Arowolo

Walden Dissertations and Doctoral Studies

According to research, the risks of adopting new technology and the technological and organizational factors that influence adopting it are not clear. Thus, many financial institutions have hesitated to adopt cloud-computing. The purpose of this quantitative, cross-sectional study was to evaluate the cyber-risk implications of cloud-computing adoption in the U.S. financial services sector. The study examined 6 technological and organizational factors: organization size, relative advantage, compliance, security, compatibility, and complexity within the context of cyber-risk. Using a combination of diffusion of innovation theory and technology-organization-environment framework as the foundation, a predictive cybersecurity model was developed to determine the factors that …

Hospital Administrators' Strategies For Reducing Delayed Hospital Discharges And Improving Profitability, Sheree Boyd

Walden Dissertations and Doctoral Studies

Inefficiencies in leadership and limited leadership strategies in hospitals contribute to delayed hospital discharges and an increased financial burden on a hospital. Three administrators from 2 hospitals who are part of a hospital conglomerate in Chicago, Illinois were selected for interview in this qualitative multiple case study to explore how hospital discharge strategies reduce delayed hospital discharges and improve profitability. Contingency was the primary theoretical theory for this study. The purposive sampling consisted of the selections of individual who were knowledgeable and had experience to organize, manage, and implement processes in an organization. Data collection occurred using face-to-face semistructured interviews, …

Implications Of A Health Careers Exploration Program For Minority Student Matriculation, Angelica Ellman Christie

Walden Dissertations and Doctoral Studies

Organizations that deliver programs to promote the entry of students from marginalized populations into the U.S. health workforce often struggle to demonstrate the effective achievement of outcomes, and face diminishing fiscal resources. This study was an empirical examination of the extent and manner that a statewide, precollege, health careers exploration program fostered the matriculation of underrepresented minority students into health degree education programs. Schneider and Stevenson's aligned ambitions framework provided the theoretical foundation. The research questions for this study examined the relationship between program participation and the successful health degree matriculation of racial minority students based on the extent of …