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Preventing Urinary Tract Infections In The Acute Care Setting, Charlotte Evette Philyaw

Walden Dissertations and Doctoral Studies

More than 13,000 deaths and $340 million in health care costs are the result of catheter-associated urinary tract infections (CAUTIs) annually in the United States. CAUTIs can also result in acute patient discomfort and potentially preventable exposure to antibiotics. The hospital for which this quality improvement project was developed was above the National Healthcare Safety Network CAUTI bench mark. Framed within the Iowa model of evidence-based practice, a multidisciplinary team of 8 hospital stakeholders guided the project (n=8). The purpose of the project was to develop an indwelling urinary catheter maintenance checklist using evidence-based practice guidelines related to preexisting inappropriate …

Strategies For Organizational Sustainability In Higher Education, Angela D. Reese

Walden Dissertations and Doctoral Studies

The defunding of higher education at the state and national level following the 2008 recession created the need for administrators of public higher education institutions to develop and implement funding strategies to maintain organizational sustainability. State government administrators reduced spending approximately 26% per student across the nation, leaving higher education administrators challenged with adjusting organizational budgets to compensate for the reduction in state monetary support. A multiple case study design was used to explore funding strategies that community college business leaders used to support budget decisions that maintain organizational sustainability. Four leaders from 3 community colleges in Central Texas participated …

Stereotype Threat And Work Attitudes Of Older Workers, Cheryl A. Countryman

Walden Dissertations and Doctoral Studies

Abstract

Despite an aging U. S. workforce, age discrimination at work remains an issue. Researchers have found that beliefs about the aging process affect workers' performance and attitudes. There is little research available examining this phenomenon from the perception of older workers. The purpose of this qualitative phenomenological study was to understand the lived experiences of 7 workers aged 55 and older regarding ageism through the theoretical framework of stereotype threat theory. Research questions focused on identifying age-related stereotypes held by the participants, the influence of those stereotypes on perceptions of aging, perception of the impact of aging on job …

General Education Teachers' Perceptions About Teaching Students With Autism In Urban Schools, Sabrina Denise Evans

Walden Dissertations and Doctoral Studies

Many children with autism spectrum disorder (ASD) are included or mainstreamed in general education classrooms, yet general education teachers receive little, if any, formal training for working with children with ASD. The conceptual framework for this study was differentiated instruction, which is a best practice intended to improve educational experiences for children diagnosed with ASD. The purpose of this research study was to explore general education teachers' perceptions of providing differentiated instruction to these students. The research questions examined teachers' perceptions of barriers that can affect their ability to differentiate instruction in their classrooms and strategies teachers use to facilitate …

Sustaining Dental Practices Longer Than 5 Years, David Gagner

Walden Dissertations and Doctoral Studies

Dentists graduate dental school ready to practice dentistry, but 85% do not feel prepared by the dental school to open and manage the operations of a general dental practice. General systems theory grounded this multisite case study. The research provides information on 3 solo practitioner dental practices that sustained beyond 5 years in the Washington, DC suburbs. At each operating practice, the dentist who owned the practice and 1 employee that also worked at the practice during the first 5 years were interviewed. The dentist provided marketing documents used during the first 5 years of the practice operations. Data triangulation …

The Psychological Impact Of Distal Combat On Veterans, Candrick C. Darkashade

Walden Dissertations and Doctoral Studies

Researchers and military organizations have defined military conflicts as being fought in two principal combat environments, namely, close proximity, or the proximal combat environment, and distant proximity, or the distal combat environment. This study used Gal and Jones's psychological model of combat stress as the theoretical framework. The study also used Merriam's generic interpretative qualitative research method, including open-ended interviewing and document review, to obtain data. The study used inductive thematic analysis to analyze the narratives of 10 distal combat veterans who were recruited for the study. The research questions were designed to identify the characteristics of distal combat and …

A Multisite Hospital's Transition To An Interoperable Electronic Health Records System, Valerie Gerene Drill

Walden Dissertations and Doctoral Studies

The health care industry is transforming into an industry that requires health information technology, yet many health care organizations are reluctant to implement new technology. The purpose of this case study was to explore strategies that led to a successful transition from an older electronic health record (EHR) system to a compliant EHR system at a multisite hospital system (MHS). The study included face-to-face and phone interviews with 12 managers who worked on the transition of an MHS's EHR system in the Pacific Northwest region of the United States. The technology acceptance model was used to frame the study. Audio …

The Effect Of Dietary Fruits & Vegetable Consumption And Physical Activity On Obesity In African American Adolescent Females., Tanisha Brooks

Walden Dissertations and Doctoral Studies

Obesity is epidemic among Black adolescent females, and adolescent obesity often leads to adult obesity. Previous research suggests that there may be an interaction between physical activity and dietary fruit and vegetable intake on body mass index (BMI) in obese adolescent females in general, but it was unclear whether the same pattern is evident in Black adolescent females, who, on average, tend to have low levels of physical activity and fruit and vegetable intake. Bandura's social learning theory implies the possibility that adolescent females might model their behaviors on the behavior of others in their high school years, including physical …

Emotional Intelligence And Instigation Of Workplace Incivility In A Business Organization, Nancy Ann Ricciotti

Walden Dissertations and Doctoral Studies

Workplace incivility is increasing in prevalence and is associated with increased job stress, depression, and anxiety; it is also associated with decreased productivity, job satisfaction, and organizational commitment. Despite the monetary and psychosocial cost of incivility to organizations and individuals, little research has focused on mitigation strategies. The purpose of this correlational study was to determine the relationships between emotional intelligence and instigation of workplace incivility. The theoretical framework was emotional intelligence theory. The central research question posited that higher levels of emotional intelligence are inversely related to instigated workplace incivility. Data were collected electronically from 260 full time employed …

Exploring Women's Lived Experiences And Expectations With In-Patient Maternity Care Within The U.S. Military Healthcare System, Michelle Ashley Recame

Walden Dissertations and Doctoral Studies

Satisfaction with in-patient maternity care within the Military Healthcare System (MHS) continues to score significantly below national benchmarks when compared to civilian hospitals and doctors. Lack of independent, qualitative research in this area has left the MHS with few answers as to why patients are satisfied, but still unhappy, with specific aspects of care. Discrepancy theory was used in conjunction with grounded theory as the foundation and framework for understanding the expectations and experiences of women who have given birth in the MHS within the past year. Using grounded theory and a hermeneutical approach to interview participants, qualitative data were …

Examining Parental Involvement In An Elementary School's Prekindergarten Program, Stephanie Michele Smith

Walden Dissertations and Doctoral Studies

Parental involvement is integral to promoting a high quality school environment. A lack of parent involvement is a problem that currently exists in an urban, public elementary school in Texas. This issue is important because once the parents increase their engagement, the home school relationship can be improved. The purpose of this qualitative case study was to investigate how pre-kindergarten parents at the study elementary school perceive parent involvement and how principals and teachers at the school can help parents improve their involvement. This study is based upon Epstein's theory of 6 types of parent involvement. This study examined parents' …

Exploring Literacy Coaching As A Form Of Staff Development, Kate Matthews Welborn

Walden Dissertations and Doctoral Studies

Following a 2011 audit a school district in the south central United States clarified the role of the literacy coach. However, there were still differences among the literacy coaches as to how they were performing their duties. As a result, the purpose of this study was to gain an understanding of the role of the literacy coach in the participating school district. The theoretical foundation of this study addressed adult learning and was based upon Kegan's constructive development theory and Knowles's theory of androgogy. A case study design was used to explore how 5 literacy coaches implemented literacy staff development …

Autonomy, Competence, Relatedness, And Personal Growth Initiative Among Postpartum Women, Tamar Mary Boyd

Walden Dissertations and Doctoral Studies

Prior research on maternal postpartum care, the transition to motherhood, pelvic floor dysfunction, and pelvic floor muscle training (PFMT) has revealed that postpartum women are often denied the basic information, instruction, and preventive strategies necessary for optimal postbirth rehabilitation and psychological well-being. Employing a dual framework of self-determination theory and personal growth initiative (PGI) theory, this quantitative study utilized a cross-sectional design to investigate if autonomy, competence, and relatedness satisfaction predicted PGI in postpartum women. Differences in autonomy, competence, relatedness, and PGI between PFMT practicing and nonpracticing postpartum women were also examined. A web-based survey method was employed to collect …

Experiences Of Middle School Children With Autism Spectrum Disorders In Adapted Physical Education, Arkansas Josephine Blagrave

Walden Dissertations and Doctoral Studies

School-age children with autism spectrum disorders (ASDs) are rarely asked to describe their experiences within the programs that they receive and are largely missing from the narrative of their own lives. Adapted physical education (APE), a subdiscipline of physical education, is one of the services frequently accessed by this population. Current literature on the experiences of children with autism spectrum disorder (ASD) has focused on special education classrooms, sensory perceptions, and general physical education classes. However, no prior studies had addressed how school-age children with ASD perceive their APE experience. Therefore, the purpose of this qualitative study was to use …

Retention Factors For Assistant Retail Managers, Amber Huffman Echols

Walden Dissertations and Doctoral Studies

The cost of losing a manager in the retail sector is 2 to 3 times their yearly salary. The purpose of this exploratory single case study was to explore strategies general managers in large retail organizations can use to improve assistant manager retention. Building upon Ramlall's adaptation of motivation theory, research was conducted to determine factors that contributed to retention of assistant managers in a general merchandise retail store operating in Virginia and North Carolina. Data were collected through semistructured interviews with 20 general managers of stores in the same organization located in Virginia and North Carolina, reflective journals, and …

Exploring Admissions Criteria For A College Honors Program, Margaret Patricia Graham

Walden Dissertations and Doctoral Studies

Honors programs (HP) play an important role in defining the organizational culture of colleges and universities. In the college selected for this study, 30% of its honors students attrite to nonhonors programs, usually due to subpar grade point averages (GPAs). Using Sternberg's augmented theory of successful intelligence, a mixed-methods approach was employed to better understand how selection metrics related to HP student success. The ex post facto design included a 5-year (2009-2014) census sample of 375 HP students. Correlation and regression analyses were used to examine the relationship between college GPA and HP admissions metrics such as standardized test scores …

Diminishing Stigma Sentiments In Individuals With Depression: Sociopsychological Predictors Of Deflecting And Challenging Coping Orientations, Jennifer Marie Lee

Walden Dissertations and Doctoral Studies

Individuals who suffer from depression can be stigmatized by labeling and resort to negative stigma coping orientations such as secrecy and withdrawal, resulting in internalized self-stigma. Self-stigma can have negative effects such as low self-esteem, low self-efficacy, isolation, and feeling like a failure. Guided by modified labeling theory, the purpose of this study was to fill a gap in the literature on predictors of two orientations (challenging and deflecting) of positive stigma coping. Challenging stigma involves taking action, and deflecting is a cognitive strategy; both are used to positively cope with the stigma of mental illness. Predictors included symptom severity, …

Meeting The Unique Needs Of Teachers Of Students At Risk Of Not Graduating, Meike Lee Mcdonald

Walden Dissertations and Doctoral Studies

Teachers who are not adequately prepared to teach struggling students often seek employment elsewhere rather than be ineffective with those students. When teachers leave the classroom, this has a vast impact on student learning. For the past 9 years, a high school in the southeast United States for students at risk of not graduating has had an average annual teacher turnover rate of 31.25%, nearly twice the national rate of 15.9%. The purpose of this study was to learn the kinds of training and knowledge teachers believed would help them to succeed in teaching students struggling to graduate. Constructivist theory …

Low-Income African American Parents' Perception And Influence On Childhood Obesity, Vickie Sims-Johnson

Walden Dissertations and Doctoral Studies

Childhood obesity affects children from every socioeconomic level, but there is a higher prevalence of obesity among preschool-age children from low-income families. Some obese children are experiencing symptoms (e.g., high cholesterol and diabetes) generally experienced by adults. As a result, healthcare costs have increased. The purpose of this qualitative phenomenological study was to understand how low-income African American parents contribute to the prevalence of obesity in preschoolers. The conceptual framework and constructs from the health belief model (HBM) guided this study. Interview data were gathered from 8 participants who met the inclusion criteria of being a low-income African American parent …

A Qualitative Examination Of The Perception Of Risk In Warnings For Severe Weather, Teresa Simmons

Walden Dissertations and Doctoral Studies

In the past decade, weather disasters have claimed thousands of lives and resulted in billions of dollars in damages. Awareness of a storm threats can occur hours or days in advance, but disaster assessments indicate many people do not heed storm warnings. This problem is old. Despite 50 years of research, and new technologies and training to improve responsiveness, the basic issue– understanding how people interpret and respond to weather warnings–persists. An exploratory study that incorporated human behavior theories and communication models not traditionally associated with severe weather analysis was conducted to learn how weather risks are perceived by nonscientists. …

The Effect Of Media Literacy Training On The Self-Esteem And Body-Satisfaction Among Fifth Grade Girls, Holly Mathews

Walden Dissertations and Doctoral Studies

Repeated exposure to media images that portray women as sex objects can have negative long-term effects on self-esteem beginning in preadolescence. Negative effects include decreased feelings of competence, increased focus on appearance, increased body dissatisfaction, and limited achievement in domains not related to appearance. There is a gap in the literature examining if media literacy training can mitigate the negative effects of exposure to sexualized media content. Festinger's social comparison theory and Vygotsky's theory of cognitive development provided the framework for this study. A quasi-experimental pre-post-test design was used to examine the interaction of media literacy training and time of …

Servant Leadership, Organizational Commitment, And Perceived Organizational Support In The Restaurant Industry, Chee Kiong Piong

Walden Dissertations and Doctoral Studies

The high employee turnover rate in the U.S. restaurant industry constitutes a major expense for restaurants. The research problem for this study was to determine if restaurant employees' perceptions of their supervisor's servant leadership practices were associated with the employees' organizational commitment and perceived organizational support, which have been shown to reduce turnover. Greenleaf's servant leadership theory provided the theoretical framework. The research question for this study was whether restaurant employees' perceptions of their supervisor's servant leadership practices were associated with the employees' organizational commitment and perceived organizational support, thereby potentially reducing employees' turnover rate. A purposive sample of 88 …

Exploring Factors Influencing Information Technology Portfolio Selection Process In Government-Funded Bioinformatics Projects, Braulio J. Cabral

Walden Dissertations and Doctoral Studies

In 2012, the National Cancer Institute's (NCI) Board of Scientific Advisors (BSA) conducted a review of the Center for Biomedical Informatics and Information Technology's (CBIIT) bioinformatics program. The BSA suggested that the lack of a formal project selection process made it difficult to determine the alignment of projects with the mission of the organization. The problem addressed by this study was that CBIIT did not have an in-depth understanding of the project selection process and the factors influencing the process. The purpose of this study was to understand the project selection process at CBIIT. The research methodology was an exploratory …

Continuity Of Operations Planning At Historically Black Colleges And Universities In Alabama, Lewis Alvin Eakins

Walden Dissertations and Doctoral Studies

Continuity of operations planning for Historically Black Colleges and Universities (HBCUs) is critical for institution sustainability. The absence of such planning can result in an HBCU closing for an extended period of time after a disaster resulting in loss of revenue, research projects, students, faculty, and staff. There is a void of information on the extent of continuity of operations planning at HBCUs and how these institutions would continue functioning after a disaster. Using resilience theory as the foundation, the purpose of this qualitative case study was to explore the extent of continuity of operations planning at HBCUs in Alabama …

Grandparents Raising Grandchildren: The Lived Experience Of Extended Family Reconciliation, Sheryl Martin

Walden Dissertations and Doctoral Studies

Researchers have documented the increasing role of grandparents who provide care for their grandchildren; however, few have studied extended family reconciliation after grandparents assumed their primary care. This study explored the reconciliation experiences of 12 grandparents who were primary caretakers of their grandchildren. Using Moustakas's phenomenological research approach, the participants were interviewed about their experiences of the relationship triad (grandparent-grandchild, grandparent-adult child, parent-child). Attachment theory and family systems theory were the conceptual frameworks to explore the central research question, which addressed the meaning of extended family reconciliation for grandparents who become primary caregivers of grandchildren. Using NVivo, the interview data …

Education Program For Nurses Working In An Immigration Detention Facility, Dr. Tiney Elizabeth Ray

Walden Dissertations and Doctoral Studies

Nursing response to medical emergencies has been an ongoing issue in immigration detention centers. Lack of teamwork and poor communication with medical and security staff have resulted in detainees sustaining injuries during medical emergencies. This project was developed to persuade Immigration and Customs Enforcement Health Service Corps (IHSC) leaders to consider piloting the TeamSTEPPS emergency response curriculum for nurses working in the immigration detention center. Tuckman and Jensen's model of group development will provide guidance to IHSC leaders in understanding the transformational stages of forming a successful team. TeamSTEPPS will address gaps in emergency health care competency by improving collaboration, …

Relationship Between Workplace Aggression And Employee Job Satisfaction, Tashua Lashun Grizzle

Walden Dissertations and Doctoral Studies

Workplace aggression incidents are increasing and, thus, becoming more difficult to address in the United States. Health care workers in particular are at an increased risk of burnout compared to individuals working in other occupations. The purpose of this quantitative correlational study was to investigate the propensity for workplace aggression among health care professionals and the association between job satisfaction and the propensity for workplace aggression. The conservation of resources theory was used to frame the study. The Work Environment Scale and the Conditional Reasoning Test of Aggression were used to collect data from 89 mental health clinicians, nurses, and …

Organizational Characteristics Influencing Workplace Bullying, Sinsey Elaine Johnson

Walden Dissertations and Doctoral Studies

Walden University

College of Social and Behavioral Sciences

This is to certify that the doctoral dissertation by

Sinsey E. Johnson

has been found to be complete and satisfactory in all respects,

and that any and all revisions required by

the review committee have been made.

Review Committee

Dr. Gabriel Telleria, Committee Chairperson,

Public Policy and Administration Faculty

Dr. George Larkin, Committee Member,

Public Policy and Administration Faculty

Dr. Tanya Settles, University Reviewer,

Public Policy and Administration Faculty

Chief Academic Officer

Eric Riedel, Ph.D.

Walden University

2016

Workplace bullying is a source of distress and contributes to productivity losses and poor …

Impact Of Poverty On Undocumented Immigrants In South Florida, Julio Warner Loiseau

Walden Dissertations and Doctoral Studies

Poverty in the United States has been widely explored, but very seldom does research consider the impacts of poverty among undocumented immigrants. As a result, policymakers are unable to account for or accommodate the unique needs of undocumented immigrants. Using Dalton's theory of the psychology of poverty, this case study explored the experiences of undocumented immigrants in Immokalee, Florida to better understand how the current policy landscape impacts their existence and livelihoods. The data were collected through 18 interviews with undocumented immigrants and a review of government data related to poverty among this population from the United States Census Bureau, …

A Case Study: Parents' Views Of The Program Everlasting Peace, Meshonda Moore

Walden Dissertations and Doctoral Studies

Juvenile crime among females is on the rise in the United States and is currently at an all-time high. Girls who are at risk for committing juvenile crime are at greater risk than boys for experiencing sexual trauma and exploitation as well as depression. Additionally, adolescent females have a higher rate of status-offense reoffending than do adolescent males. Using Kubeka's conceptualization of trauma theory, the purpose of this case study was to determine whether Everlasting Peace (EP), an evidence-based counseling program in Georgia, successfully provided gender-specific treatment for female juvenile offenders. Data were collected through interviews with 20 parent/guardian of …