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Perceptions About Sexually Transmitted Diseases In Akwa Ibom State Of Nigeria: A Qualitative Study Of Young Adults Age 18-24, Mfon Archibong Archibong

Walden Dissertations and Doctoral Studies

Despite the ongoing investments in programs to increase sexual health awareness among young adults globally, many youths remain vulnerable to sexually transmitted diseases (STDs). Two-thirds of all STDs occur among youths engaging in high-risk sexual behaviors, which put young adults at higher risk of STDs and can result in serious consequences including infertility. Additionally, the social consequences of STD affect families and communities. While a need exists for increased public awareness of STDs among young adults, extant intervention and prevention activities should be informed by a cultural perspective, including the integration of community and government roles. The purpose of this …

Exploring Linguistic Challenges And Cultural Competency Development In A Small Multinational Corporation, Cindy J. Atchley

Walden Dissertations and Doctoral Studies

In 2016's global business landscape, the increase in workers moving across borders to find employment accentuates the language and cultural challenges for both employees and organizations. Employees working in a multinational environment need to have an understanding of language and culture to handle the complex nature of professional work in a multinational corporation (MNC). The purpose of this study was to explore what communication competencies employees in a small MNC needed to communicate across multicultural environments in the workplace. A dialectic approach of intercultural communication was used to explore these needs in one small MNC located in the Kingdom of …

The Effectiveness Of Psychotherapy For Schizophrenia Spectrum Disorders In Community Residential Settings, Joshua Thomas Beulke

Walden Dissertations and Doctoral Studies

The purpose of this research was to analyze the effectiveness of psychotherapy for individuals diagnosed with schizophrenia spectrum disorders who reside in community residential settings. The present body of literature did not address the utility of psychotherapy treatment for this population. A key area of focus for this research was whether psychotherapy has an impact on psychiatric hospitalization rates for the target population. An additional research question was whether significant differences exist in psychiatric hospitalization rates between males and females for the target population. Data analyses were conducted using archival data from the Blossom Hill Corporation and Sunrise Farm Corporation …

Increased Risk Factors For Substance Abuse And Attitudes Regarding Substance Use Among Nursing And Non-Nursing Students, Carolyn Sue Britt

Walden Dissertations and Doctoral Studies

Nonmedical prescription drug (NMPD) use is a well-documented problem among college students, but few studies have examined nursing students' attitudes regarding NMPD. The purpose of this study was to compare nursing and non-nursing students' attitudes, risk factors, and current substance use. This descriptive, comparative design utilized a convenience sampling and social media to reach students over 18 years of age and enrolled in a Midwestern university. Twenty-nine students, 14 non-nursing and 15 nursing students, participated in this online survey. Substance use attitudes were measured using the Drug Attitude Scale (DAS). Risk factors for substance use were used as demographic questions …

Telehealth: Improving Quality Of Life In Veterans With Congestive Heart Failure, Marcia Callender Callender

Walden Dissertations and Doctoral Studies

Congestive heart failure (CHF) affects an estimated 5.1 million Americans over the age of 20. The purpose of this quantitative study was to determine whether there is a difference in the Quality of Life (QOL) for Congestive heart failure patients receiving care through telehealth compared to patients receiving face-to-face care (usual care). Guiding this project was the Self-Care Model of Chronic Illness because the primary outcome of the self-care model is illness stability, well-being, and quality of life. Seventy-seven veterans with Heart Failure (HF) from the Washington D.C. Veterans Affairs Medical Center (VAMC) participated in the project. Forty reported they …

U.S. Teachers' Perceptions Of School Violence Prevention Programs, Natakie Tamu Chestnut

Walden Dissertations and Doctoral Studies

In response to high profile violent incidents and crimes, many schools have developed plans that address school discipline to create a school climate and culture wherein everyone is valued and treated with respect. The problem that prompted this study is teachers are struggling with effectively implementation prevention program. The purpose of this study was to explore the perceptions of teachers about school violence prevention programs. Guided by Bronfenbrenner's ecological systems theory, this study examined the connection among school violence, environment, discipline and prevention programs; and it explored approaches to creating safe communities in schools. The research questions focused on teachers' …

The Impact Of Psychological Birth Order On Academic Achievement And Motivation, Alissa Jo Combs-Draughn

Walden Dissertations and Doctoral Studies

Historically, research in the field of birth order yielded inconsistent and at times contro-versial results. Researchers have long been interested in the impact of birth order on both social and cognitive development, in part due to the research of Adler. The purpose of this quantitative study was to determine if psychological birth order directly impacts stu-dent achievement and motivation. The resource dilution theory and confluence model were used to investigate the relationship between sibling perception of family roles within familial settings and academic performance and motivation within the college setting. The quantitative study used an online survey to assess psychological …

The Watson Room: Managing Compassion Fatigue In Clinical Nurses On The Front Line, Crystal Denise Crewe

Walden Dissertations and Doctoral Studies

The concept of compassion fatigue (CF) emerged in the early 1990s in North America to explain a phenomenon observed in nurses employed in emergency departments. A precursor to burnout, CF is a well-known phenomenon associated with emotional exhaustion, depersonalization, and an inability to work effectively. In nurses, CF has been shown to reduce productivity, increase staff turnover and sick days, and lead to patient dissatisfaction and risks to patient safety. The aim of this study was to determine if the use of a Watson Room designated as a 'quiet zone' with warm colors on the wall, massage chair, and soothing …

The Credibility Of Government Budget: The Case Of Sierra Leone, Patrick Saidu Conteh

Walden Dissertations and Doctoral Studies

Fiscal reports have, since 2010, documented weak budget credibility in Sierra Leone public financial management noting that the government budget does not constitute a dependable framework for the planning, allocation and efficient use of the nation's resources. The purpose of this study was to develop a budgetary reform agenda and the research question that guided the study related to the reasons for the high monetary variances between the approved budget and the year-end financial reports. Government budgets and financial reports were reviewed for 2010-2014 and senior government officials were interviewed regarding the main stages of the annual budgetary process. The …

The Effect Of Cibs Participation And Gender On Adolescent Residential Treatment Duration, Tyler Maxwell Dority

Walden Dissertations and Doctoral Studies

Additional out-of-home placement rates for adolescents in long-term regional treatment center (LTRT) programs in the United States are between 50% and 75%. There appears to be a failure to generalize treatment to home and community in programs that do not fully integrate family involvement. The collaborative intensive bridging services (CIBS) treatment model uses intensive family therapy and brief residential treatment center (RTC) placement to reduce or eliminate use of LTRT. Using family systems theory, the purpose of this study was to determine whether participation in CIBS provided better outcomes than LTRT programs. The study used archival data collected by Family …

Polypharmacy, The Electronic Medical Record, And Adverse Drug Events, Unyime Eyoh

Walden Dissertations and Doctoral Studies

Polypharmacy, a concurrent chronic use of multiple prescribed and over-the-counter medications by the same individual, is one of the clinical problems facing primary care providers. Polypharmacy creates the potential for adverse drug-related events, especially in the elderly. The advent of electronic medical records (EMR) may help identify and respond to these potential adverse events. The purpose of this project was to investigate the relationship between the total number of medication taken by elderly, 65 years and older, and the severity of drug-drug and drug-disease interactions triggered by the EMR system. The study used a retrospective chart review of the EMRs. …

Associations Between Leadership Style And Employee Resistance To Change In A Healthcare Setting, Tanisha Garcia

Walden Dissertations and Doctoral Studies

. Abstract

Health reform is forcing healthcare administrators to make rapid changes. A tendency to resist change can present problems for these organizations, including the large, not-for-profit Catholic healthcare systems. In order to make positive contributions towards healthcare, it's important to recognize the nature of the organization's involvement to change. The transformational leadership style has been shown to be positively correlated with change however, the relationship among leadership styles, employees' behaviors, and motivation to change are still not well understood and require further study. Further, although Oreg's Resistance to Change (RTC) approach has been researched in direct patient care areas, …

Muliple Roles As Predictors Of Subjective Well-Being In African American Women, Sha-Rhonda Michea Green-Davis

Walden Dissertations and Doctoral Studies

The role strain caused by the multiple roles of some women can impact their stress levels and health outcomes, which negatively affects reported subjective well-being (SWB). The culture and race of African American women has a complex effect on how they experience stress and manage their health. Some research shows the harmful rippling effect of stress for African American women is distinct from other racial groups and men. The purpose of this quantitative archival study was to understand how the SWB of African American women can be predicted by their age, years of education, household income, number of children, and …

A Qualitative Exploration Of The Use Of Contraband Cell Phones In Secured Facilities, Margaret E. Henderson

Walden Dissertations and Doctoral Studies

Offenders accepting contraband cell phones in secured facilities violate state corrections law, and the possession of these cell phones is a form of risk taking behavior. When offenders continue this risky behavior, it affects their decision making in other domains where they are challenging authorities; and may impact the length of their incarceration. This qualitative phenomenological study examined the lived experience of ex-offenders who had contraband cell phones in secured correctional facilities in order to better understand their reasons for taking risks with contraband cell phones. The theoretical foundation for this study was Trimpop's risk-homeostasis and risk-motivation theories that suggest …

Hospital Preparedness: Effects Of Designated Preparedness Coordinators On Hospital Preparedness For Special Hazard Classes, Rodney Sinelair Jones

Walden Dissertations and Doctoral Studies

Since 9/11, little statistical rigor has been placed on identifying the correlates of hospital preparedness. This quantitative study explores the research question: Is there a correlation between the employment of a designated hospital preparedness coordinator and the reported level of preparedness for: (a) general preparedness; (b) chemical, biological, radiological, and nuclear (CBRN) events; (c) pandemic disease outbreaks; (d) mass casualty events; and (e) internal infrastructure failure, as assessed by an online survey. Alternative analysis was conducted to assess the relationship between access to resources and the 5 dependent variables. Using complexity theory as the theoretical framework, point biserial correlation and …

Small Business Survivability Beyond Five Years, Koyandome Freddy Koyagialo

Walden Dissertations and Doctoral Studies

The United States has a high failure rate of small businesses, with 30% of small business failing within the first 2 years. The objective of this case study was to explore strategies successful small business owners use to achieve profitability beyond 5 years. The purposive sample for this study included 4 owners of successful small businesses in Atlanta, Georgia, who have been in business for at least 5 years. The conceptual framework was built upon disruptive innovation and susceptibility theory. Data were collected through semistructured interviews and company documents. The analysis revealed 3 themes, market research, passion and determination, and …

Incidence Of And Risk Factors For Thromboembolic Events In Elderly Medicare Patients With Kidney Cancer, Monica Kobayashi

Walden Dissertations and Doctoral Studies

The incidence of venous and arterial thromboembolic events (VTEs/ATEs) varies greatly by cancer type and age, with increased risk in the elderly. Very little research has been reported specific to elderly kidney cancer patients. Retrospective cohort analyses of Medicare patients, 11,463 with and 11,463 without kidney cancer, between 2003 and 2010 were conducted to compare incidence rates of VTEs/ATEs in cancer patients with matched noncancer patients and to assess independent risk factors for VTEs in cancer patients. The advanced epidemiology triangle was the theoretical framework used to interpret the association between incident events and other factors. Using Cox proportional hazard …

Exploring Skills That Liberian Small-Business Entrepreneurs Use To Succeed In Business, Mars Mellish

Walden Dissertations and Doctoral Studies

Over 35 years of gross economic mismanagement and business failures led Liberia's gross domestic product to collapse by 90% in less than two decades. As a result of a general lack of business skills, up to 80% of Liberian small-business entrepreneurs fail in business beyond the first year. Based on the theory of constraints, the purpose of this exploratory multiple case study was to explore the business skills that Liberian small-business entrepreneurs used to succeed in business beyond the first year. Data came from semistructured face-to-face interviews with 5 central regional Liberian small-business entrepreneurs who had succeeded in business beyond …

Nursing Distance Learning Course Comparison Of Assignments And Examination Scores, Jennifer Mundine

Walden Dissertations and Doctoral Studies

Nursing programs have embraced distance learning in their curricula, but discussion is ongoing about course assignments and grading criteria to increase examination scores in nursing distance learning courses. Because course examinations are a predictor of success on the postgraduate licensing examination (NCLEX-RN), the purpose of this study was to determine whether differences existed in student examination scores between nursing distance learning courses with and without points aligned to assignments. The theoretical framework was Knowles's theory of andragogy, which highlights adults' motivation and self-direction to succeed. The quantitative causal comparative study included a convenience sample of 164 students to compare archival …

Success Strategies Among Immigrant Small Business Owners In The Southeastern United States, Tony Nnabue

Walden Dissertations and Doctoral Studies

Although considerable concern exists regarding immigrant businesses, few studies address immigrant small business owners' strategies for success and sustainability. The purpose of this phenomenological study was to explore the strategies that immigrant small business owners in metro Atlanta, Georgia can use to sustain their business beyond 5 years. Cultural theory formed the conceptual framework for this study. A purposeful sample of 20 immigrant small business owners in metro Atlanta provided the data garnered from semistructured interviews for this research study. Using open coding, and modified van Kaam analysis of the interview data, 5 themes emerged for immigrant small businesses that …

The Socioeconomic And Cultural Impact Of Sickle Cell Disease In Nigeria, Jejelola Owotomo

Walden Dissertations and Doctoral Studies

Sickle cell disease (SCD) is a genetic health condition that has continued to increase globally. SCD is prevalent in developing countries like Nigeria with 20 to 30% of the population living with SCD. The aim of this study was to explore the effect of the socioeconomic and cultural factors that affect the quality of life (QOL) of individuals with SCD in Nigeria. The framework for the study is secondary prevention. Secondary prevention allows for opportunities to improve QOL amongst people living with SCD focusing on the health beliefs, and socioeconomic wellbeing. A phenomenological approach was used to collect in-depth data …

An Examination Of African American Women With Hiv And Health Care Barriers, Robert Salvatore Petralia

Walden Dissertations and Doctoral Studies

For over 40 years, HIV has been seen as an epidemic and problem on health care that disproportionately affects the African American women (AAW) and population. This epidemic represents 12% of the total U.S. population, yet accounts for 37% of the commutative HIV cases, and 45% of the new HIV cases reported since 1998. Research in this case was needed for increased understanding to this health care problem, between AAW and HIV. A review in the literature indicated the problem and found new alternatives that helped support aspects on today's health care. The purpose of the study was to help …

Perception Of Nutrition And Utilization Of Healthy Food Ideas When Making Food Choices., Judy Pilgrim-Hector

Walden Dissertations and Doctoral Studies

The availability of nutrition information is an important aspect of health care and equally important is access to cultural and theoretical nutrition evidence to increase awareness on ways to manage a diet in ethnic communities. The problem was the shortage of culturally appropriate nutrition data to educate Caribbean immigrants. The purpose of the study was to acquire culturally profound nutrition information on Caribbean immigrants' distinctive philosophical perception on nutrition and food choices. A phenomenological approach was used to examine ways in which the participants integrate nutrition facts when making food choices. The theory of reasoned action was the main conceptual …

Job Satisfaction In Law Enforcement Officers According To Generational Cohorts, Johnathon Michael Sharp

Walden Dissertations and Doctoral Studies

Job satisfaction in law enforcement is important because it promotes continuity of a professional and cohesive police force that works well together, follows proper policy and procedures, and provides the services needed to the public. Given multigenerational law enforcement officers are now working together, its impact on job satisfaction is not known. This study focused on how generational cohort membership impacts the job satisfaction of law enforcement officers based on Mannheim's theory of generations and Locke's range of affect theory. It utilized a survey design where job satisfaction was assessed using the Job Descriptive Index, Organizational Commitment Questionnaire, and Job …

Reducing Maternal And Child Morbidity And Mortality Through Project Recommendations, Dominique Valentin

Walden Dissertations and Doctoral Studies

Haiti is a Caribbean island with a humanitarian medical center providing healthcare services to 90,000 residents. Pregnant women visiting the medical clinic for prenatal care often do not return for delivery; instead, they return home to deliver alone or with the assistance of a traditional matron. Home-birth practices increase maternal-child health morbidity and mortality in an already fragile country. The purpose of this project was to gain a deeper understanding of Haitian pregnant women's preferences to deliver at home or at the healthcare clinic. The transtheoretical model for behavior change and the Johns Hopkins nursing evidence-based practice model guided the …

Using The Wais-Iv To Detect Malingering, Thomas E. Bybee

Walden Dissertations and Doctoral Studies

This study used subtests of the WAIS-IV to detect evidence of malingering. Developing reliable tests for malingering could significantly reduce costs paid to malingering individuals. A within-group known-group design was used. There were 3 known-group conditions. The first group (G1) was instructed to take the tests honestly. The second group (G2) was asked to fake a cognitive disability while taking the tests. The third group (G3) took the tests while undergoing the cold-pressor method (hand immersed in cold water) of inducing pain. Analysis of variance was performed. That analysis appeared to have significant differences; post hock Bonferroni testing was done. …

Triangulating A Sustainable Safety Culture In The Readymade Garment Industry Of Bangladesh, Maurice Len Brooks

Walden Dissertations and Doctoral Studies

Many obstacles still exist toward improving safety standards, practices, and culture in the ready-made garment (RMG) industry in Bangladesh. Workers' beliefs and habits, employers' level of involvement, and gaps in the regulatory framework necessitate an examination of safety practices to build a foundation for safety culture in the workplace. The focus of this study was to contribute to regulatory reform aimed at creating a safe work environment by exploring the perceptions of workers, employers, and government regulators through the lens of the theory on reciprocal determinism. A total of 41 participants, categorized into three groups of workers, employers, and government …

Effect Of Home Telehealth On Vterans With Chronic Heart Failure, Yolanda Major

Walden Dissertations and Doctoral Studies

More than 5 million Americans have heart failure, with approximately 5% of those affected being veterans. As the number of patients with CHF continues to rise, new treatment options are needed to improve the quality of care. Current studies show Telehealth is one treatment option. The purpose of this scholarly project was to determine if veterans diagnosed with CHF were able to maintain optimal weight and blood pressure following participation in Care Coordination Home Telehealth (CCHT) program. The CCHT program provides care to veterans, through the use of monitoring devices placed in their home. Bandura's self-efficacy theory was used as …

Best Practices For Controlling Tuberculosis - Training In Correctional Facilities: A Mixed Methods Evaluation, Ellen Reynolds Murray

Walden Dissertations and Doctoral Studies

According to the literature, identifying and treating tuberculosis (TB) in correctional facilities have been problematic for the inmates and also for the communities into which inmates are released. The importance of training those who can identify this disease early into incarceration is vital to halt the transmission. Although some training has been done by public health authorities for corrections, there is little to no evaluation of such training. The aim of this mixed methods retrospective study was to evaluate the effectiveness of a training to control TB in correctional facilities. The Southeastern National Tuberculosis Center (SNTC) conducted 12 trainings between …

Collaborating For Synchronized Disaster Responses In The National Capital Region, Marilyn Peppers-Citizen

Walden Dissertations and Doctoral Studies

In many urban areas, there are multiple and overlapping layers of governments, which can be problematic for purposes of emergency operations planning for a multiple jurisdiction disaster response. The purpose of this single case study of the National Capital Region was to understand (a) the emergency operations planning collaboration process and (b) how cross-sector collaboration results in synchronized regional disaster responses. Theories of competitive federalism and cross-sector collaboration served as the basis of this study. Research questions explored how organizations collaborate; their organizational structures, processes, and practices; and how relationships between them affect collaboration. Data were collected through reviews of …