Digital Commons Network^™

Clinicians' Perceptions Of Trauma Treatment For People With Intellectual Disabilities, Katherine Elaine Schoech

Walden Dissertations and Doctoral Studies

People with intellectual disabilities (ID) experience trauma and posttraumatic stress disorder (PTSD) in similar ways as individuals in the general population. The purpose of this phenomenological study was to explore and describe clinicians perceptions of trauma treatment for people with ID. Theories of trauma, PTSD, and stigma were part of the conceptual framework from which interview questions were developed. Purposive and snowball sampling were used to recruit 8 participants in the Denver, Colorado area. Four participants had experience working with people with ID, and 4 participants did not have this experience. Participants sat for semi structured open-ended recorded interviews, which …

Length Of Stay And Reimbursement Rates For Medicare Patients, Wandella Ezell

Walden Dissertations and Doctoral Studies

Medicare reimbursement rates across the United States have varied by as much as 49-130% across healthcare facilities. Geographic adjustments and severity of medical diagnoses attribute to some dissimilarity; however, the source of longer hospitalization and higher re-admission rates among Medicare patients requires financial consistency. The research encompassed (N = 3000) patients with hypertension as the focus for the study because this is a critical group of Medicare patients with a chronic disease that has been identified as a silent killer. The principal goal that drove this research study was to explain the variations in length of stay for Medicare patients …

Saudi Women's Experiences Of Control And Engagement As Employees In Private Universities, Kimberly Dawn Deatherage

Walden Dissertations and Doctoral Studies

Saudi women have higher rates of graduation from college than their male counterparts, but are underrepresented as employees in the private higher education sector. Saudi women working in higher education report a lack of involvement in the planning of their work, challenges in balancing family and career, and low wages. Yet, no research has explored how Saudi women in administrative support staff positions in private universities perceive control and how their perceptions of control affect their engagement in the workplace. Therefore, based on locus of control theory, the 2-process model of perceived control, and compensatory control theory, the purpose of …

Examining The Predictors Of Mental Health Outcomes Among Undergraduate Postsecondary Students In Canada, Brooke Linden, Rozzet Jurdi-Hage

Journal of Social, Behavioral, and Health Sciences

Symptoms consistent with mental illnesses such as anxiety and depression are dominant in both prevalence and in severity among North American post-secondary student populations over the past several years. This study examines undergraduate students’ self-reported symptoms consistent with two common mental illnesses in a Canadian context, and sheds light on several predictors of students’ mental health outcomes, including perceived contextual stressors, coping strategies, and perceived barriers to help seeking. Data for this investigation were obtained through the completion of self-administered questionnaires from a sample of 209 undergraduate students attending a public western Canadian university during the fall semester of 2014. …

Book Review On The Whole Brain Child: 12 Revolutionary Strategies To Nurture Your Child's Developing Mind, Marty Slyter

Journal of Social, Behavioral, and Health Sciences

In the book The Whole-Brain Child: 12 Revolutionary Strategies to Nurture Your Child’s Developing Mind, Siegel and Payne Bryson share tools for parents to use to make parenting an easier process as they help their children be more healthy and happy.

A Qualitative Exploration Of The Meaning And Understanding Of Male Partner Involvement In Pregnancy-Related Care Among Men In Rural South Africa, Motlagabo G. Matseke, Robert A. C. Ruiter, Violeta J. Rodriguez, Nicole A. Barylski, Stephen M. Weiss, Deborah L. Jones, Karl Peltzer, Geoffrey Setswe, Sibusiso Sifunda

Journal of Social, Behavioral, and Health Sciences

Male partner involvement (MPI) during antenatal care has been promoted as an effective intervention to improve maternal and newborn health outcomes. Although MPI is commonly defined as men attending antenatal clinic visits with their female partner, few men attend antenatal clinic visits in rural communities in the province of Mpumalanga, South Africa. The study aimed to qualitatively explore the meaning and understanding of MPI as perceived by men visiting primary health care clinics in rural communities in Mpumalanga. Six focus groups discussions (n = 53) were conducted, digitally recorded, simultaneously transcribed, and translated verbatim into English. Data were analyzed …

The Relationship Between Physical Fitness And School Performance, Jamie A. Donnelly

Journal of Social, Behavioral, and Health Sciences

Past research has indicated a significant relationship between physical fitness and standardized test scores; however, the relationship between physical fitness and other aspects of school performance has yet to be empirically examined in a population specifically composed of middle school girls. Because girls have a harder time transitioning through the middle school years, they are an important group to study in this context. This study examined several factors that contribute to school success, such as classroom behavior, attendance, and grades, in relation to physical fitness among a group of adolescent girls. It was specifically designed to examine the statistical relationship …

Predictors Of Obesity, Acculturation, And Perceived Stress In Meskhetian Turk (Ahiska) Immigrants In The United States, Zekeriya Temircan

Walden Dissertations and Doctoral Studies

Obesity is a risk factor for chronic diseases among the ethnic minorities for adult immigrants in the United States. There have been many research studies conducted to examine the relationship between the predictors and obesity in minority groups in the United States, that relationship was unknown in Meskhetian Turk (Ahiska) immigrant populations. Guided by social ecological model and acculturation theory, this study examined the predictors of obesity in the Meskhetian Turk (Ahiska) immigrant population in the western United States. Data were collected from 109 participants using CDC's Behavioral Risk Factor Surveillance System, Stephenson Multigroup Acculturation Scale, and Perceived Stress Scale. …

Strategies For Small Businesses To Win Federal Contracts, Fredrick Derell Murphy

Walden Dissertations and Doctoral Studies

Small businesses miss out on federal contracting opportunities because of the strategies they lack. Both large and small businesses provide supplies and services through contract awards to the U.S. government while spending over $300 billion annually. The purpose of this multiple case study was to explore the strategies of small business owners in the Clarksville, Tennessee and Hopkinsville, Kentucky region who have won federal contracts. Porter's competitive advantage theory grounded this study as the conceptual framework. The data collection process involved face-to-face, semistructured interviews and member checking with 3 small business owners to enhance credibility of data interpretation. Themes that …

Early Strategies Of Kindergarten Teachers And Administrators To Lessen The Literacy Gap, Kirstin A. Rossi

Walden Dissertations and Doctoral Studies

Proficiency in literacy is paramount during a child's education. Lacking proficiency can have lasting effects. At both the state and local level, continuing gaps in student achievement in literacy have been documented. The purpose of this qualitative case study was to focus on kindergarten teachers and administrators' early literacy strategies, specifically current practices in early literacy skills and possible resources needed in early literacy to lessen the gap between White students and ethnic minority and students who qualify for free/reduced meals. The constructivist framework was the platform used to investigate teacher and administrator understanding of the 6 early literacy skills, …

Students' Perceptions Of Persistence In A Florida Associate Degree Nursing Program, Shivanie Saith

Walden Dissertations and Doctoral Studies

At a community college in Florida, the associate of science in nursing (ASN) program has experienced low persistence rates especially after the first semester of study. Framed by Jeffreys's nursing undergraduate retention and success model, a mixed-method approach was used to investigate first-semester and final-year ASN students' perceptions of factors influencing persistence and successful persistence strategies. In the quantitative sequence, first-semester students (N = 95) completed the Student Perception Appraisal-Revised-2 (SPA-R2) survey measuring perceptions of 5 persistence factors (environmental, institutional integration, personal academic, college academic, and friend support persistence). ANOVA and t tests were conducted by age, gender, language, ethnicity, …

Impact Of Staff Education On Geriatric Polypharmacy, Valerie Ikemefuna

Walden Dissertations and Doctoral Studies

Polypharmacy, the simultaneous use of multiple drugs to treat a single ailment or condition, is a

major health problem among the elderly population that contributes to adverse drug side events,

health risks, hospital readmissions, morbidity, and mortality. Therefore, a staff education

program geared toward reduction of such adverse drug events was implemented at a single site.

The purpose of the project was to determine if the staff education program would increase

knowledge of adverse drug events due to geriatric polypharmacy. The Orem theory provided the

theoretical support for the project, and the Iowa model guided the evidence-based practice

change process. …

A Case Study Of Student Success In Physical Therapist Assistant Programs: A Systems Approach, Penelope Lescher

Walden Dissertations and Doctoral Studies

Graduating sufficient numbers of healthcare providers to fill the needs of an aging population in the United States is a major social concern. To address this problem physical therapist assistant (PTA) programs need to improve their graduation rates to keep up with the demand for qualified personnel. Applying Senge's theory of effective systems, 1 medium-sized community college with an average pass rate of over 90% on the National Physical Therapist Assistant Examination (NPTAE) was selected to address the research question: What are the systems factors and how do they operate together to support student success in an associate degree PTA …

Barriers And Perceptions Of Black American Men About Prostate Cancer In Georgia, Martins M. Nnoko

Walden Dissertations and Doctoral Studies

In 2016, prostate cancer was the second leading cause of fatality in the United States. However, the population in this study 'Black American men, ages 40 and older, in selected counties in Fulton, DeKalb, Gwinnett, Clayton and Atlanta metropolitan areas' tended to underutilize prostate cancer care. The purpose of this quantitative, nonexperimental descriptive study was to determine whether socio-economic barriers and perceptions of Black American men about prostate cancer reduce their ability to access quality care in this county in Georgia. The Health Belief Model (HBM) was used to inform the predictive validity of perceptions, attitudes, and belief on individual …

Walkability Assessment To Reduce Childhood Obesity In Wilson County Kansas, Nancy Lee Carpenter

Walden Dissertations and Doctoral Studies

Promoting physical exercise is necessary to combat childhood obesity. Walking to school is an encouraged physical activity, but the feasibility of walking to school depends on the walkability of the environment. During the last 40 years, the number of U.S. schoolchildren who walk to school has declined. The purpose of this evidence-based practice project was to perform a walkability assessment of the 2 largest communities in Wilson County Kansas to identify and address walkability issues. Frameworks for this practice initiative were social cognitive theory and the Health Promotion model. Questions for the project addressed whether sidewalks along the main pedestrian …

Visually Impaired Individuals' Perspectives On Obtaining And Maintaining Employment, Nadine Donaldson

Walden Dissertations and Doctoral Studies

The employment rate among people with visual impairment is very low compared to sighted individuals. Negative attitudes, stereotypes, and misconceptions are held against people with visual impairment by employers, family members, and the general public. The purpose of this transcendental phenomenological study was to explore the lived experiences of 10 people with visual impairment regarding challenges in obtaining and maintaining employment. A transcendental phenomenological conceptual framework was used to guide the study. Data from semistructured interviews were coded and categorized to identify themes. Results revealed 5 essential themes, which showed to be barriers to employment. The themes are: travel difficulties, …

A Comparison Of Neuropathic Pain In Hiv Disease And Diabetes Mellitus, Mary Catherine George

Walden Dissertations and Doctoral Studies

Neuropathy is a nerve disorder found in HIV disease and diabetes mellitus that indicates damage in the peripheral nervous system. Burning, tingling, stabbing, shooting, and painful sensations in the hands and feet are common symptoms of this chronic disorder, and no treatments are available that repair the nerves. The approved pain treatments are few and only available for the diabetic neuropathy population. A mixed-methods study of archival data was performed to compare patients with painful neuropathy (PN) associated with 2 diseases: HIV (HIV-PN) and diabetes mellitus (DPN). This study examined the similarities and differences of the pain narratives and common …

The Effect Of Risk Factors On Recidivism Among Juveniles From The Perspectives Of Juvenile Justice Professionals, Diana R. Clarke

Walden Dissertations and Doctoral Studies

Within the Florida Department of Juvenile Justice system, juvenile delinquency referrals have decreased, yet at the same time, juvenile recidivism rates continue to challenge policy makers. Using Hirschi's social learning theory as the foundation, the purpose of this descriptive phenomenological study was to examine the perceptions of juvenile justice professionals about their experiences with youthful offenders in order to determine the causes of juvenile recidivism. Data came from in-depth interviews with 9 participants including state attorneys, judges, and mental health counselors from within the central region of the state of Florida. Data were analyzed and coded using Colaizzi's method. Two …

Assessing Provider Use Of Veterans Health Administration Tobacco-Cessation Guideline, Francisca Ogbonna

Walden Dissertations and Doctoral Studies

Cigarette use is more prevalent among veterans who have mental disorders than it is in the general population. Rates of tobacco use are also high among individuals who suffer from post traumatic stress disorder, addiction, and human immune deficiency disease. Approximately 22.7 million American veterans and their families are at risk of tobacco-related health problems. Concerned about heavy tobacco use among veterans, the U.S. Department of Veterans Affairs developed a Tobacco-Cessation Guideline to be used nationally. This guideline was updated in 2008 to include the '5A' mnemonic (ask, assess, advise, assist, and arrange) and is recommended for use by physicians, …

Using An Apn-Led Transitional Care Program To Reduce 30-Day Hospital Readmissions, Miaozhen Li

Walden Dissertations and Doctoral Studies

Heart failure (HF) is a serious public health problem associated with high mortality rates, hospital readmissions, and health care costs. Transitional care has emerged as a disease management model used to reduce readmissions for hospital-discharged patients with HF. However, the efficacy of an advanced practice nurse (APN)-led transitional care program (TCP) in readmission reduction is under debate. The practice question for this project examined the extent to which an APN-led TCP was effective in reducing 30-day all-cause readmissions for hospital-discharged HF patients. The logic model was the framework guiding this program evaluation. An analysis of quality improvement HF data from …

The Relationship Between Sustainable Supply Chain Management, Stakeholder Pressure, And Financial Performance, Zulfiya Tchaikovsky

Walden Dissertations and Doctoral Studies

Corporate sustainability confronts significant challenges when supply chain managers pursue short-term financial performance to meet stakeholders' expectations. To achieve sustainable economic success, organizational managers need to understand the relationship between corporate sustainability and long-term financial performance. Based on the resource dependence theory, the purpose of this correlational study was to examine the relationship between sustainable supply chain management (SCM), stakeholder pressure, and corporate sustainability performance. The population consisted of worldwide public organizations from Newsweek Global Green Ranking 2016 list engaged in sustainable SCM. The secondary data for the study were collected from databases hosted by Sustainalytics and Standard & Poor's. …

Perceptions Of Adolescents Suspended For School Drug Abuse, Katherine Bomba-Edgerton

Walden Dissertations and Doctoral Studies

School drug use has been attributed to the annual suspension of thousands of secondary adolescents, subsequently contributing to poor academics, low graduation rates, and continued school drug use. The purpose of this qualitative study was to examine the experiences of former adolescents who engaged in school drug use. Social learning theory suggests that behaviors observed from within the environment may later be modeled. Using Bandura's social learning theory, 10 participants, 18 years old and older responded to open-ended questions about how they processed school drug use. Using interpretative phenomenological analysis, the responses to the open-ended questions were coded and analyzed. …

Strategies Small Financial Business Owners Apply To Succeed Beyond Five Years, Tina M. Despin

Walden Dissertations and Doctoral Studies

Small businesses in the United States employ 98% of workers, yet approximately 47% of small businesses shut down in less than five years. Business leaders who fail to implement adequate strategic strategies experience reduced profits and sustainability challenges. These business closures cause unemployment rates to rise and inflict damages to the economic growth of economies in the United States. This multiple case study was grounded in the theory of transformational leadership. The purpose was to explore strategies used by small financial business owners to sustain their businesses beyond five years. The population consisted of 8small financial businesses in Southwest Florida; …

The Effects Of Transracial Adoption On Adjustment And Identity Development, Krystle Dandridge

Walden Dissertations and Doctoral Studies

A plethora of studies have focused on transracial adoption. While these studies have looked at identity development and/or adjustment, they lacked the investigation into some possible causes to include feelings of belongingness as well as socioeconomic status. The current study explored the lack of cultural socialization and belongingness of people adopted into an environment culturally dissimilar from their birth culture. The nonexperimental, correlational design study examined the relationship between adjustment and identity development, and the impact of transracial adoption when considering socioeconomic status and skin tone. The New Immigrant Survey Skin Color Scale, Multiethnic Identity Measure, and Measure of Psychosocial …

Perceptions, Thoughts, And Feelings, Of Women Who Stutter In Four Life Domains, Nancy Ann Georges

Walden Dissertations and Doctoral Studies

I explored how stuttering affects adult women in aspects of their life in 4 domains: social, occupational, academic, and financial. The literature contains few studies on adult women who stutter, and this research addressed these women regarding the kinds of problems they have encountered in their lives. The results of this phenomenological study identified the perceptions, thoughts, and feelings of adult women who stutter regarding how their speech disorder affected them in the 4 domains. The theoretical orientation used for this study was positive psychology. Positive psychology reflects how women who stutter used positive coping strategies to move forward, despite …

Nurse-To-Nurse End Of Shift Report, Winifred N. Nzeribe

Walden Dissertations and Doctoral Studies

Handing over patient care at the end of a shift is a complex part of nursing practice that is commonly fraught with challenges. Ineffective communication continues to be the leading cause of sentinel events in the hospital setting. In response to this practice problem, this project involved the implementation of a standardized bedside reporting protocol in a surgical unit in line with the best available evidence. The overarching goal of this project was to determine how an end of shift reporting tool would impact communication, involvement of patient in care provision, and continuity of care at the bedside. The protocol …

Contact Center Employee Characteristics Associated With Customer Satisfaction, Lara Pow

Walden Dissertations and Doctoral Studies

The management of operations for a customer contact center (CCC) presents significant challenges. Management's direction is to reduce costs through operational efficiency metrics while providing maximum customer satisfaction levels to retain customers and increase profit margins. The purpose of this correlational study was to quantify the significance of various customer service representative (CSR) characteristics including internal service quality, employee satisfaction, and employee productivity, and then to determine their predictive ability on customer satisfaction, as outlined in the service-profit chain model. The research question addressed whether a linear relationship existed between CSR characteristics and the customers' satisfaction with the CSR by …

Higher Education Leaders' Transformative Learning And Leadership Experiences Responding To Student Drug Abuse, James Vernon Battin

Walden Dissertations and Doctoral Studies

Today's academic and social environment creates uncertainties, new roles, frequent changes, and challenging situations for student affairs academic leaders. The purpose of this study was to explore how student affairs academic leaders described their recent challenging experiences in addressing student drug abuse in higher education. The conceptual framework was based on adult transformative learning theory and applied transformative leadership perspectives. An interview format with open-ended questions was used to explore the experiences of 8 student affairs leaders who had faced challenging situations in the context of student drug abuse. A qualitative interpretive analysis was used that involved open coding of …

Strategies For Reducing Registered Nurse Voluntary Turnover, Quintin Earl Cain

Walden Dissertations and Doctoral Studies

The high rate of voluntary employee turnover in nursing has forced business leaders to search for strategies that reduce voluntary employee turnover. The purpose of this single case study was to explore strategies nurse managers used to reduce registered nurse voluntary turnover. Face-to-face semistructured interviews were conducted with 5 nurse managers in the San Antonio, Texas area. The conceptual framework included Herzberg's 2-factor theory and Maslow's hierarchy of needs theory. Data analysis included Yin's 5-step process: (a) compiling the data, (b) disassembling the data into common codes, (c) reassembling the data into themes, (d) interpreting their meaning, and (e) reporting …

Familial Factors Predicting Attitudes Toward Domestic Violence In African American Adolescents, Cassandra Clarke-Williams

Walden Dissertations and Doctoral Studies

Teen dating violence is more prevalent among African Americans than any other racial group in the United States leading to serious health consequences for victims. However, limited data exists on how African American adolescents' attitudes and perceptions regarding dating violence are formed, and whether they are influenced by family members. The purpose of this nonexperimental correlational study was to determine whether nonverbal or verbal communication from family members predicted adolescents' attitudes and perceptions toward dating violence. Survey data from 84 African American men and women ages 18 to 24 were collected using the Normative Beliefs About Aggression Scale, the Acceptance …