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An Assessment Of Heart Failure Screening Tools For An Outpatient Arrhythmia Devices Clinic, Lucy Joanne Paul

Walden Dissertations and Doctoral Studies

People living with heart failure (PLHF) should be screened for symptoms at every

healthcare visit since they are 3 times more likely to experience ventricular arrhythmias. This quality improvement project (QIP) compared 3 self-administered HF symptoms questionnaires to determine the best screening tool for a tertiary hospital arrhythmia devices clinic. The instruments included the Minnesota Living with Heart Failure Questionnaire (MLHFQ), the Kansas City Cardiomyopathy Questionnaire (KCCQ), and the Self-Reported Heart Failure Symptoms (SHEFS) questionnaire. For a 30-day period, 76 people were eligible to participate in the QIP, with 55 participants included in the final analysis (72.5% participation). The questionnaires …

An Exploration Of Emotional Intelligence In Victim-Survivors Of Intimate Partner Violence, Terri L. Ratliff

Walden Dissertations and Doctoral Studies

Despite decades of preventive education and services for intimate partner violence, such violence continues. Studies have shown mixed evidence regarding the effectiveness of current treatment options and prevention remains paramount. If victims seek therapy, the focus is typically on a single diagnosis, such as depression or post-traumatic stress disorder, rather than cause-and-effect. Emotional intelligence in abusers of intimate partner violence has been tested and studied. There is literature on victims, but they are rare, regional, and examined only female participants resulting in conflicting findings. There is a gap in research in the review of the nuances of emotional intelligence in …

Effectiveness Of Cognitive Rehabilitation As Memory Intervention For Elderly Adults With Dementia, Luzviminda Salamat Morrow

Walden Dissertations and Doctoral Studies

Although cognitive rehabilitation is not a new field of intervention, as it dates back to the treatment of brain-injured soldiers during World War I, the use of cognitive rehabilitation intervention therapies for individuals with dementia and mild cognitive impairment has yet to draw definite conclusions about its effectiveness. Based on the conceptual framework of biopsychosocial theoretical model, this study explored to what extend cognitive rehabilitation intervention was effective in improving the memory and mood functioning of elderly adults with mild cognitive impairments. An archived data set of 216 elderly adults collected at a midwestern agency in the United States during …

Effectiveness Of Prisoner Reentry Programs For Reduction Of Repeat Incarcerations In Nigeria, Emmanuel Dejo Oluwaniyi

Walden Dissertations and Doctoral Studies

The persistently high rate of repeat incarcerations poses a threat to the safety of lives and properties. The problem that led to this study was the prevailing high rate of repeat incarcerations in Nigeria, despite interventions to reduce their occurrences. The purpose of the study was to evaluate the effectiveness of prisoner reentry programs in reducing reincarcerations of ex-prisoners. The focus of the research questions was on whether treatment and the type (faith- or non-faith-based) made a difference in a prisoner's reincarceration status after release. The theoretical foundation was based on the transtheoretical model of change. Reincarceration outcomes were analyzed …

The Experience Of Children Living With Sensory Processing Disorder, Melissa Scotch

Walden Dissertations and Doctoral Studies

Sensory processing disorder (SPD) is a neurological condition that alters the way an individual perceives sensory information. Although the condition has been studied for more than 40 years, SPD remains a difficult condition to diagnose, treat, and live with because it affects individuals uniquely, and the symptoms can change from childhood to adulthood. For children diagnosed with SPD, the misinterpretation of sensory cues can cause difficulties in family, social, and academic settings. While there is some research on the assessment and treatment of SPD, what is missing is a deeper understanding of the family, social and academic challenges these children …

Supporting Secondary Teachers Of Low Socioeconomic Status Students In Language Arts, Stephanie Lynn Tootle

Walden Dissertations and Doctoral Studies

An achievement gap exists between students of low socioeconomic status (SES) and their peers, particularly in language arts despite intervention and legislation aimed at closing the gap. As a result, annual yearly progress is affected for schools that have a large population of students from low socioeconomic backgrounds. The purpose of this study was to determine what secondary language arts teachers in a school district know about supporting students from low socioeconomic backgrounds in instruction. Research questions were designed to explore teachers' knowledge about supporting the socio-emotional and academic needs of students from low SES backgrounds and to identify the …

Effects Of Authentic Leadership Style And Nurse Engagement On Patient Satisfaction, Kimberly Dawn Washburn

Walden Dissertations and Doctoral Studies

Ineffective leadership and disengaged nurses reduce the quality of care and patient satisfaction in healthcare organizations. Healthcare leaders can benefit from understanding the factors that improve leadership ability and nurse engagement to improve healthcare outcomes. The purpose of this correlational study was to examine the relationship between the demonstration of authentic leadership characteristics and nurse engagement. The study's population comprised acute care registered nurses in a rural hospital in central Washington State. Authentic leadership theory and engagement theory constituted the theoretical framework. Independent variables were the 4 constructs of authentic leadership theory, self-awareness, balanced information processing, relational transparency, and internalized …

Relationship Between Budget And Project Success Factors In The Ghanaian Building Construction Sector, Kenneth Kwame Aggor

Walden Dissertations and Doctoral Studies

In developing countries, 60% of project management professionals appear to lack knowledge that timely completion, budget fidelity, and high quality are critical success factors for completion of construction initiatives. Based on the theories of iron triangle, accident causation, scientific management, and strategic management, the purpose of this correlational study was to examine the relationship between project budget and the independent variables of time, quality, safety, environmental impact, and site disputes in the Greater Accra Region of Ghana. One hundred and sixteen project managers, randomly selected from the population of construction professionals in the Greater Accra Region of Ghana, completed the …

Strategies For Improving Utilization Of Maternal Health Program Funds In Ghana, Dorothy Esi Awotwi

Walden Dissertations and Doctoral Studies

Effective utilization of donor resources for maternal health remains a challenge in Ghana. The purpose of this descriptive multiple case study was to identify strategies and processes that recipient partners use to improve the utilization of maternal health program funds. Harrod and Domar's aid-to-investment-to-growth model, Collier's game theory, and Martens' agency theory on aid effectiveness informed the conceptual framework of the study. The study included face-to-face semistructured interviews with 7 program and project managers from 7 UNFPA recipient institutions in Ghana. Data analysis involved assembling, rearrangement, categorizing, and interpreting the data. Member checking and methodological triangulation of interview data with …

Management Strategies And Intervention Program Readiness For Paroled Offenders And Ex-Offenders, Sylvia Jean Bell

Walden Dissertations and Doctoral Studies

Paroled offenders and ex-offenders' retention and completion for 3 small-sized prisoner-

release intervention programs in Columbus, Ohio, continue to decline. Prisoner-release

intervention programs aid paroled offenders and ex-offenders with societal reentry.

Influenced by the conceptual framework of the social control theory, this exploratory

multiple case study was designed to contribute to the common understanding of the

paroled offenders and ex-offenders' retention and completion in the small-sized prisoner

release intervention programs. The 18 participants included stakeholders from the

criminal justice system, prisoner-release intervention programs, community advocacy

organizations, and drug and alcohol rehabilitation centers. Analysis of data collected

from interviews and telephone …

Improving Depression Screenings For Adults Living With Hiv/Aids Through Education And Training, Shermanda Brumfield

Walden Dissertations and Doctoral Studies

People living with HIV/AIDS (PLWHA) are 4 times more likely to have a diagnosis of depression than persons without HIV. The specific problem at a rural clinic in a southern region of the United States, was a lack of continuity in the Patient Health Questionnaire 9 (PHQ-9) screening procedures that made sure that PLWHA were screened, identified, and referred. Early identification and treatment can help patients cope with barriers that affect health outcomes. The purpose and goal of this project was to develop and implement an evidence-based depression screening protocol to improve clinical staff practices and adherence to the PHQ-9 …

Breast Cancer, Mana'olana/Hope, And The Experience Of Native Hawaiian Women, Karla Marie Calumet

Walden Dissertations and Doctoral Studies

Breast cancer is one of the leading causes of morbidity and mortality among women. A diagnosis of cancer is a stressful event that requires an individual to adapt to new stressors. The purpose of this qualitative study was to better understand the perceptions of mana'olana/hope and living with breast cancer among Native Hawaiian women. The conceptual framework of this phenomenological study was positive psychology. Data collection included in-depth interviews with 5 Native Hawaiian women who had been diagnosed with breast cancer. Data coding and analysis resulted in identification of 8 themes.

The themes included: (a) mana'olana /hope is the essence …

The Role That Autism Parent-Led Support Groups Play In Facilitating Advocacy, Carlos Javier Carmona

Walden Dissertations and Doctoral Studies

In this study, autism parent-led support groups and the contribution these groups had in creating parental advocacy were studied. The primary purpose of the study was to determine if autism parent-led support groups promoted advocacy skills of parents of children with autism. The secondary purpose of the study was to evaluate the level and extent of support provided by parent-led support groups. The qualitative data collection was done through individual interviews of parents of children with autism whose children were of any age. Through data analysis 6 major themes were identified: advocacy, emotional support, difficulty with funding, informational support, instrumental …

Health Literacy, Availability, And The Need For Educational Resources On Infertility, Amber Louise Dessellier

Walden Dissertations and Doctoral Studies

There is a gap in infertility research regarding resource availability within rural communities, yet existing research declares infertility a public health concern. This qualitative study was grounded in the Heggerian phenomenological framework by way of assessing participants' perceptions of and experiences with infertility resources in a rural community. The purpose was to analyze the meaning of those experiences within their world. To accomplish this, Antonovsky's salutogenic theory was applied to investigate the strengths and weaknesses of infertility resources including the availability of resources, participant understanding of, and participants' experiences. Purposive sampling was used and in-depth interviews were conducted with 12 …

Successful Strategies For Recruitment And Hiring Of Veterans, Paul Gamble

Walden Dissertations and Doctoral Studies

Transitioning from military service to the civilian workforce is both a daunting experience and a formidable challenge for many highly skilled veterans. The purpose of this multiple case study was to explore the successful strategies of Fortune 500 business leaders for the recruitment and hiring of veterans. Person-organization fit theory formed the conceptual framework for this study. The targeted population consisted of 3 business leaders from 3 separate Fortune 500 businesses in the Washington, D.C. metropolitan area with successful strategies for recruiting and hiring veterans. Data collected from interviews and supporting documents were coded and analyzed using a mind-mapping technique, …

Parental Self-Efficacy, Feeding Practices And Styles, And Obesity In Mexican American Children, Maria Carmen Goodwin

Walden Dissertations and Doctoral Studies

Childhood obesity rates among Mexican Americans have risen along with the concerns of public health professionals. The purpose of this cross-sectional study, based on social cognitive theory, was to investigate the relationships among parental self-efficacy, parental feeding practices and styles, and childhood obesity, as measured by the parental perception of child weight, among Mexican Americans in Texas. Mothers and fathers (n=83; 33 males, 64 females), with at least 1 child between 8 and10 years, formed the sample. Relationships were assessed using the Tool to Measure Parenting Self-Efficacy questionnaire, the Parental Feeding Practices Questionnaire for Mexican American parents, the Parenting Dimensions …

The Relationship Between Nonprofit Organizations And Cloud Adoption Concerns, Dana Haywood

Walden Dissertations and Doctoral Studies

Many leaders of nonprofit organizations (NPOs) in the United States do not have plans to adopt cloud computing. However, the factors accounting for their decisions is not known. This correlational study used the extended unified theory of acceptance and use of technology (UTAUT2) to examine whether performance expectancy, effort expectancy, social influence, facilitating conditions, hedonic motivation, price value, and habit can predict behavioral intention (BI) and use behavior (UB) of NPO information technology (IT) managers towards adopting cloud computing within the Phoenix metropolitan area of Arizona of the U.S. An existing UTAUT2 survey instrument was used with a sample of …

Developing An Educational Module On Compassion Fatigue, Francisca Chinyere Hennes

Walden Dissertations and Doctoral Studies

Compassion fatigue is viewed as a disconcerting issue facing healthcare professionals in the clinical care milieu, and nurses are identified as the most susceptible population among healthcare professionals. The purpose of this project was to create positive social change by helping oncology nurses find ways to enhance self-care and self-awareness, thereby reducing the risk of compassion fatigue and burnout among healthcare professionals. This project investigated an educational module on compassion fatigue that focused on (a) identifying the occurrence rates of compassion fatigue among oncology nurses, (b) evaluating the demographic features that were associated with the most frequent rates of compassion …

Strategies To Improve Employee Engagement In A U.S. Federal Government Agency, Patrick L. Hyde

Walden Dissertations and Doctoral Studies

Nearly half of all frontline leaders in U.S. federal agencies during 2015 were unprepared to improve employee engagement. The lack of successful strategies to improve employee engagement in federal government agencies has led to decreased operational performance. Guided by the employee engagement theory as the conceptual framework, the single case study design was selected to explore the successful strategies that frontline leaders use to improve employee engagement at a federal agency in central Maryland. Data collection involved face-to-face, semistructured interviews with 4 frontline leaders and federal agency documents indicating employee engagement. The data analysis process included Yin's 5-step method and …

High School To College Transition Among Black Males: An Action Research Project, Orval Albert Jewett

Walden Dissertations and Doctoral Studies

A participatory action research project involving social workers as stakeholders from high schools and the local community college in Nassau County, New York, provided the basis for an inquiry that addressed the effectiveness and implementation of clinical social work practice with Black male students transitioning to community college from high school. This study addresses how clinical social work practice may be utilized to enhance the experience of the transition process for Black male students from high school to college. Through the use of a qualitative in-depth interview process, 16 school-based social workers provided professional perspective and expertise that resulted in …

Exploring Security, Privacy, And Reliability Strategies To Enable The Adoption Of Iot, Daud Alyas Kamin

Walden Dissertations and Doctoral Studies

The Internet of things (IoT) is a technology that will enable machine-to-machine communication and eventually set the stage for self-driving cars, smart cities, and remote care for patients. However, some barriers that organizations face prevent them from the adoption of IoT. The purpose of this qualitative exploratory case study was to explore strategies that organization information technology (IT) leaders use for security, privacy, and reliability to enable the adoption of IoT devices. The study population included organization IT leaders who had knowledge or perceptions of security, privacy, and reliability strategies to adopt IoT at an organization in the eastern region …

Understanding Planned Change Among Remote Nonfaculty Employees In Higher Education, Erin Lubin

Walden Dissertations and Doctoral Studies

Implementing planned change in online university divisions with remote nonfaculty employees is a unique challenge. The problem that compelled this study was the need to understand the challenges of implementing planned change for a group of geographically remote nonfaculty employees who served as field team members (FTM) in an online university's support division. The purpose of this research was to explore change from the perspectives of remote FTM, their managers, and the division's Vice President to better understand and suggest research-derived strategies to make change initiatives more meaningful and inclusive. The qualitative ethnographic design was informed by systems theory, Tuckman …

Strategies For Reducing Employee Absenteeism In Retail Stores, Patricia Miller Manning

Walden Dissertations and Doctoral Studies

Employee absenteeism results in annual productivity losses of approximately $74 billion and reduced profits for some retail stores. The purpose of this single case study was to explore the strategies used to minimize absenteeism and increase productivity outcomes for organizational effectiveness at a retail store in northwest Florida. The targeted population included managers who had success with minimizing absenteeism and enhancing productivity in the retail store. Herzberg's 2-factor theory was the conceptual framework, and semistructured interviews with 5 participants were the primary data collection technique. The secondary data sources included employee absence data and gross profit reports for 3 years …

Perspectives Of Secular Counselors Regarding Christian Counseling Forgiveness Therapy, Tezonia Rushan Morgan

Walden Dissertations and Doctoral Studies

Forgiveness is a concept that is strongly rooted in Christianity. Forgiveness therapy was developed with Christian principles and has proven to be successful for Christian counselors. However, forgiveness has not been explored from the perceptions of secular counselors. Specifically, it is not known if secular counselors are using concepts that are similar to Christian forgiveness therapy. Using forgiveness therapy, this qualitative grounded theory study described the experiences, thoughts, and understanding of forgiveness from the views of secular counselors. Research questions addressed if secular mental counselors have a concept similar to forgiveness therapy as defined in the Christian counseling literature. Individual …

Strategies For Preventing And Mitigating The Effects Of Agro-Food Supply Chain Disruptions, Everjoyce Muzvondiwa

Walden Dissertations and Doctoral Studies

Supply chain disruptions are detrimental to the performance of companies due to the associated loss of profitability and reduced sustainability. In 2016, organizations lost at least $1.2 million in a single supply chain disruption. Guided by the contingency theory of fit, the purpose of this exploratory multiple case study was to explore the strategies agribusiness managers use to prevent and mitigate the effects of disruptions in the agro-food supply chains. A total of 5 purposefully-selected agribusiness managers from Harare, Zimbabwe participated in semistructured interviews. Participants were senior agribusiness managers who implemented successful strategies for preventing and mitigating the effects of …

Risk Perception Of Hiv Infection Among The Nigerian African- Immigrant Population In Houston, Texas, Esther Titilayo Ogunjimi

Walden Dissertations and Doctoral Studies

HIV/AIDS studies mostly lack distinction between the US-born Blacks and non-US-born Blacks while African Americans (AAs) continues to represent the group with the heaviest burden of AIDS deaths and new diagnosis of HIV. A review of studies on HIV infection in the US, Europe, and other Western countries revealed a knowledge gap on HIV infection with non-refugee African immigrants (NRAIs), especially the Nigerian African Immigrants (NAIs) who are non-US-born Blacks. The purpose of this descriptive phenomenological study is to address this gap by exploring the expressed views of NAIs, a sub-group of the NRAIs living in Houston, Texas, on the …

Small To Medium Enterprise Succession Planning: Millennial Employee Development, Mark Tarmann Jr.

Walden Dissertations and Doctoral Studies

Increased mobility and a growing presence in the workforce by millennial employees are pushing sustainability to the forefront of concerns for business leaders. Especially for small to medium enterprises (SMEs) with limited human capital resources and no formal succession plans. Thus, increasing the need for insight on millennial employee development to mitigate voluntary turnover. The purpose of this multiple case study was to explore successful millennial employee developmental strategies employed by 3 SMEs leaders in southern New Jersey. These SMEs leaders were the ideal population with millennial employees with 3 or more years of employment and not solely family-run organizations. …

Intimate Partner Violence In Military Couples, Kristy Wood

Walden Dissertations and Doctoral Studies

Intimate partner violence is negatively impacting the military community. This social issue is not understood well enough to create effective prevention programs or improve intervention programs. Missing from the literature is research investigating the complex nature of intimate partner violence using attachment as the framework. The purpose behind this quantitative, cross-sectional study was to understand the relationships between attachment styles, posttraumatic stress disorder, and intimate partner violence. Whether traumatic brain injury mediates these relationships was considered. There were 228 surveys collected from military couples, using the Adult Attachment Scale, Posttraumatic Stress Disorder Checklist-Military Version, and Intimate Justice Scale. Traumatic brain …

Impact Of Nursing Certification On Patient Perception, Satisfaction, And Outcomes, Rodney Baccus

Walden Dissertations and Doctoral Studies

Increased responsibilities for patient care within the nursing profession leads one to examine the correlation between nursing care and patient satisfaction. Current evidence indicates that higher levels of nursing education are associated with better patient outcomes. The literature further demonstrates that increased expertise and certification within a nursing specialty leads to increased nursing empowerment, improved intrinsic value and better collaborative relationships. However, the relationship between certification status and patient satisfaction remain unclear. This systematic review sought to understand the relationship between nursing certification and patient satisfaction. Guided by Rogers' diffusion of innovation theory this project examined the peer-reviewed literature using …

Enhancing Nurses' Assessment Of Pain Management In Dementia Patients, Norma Jean Boone

Walden Dissertations and Doctoral Studies

Chronic pain contributes to morbidity, mortality, and disability in millions of people. Prevalence rates for pain are as high as 83% among the 5.2 million older adults living with a diagnosis of dementia. The purpose of the quality improvement project was to assess nurses' knowledge of pain assessment and management in a 45-bed Veterans Health Administration long-term care facility serving older adults with dementia. Knowles' adult learning theory served as the theoretical framework and the knowledge to action model supported the translation of evidence into practice. A convenience sample of 27 licensed and unlicensed nursing staff answered the 16-question, 5-point …