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Servant Leadership And Non Servant Leadership Organization Triple Bottom Line Reporting Outcomes, Lydia M. Daniels Jan 2016

Servant Leadership And Non Servant Leadership Organization Triple Bottom Line Reporting Outcomes, Lydia M. Daniels

Walden Dissertations and Doctoral Studies

The competitive environment of the 21st century, failure of U.S. companies, and the financial crisis of 2008 have moved leadership expectations to the forefront of research. However, there is a lack of empirical research about organizational reporting outcomes of self-identified servant leadership (SL) organizations compared to self-identified nonservant (non-SL) organizations. Guided by Greenleaf's SL theory, the purpose of this study was to compare information on organizational data for triple bottom line (TBL) reporting outcomes in SL organizations and non-SL organizations. Using causal comparative research design and global reporting initiative data with a sample of 12 organization reports, reporting outcomes were …


Teen Dating Violence: Co-Occurrence With Bullying Among African American Teens In South Florida, Rosemarie Hemmings Jan 2016

Teen Dating Violence: Co-Occurrence With Bullying Among African American Teens In South Florida, Rosemarie Hemmings

Walden Dissertations and Doctoral Studies

Teen dating violence and bullying are major public health concerns but are preventable. Both dating violence and bullying occur within similar social context and the prevalence of teen dating violence was highest for African American teens as reported on the 2011 Youth Risk Behavior Survey (YRBS). Social learning theory provides a foundation for understanding and changing behavior related to dating violence victimization and bully victimization. The research questions focused on relationships between bully and teen dating violence victimization when controlling for race/ethnicity, gender, substance abuse, age, and age of first sexual intercourse. Additionally, the potential mediating variable of spending time …


Creating A Safe Newborn Environment Education Program For Postpartum Registered Nurses, Melanie Myers Jan 2016

Creating A Safe Newborn Environment Education Program For Postpartum Registered Nurses, Melanie Myers

Walden Dissertations and Doctoral Studies

In the United States, sudden infant death syndrome (SIDS) is the 3rd leading cause of death for infants; other unintentional sleep injuries are the 5th. In addition, the estimated newborn fall rate in the United States is 1.6 to 6.6 falls/10,000 live births. At the project facility, postpartum registered nurses observed parents engaging in behavior that did not contribute to a safe newborn environment such as placing the infant at risk for injury from a fall or from a sleep injury. This observation led to this current project, which examined the development of an educational program for post-partum nurses to …


An Effective Succession Planning Educational Program For Operating Room Nurses, Sherly Bejoy Alexander Jan 2016

An Effective Succession Planning Educational Program For Operating Room Nurses, Sherly Bejoy Alexander

Walden Dissertations and Doctoral Studies

The current nationwide shortage of registered nurses is a growing problem impacting patient care and hospital operations. The operating room is the area most affected by the nursing shortage. Reasons cited for this shortage include ineffective nursing orientation programs and a decline in job satisfaction. The purpose of this project was to develop a best practice succession planning educational program to provide novice operating room nurses with an introduction to the operating room. The Dreyfus model of skills acquisition and Benner's novice to expert theory guided this project. A 2-step process was used to assess and validate the content and …


The Use Of The Illness Perception Questionnaire: Enhancing Clinical Staff Understanding, Typhanie Beasley Jan 2016

The Use Of The Illness Perception Questionnaire: Enhancing Clinical Staff Understanding, Typhanie Beasley

Walden Dissertations and Doctoral Studies

Women with Type II diabetes face unique challenges coping with the physiologic complications of the disease, which can be enhanced or hindered by their perception of their ability to effectively manage their diabetes. The Illness Perception Questionnaire (IPQ-R) is a tool that evaluates factors influencing patient-provider communication and assesses patient's perception of their health. Guided by the common sense model of self-regulation, this quality improvement project focused on familiarizing health care providers with the IPQ-R and evaluating their receptiveness to implement it with women with Type II diabetes. Seven Primary Care providers participated in an educational in-service that included information …


The Lived Experiences Of South Asian Same-Sex Attracted Women Residing In The United States, Surinder Kaur Bal Jan 2016

The Lived Experiences Of South Asian Same-Sex Attracted Women Residing In The United States, Surinder Kaur Bal

Walden Dissertations and Doctoral Studies

South Asian same-sex attracted women in the United States experience discrimination and marginalization that puts them at an increased risk for mental health issues. Research shows their rates of counseling and psychotherapy use are low due to perceptions of stigma, lack of knowledge, and concerns about culturally insensitive treatment plans. Mental health providers lack the literature needed to inform culturally sensitive treatment plans to address these concerning gaps in services, and an extensive literature review found no studies on the lived experiences of this population. Guided by feminist theory, this research study examined how discrimination, oppression, and marginalization mold women's …


Factors For Success In Community College Online Gateway Math, Lisa Marie Borzewski Jan 2016

Factors For Success In Community College Online Gateway Math, Lisa Marie Borzewski

Walden Dissertations and Doctoral Studies

Researchers have found that student success rates in online classes are lower than in comparable face-to-face courses. Yet, the research is unclear as to whether student demographic and academic history variables are related to the lower success rates. At a large community college in Florida, low success rates for students in the online Intermediate Algebra course led to delays in the continuation of required coursework and graduation for many students and the factors associated with low success rates were largely unknown. The purpose of this quasi-experimental study was to examine the associations between several student variables and student success in …


Army Spouses' Perception Of Support Resources During Multiple Deployments, Sharon Elish Brannon Jan 2016

Army Spouses' Perception Of Support Resources During Multiple Deployments, Sharon Elish Brannon

Walden Dissertations and Doctoral Studies

The U.S Army and support resource providers have become interested in the experiences of Army spouses during deployments. Previous research indicated that military spouses’ perceptions of support resources were integral in the usage of support services. However, little research has examined the combined effects of Army spouses’ opinions and perceptions regarding their sense of community and support resources available during multiple deployments. This quantitative study, based on the family stress theory, recorded the opinions of 174 Army Spouses using the Army Spouses’ Perception Survey and the Sense of Community Index 2. Predictor variables constituted sense of community opinions and support …


Interrelationships Of Colorism, Violence, And Sexual Behaviors Among Southern African American Women., Phaedra Christensen Jan 2016

Interrelationships Of Colorism, Violence, And Sexual Behaviors Among Southern African American Women., Phaedra Christensen

Walden Dissertations and Doctoral Studies

Two significant public health concerns that threaten both the physical and mental health of African-American women are Intimate Partner Violence (IPV) and Human Immunodeficiency Virus (HIV). African-American women (AAW) in the south carry the greatest burden of HIV and disproportionately represent the region with an incidence of 71% for new HIV infections, and elevated rates of morbidity and mortality. In 2013, the murder rate among AAW was 2.5 times higher than it was among Caucasian women. Most of the published studies that explored the association between IPV and HIV had mixed populations, did not explore topics unique to AAs, or …


The Effect Of Objectified Images In The Media On The Development Of Body Dissatisfaction And Depressive Symptoms In Filipino American Women, Nicole J. Dionisio Jan 2016

The Effect Of Objectified Images In The Media On The Development Of Body Dissatisfaction And Depressive Symptoms In Filipino American Women, Nicole J. Dionisio

Walden Dissertations and Doctoral Studies

Although Filipinos are becoming one of the largest Asian groups in the U.S there is limited research regarding mental health challenges Filipino women experience specifically regarding body satisfaction and self-image. The goal of this explorative qualitative study was to explore the relationship between objectified images of women in the media and the reported levels of body dissatisfaction in a sample of 8 American-born Filipino women and 8 Philippine-born Filipino women. Objectification theory was used to guide this research and levels of sociocultural influences, body satisfaction, and body consciousness were explored through a qualitative research design using statements from the Sociocultural …


Local Governmental Development Of Alternative Food Systems In Distressed Urban Areas, Jeremy Earle Jan 2016

Local Governmental Development Of Alternative Food Systems In Distressed Urban Areas, Jeremy Earle

Walden Dissertations and Doctoral Studies

Alternative food systems (AFS) projects are designed to address issues of environmental justice, food security and insecurity, community health disparities between the affluent and the poor, and access to healthful foods in distressed urban areas. Past research has questioned the efficacy and long-term viability of such interventions, particularly in distressed primarily Black urban areas. The purpose of this intrinsic case study (ICS) was to understand the ways in which local governmental entities collaborated with each other and with nongovernmental partners to help develop an AFS in South Florida through the creation of a market garden called the PATCH. Critical race …


Sexual Health Education Policy: Influences On Implementation Of Sexual Health Education Programs, Renata Denise Ellington Jan 2016

Sexual Health Education Policy: Influences On Implementation Of Sexual Health Education Programs, Renata Denise Ellington

Walden Dissertations and Doctoral Studies

High school youth in Grades 9-12 who are in public schools without comprehensive sexual health education (CSHED) are more likely to engage in high-risk sexual behaviors and have higher rates of HIV and sexually transmitted diseases than are their peers in schools with CSHED. The purpose of this correlational study was to explore the statistical relationship between the consistent implementation of CSHED, before and after the enactment of the Chicago Public Schools' (CPS) sexual health education policy, and the sexual risk behaviors of Chicago high school youth in Grades 9-12. The study was based on Antonovsky's salutogenic model of health …


Wellness Intervention As A Quality Of Life Predictor In Mentally Ill Veterans, Tosha Lashon Ellis Jan 2016

Wellness Intervention As A Quality Of Life Predictor In Mentally Ill Veterans, Tosha Lashon Ellis

Walden Dissertations and Doctoral Studies

Veterans with serious mental illness (SMI) are at high risk of developing conditions such as insulin resistance, obesity, and smoking, which may lead to chronic medical problems. As a result, the morbidity and mortality of people with SMI are high compared to the general population. It appears that integrated care improves the wellbeing of veterans; however, there is a gap in the literature on wellness-based interventions for veterans with SMI. The purpose of this cross-sectional study was to evaluate the association between a wellness intervention for veterans and their perceived quality of life (QOL). Social cognitive theory was the theoretical …


A Qualitative Study Of How Students Experienced Exclusionary Discipline Practices, Vera Veronica Holley Jan 2016

A Qualitative Study Of How Students Experienced Exclusionary Discipline Practices, Vera Veronica Holley

Walden Dissertations and Doctoral Studies

As a result of zero tolerance policies, a significant percentage of students who experience exclusions from schools also experience negative outcomes such as high dropout rates, academic failures, and encounters with juvenile justice agencies. While several researchers have found a relationship between unintended consequences of exclusions and juvenile delinquency, few have examined this phenomenon from the perspectives of juveniles who experienced exclusions. Guided by the framework of operant conditioning, the purpose of this phenomenological study was to understand how students experienced exclusions from school. Purposive sampling was used to recruit participants who experienced both exclusions from schools and involvement with …


Women Working In Leadership Roles Who Were Raised In Father-Absent Families, Lauren Huff Jan 2016

Women Working In Leadership Roles Who Were Raised In Father-Absent Families, Lauren Huff

Walden Dissertations and Doctoral Studies

Girls from father-absent families tend to form low levels of trust that may dictate relationships throughout life, including progression into leadership roles. There is evidence to suggest that girls raised in father-absent families fail to reach their potential, and therefore public programs that address the development of strong interpersonal and leadership skills would enhance these capacities. Unfortunately, public programming gaps exist for girls raised in father-absent families that would provide the skills needed to be effective leaders in their schools, communities, and careers. Using House's path-goal leadership theory as the framework, this phenomenological study explored how girls from father-absent families …


Compassion Fatigue In Emergency Department Nurses, Dionne Hutson Hendy Jan 2016

Compassion Fatigue In Emergency Department Nurses, Dionne Hutson Hendy

Walden Dissertations and Doctoral Studies

Compassion fatigue (CF) is a problem seen within healthcare institutions worldwide, especially critical care units and emergency departments (EDs). The problem identified in this quality improvement (QI) project was CF, experienced by nurses in the ED. The effects of CF cross nurse-patient boundaries and negatively impact a patient's expectations of having a quality care experience. The Iowa model's evidence-based team approach was used to guide the development of the education initiative for nurses on recognizing, preventing, and identifying methods of coping with CF in the ED. The outcome products for the project included an extensive review of the literature, a …


The Lived Experiences Of Hiv+ Community Health Workers Serving Hiv+ Clients, Phronie Lynn Jackson Jan 2016

The Lived Experiences Of Hiv+ Community Health Workers Serving Hiv+ Clients, Phronie Lynn Jackson

Walden Dissertations and Doctoral Studies

Numerous studies have focused on the effectiveness of community health worker (CHW) programs in producing positive health behaviors and health outcomes for the clients CHWs serve; however, there has been a gap in the literature regarding how the health of HIV + CHWs is impacted by their jobs. A phenomenological design was used to gain insight into the lived experiences of HIV+ CHWs (HIVCHW) who provided services to HIV positive clients. Fifteen HIVCHW were recruited using criteria and snowball techniques. Data were collected via audio recorded personal interviews regarding respondents' perceptions of their work and how it impacted their own …


Effects Of Education On Pressure Ulcer Prevention In Developmentally Disabled Individuals, Jasneth M. James Jan 2016

Effects Of Education On Pressure Ulcer Prevention In Developmentally Disabled Individuals, Jasneth M. James

Walden Dissertations and Doctoral Studies

Pressure ulcers were a continuing concern among the nonverbal developmentally disabled population of a state institution. The lengthy use of wheelchairs, the inability to body shift, and physical and mental impairment were attributes of the target population that have been cited in the literature as contributing to pressure ulcer. The purpose of this quasi-experimental pretest/posttest project was to evaluate the effectiveness of an education intervention for direct care staff on the prevention treatment, and eradication of pressure ulcers among patients with developmental disabilities. Orem's self-care deficit theory, particularly the emphasis on the need for nursing staff to perform self-care activities …


Assessing The Impact Of Yoga As A Moderator On Substance Abuse Treatment Effectiveness, Joseph Antonio Mcdaniel Jan 2016

Assessing The Impact Of Yoga As A Moderator On Substance Abuse Treatment Effectiveness, Joseph Antonio Mcdaniel

Walden Dissertations and Doctoral Studies

Self-efficacy and treatment adherence reduce substance dependence. Yoga has been suggested as an adjunct to substance dependence treatment to enhance outcomes. This study was designed to assess yoga as a moderator of substance abuse treatment effectiveness, as indicated by the Exercise Self-Efficacy survey and Treatment Effectiveness Assessment scores. This study was guided by self-efficacy theory and used a nonequivalent quasi-experimental design to evaluate self-efficacy changes and treatment effectiveness. A drug treatment program that did not incorporate yoga as an adjunct to treatment was compared to another treatment program that did. Convenience sampling strategy was utilized to recruit 100 voluntary yoga …


Heroes Or Victims: The Lived Experiences Of Women On Female Genital Mutilation/Cutting In Northwestern Nigeria, Sarah Kasham Philips Jan 2016

Heroes Or Victims: The Lived Experiences Of Women On Female Genital Mutilation/Cutting In Northwestern Nigeria, Sarah Kasham Philips

Walden Dissertations and Doctoral Studies

The custom of female genital mutilation/cutting (FGM/C) is a traditional practice inimical to women's health with profound implications. There is a gap in the literature on the lived experiences of women who have undergone FGM/C and their statuses within their communities. Guided by the social cognitive theory and the ecological model, this qualitative study aimed at explicating the attitudes and perceptions of women in the northwest region of Nigeria towards the practice of FGM/C, to illuminate how the women view themselves in their society and the inspiration for the continued practice of FGM/C. Interview and observation data were gathered from …


Emergency Responder Causal Reasoning Impact, Derek Skuzenski Jan 2016

Emergency Responder Causal Reasoning Impact, Derek Skuzenski

Walden Dissertations and Doctoral Studies

This ethnographic and phenomenological study examined the relationship between the benefits and compensation afforded to emergency responders; their perceptions of work equity, equality, justice, and risk management; and the effect of perceived equity, equality, justice, and risk management on the execution of an emergency responder's duties. The data was collected through interviews with members of the culture group, including law enforcement officers, firefighters, and emergency medical responder's (n = 24). The interviews were audio recorded, then manually transcribed by the researcher. The raw data was coded for reoccurring themes and commonalities. The reoccurring themes were organized and displayed in tables …


Methamphetamine Users And Gender Differences In Their Acceptance Of Long-Term Substance Abuse Treatment Programs, Kevin Garen Stepanyan Jan 2016

Methamphetamine Users And Gender Differences In Their Acceptance Of Long-Term Substance Abuse Treatment Programs, Kevin Garen Stepanyan

Walden Dissertations and Doctoral Studies

Methamphetamine abuse is a problem of public health importance among men and women in the United States. The two genders are affected even though the majority treatment programs are tailored for male alcohol addicts. The gender differences are prevalent in the acceptance of long-term substance abuse treatment programs. The study focuses on gender differences in methamphetamine abuse and whether both male and female addicts benefit from treatment. Respondent's suitability, participant's abuse condition, treatment, and progress questionnaires and interviews are used to collect data from 50 male and 50 female methamphetamine users at the Impact Residential Program in Montreal, Canada. Together, …


The Influence Of Nursing Academic Leadership On Faculty Retention, Carol Turrin Turrin Jan 2016

The Influence Of Nursing Academic Leadership On Faculty Retention, Carol Turrin Turrin

Walden Dissertations and Doctoral Studies

The critical nursing faculty shortage in the United States affects the ability of nursing schools to train an adequate number of nurses to meet increasing health care demands. Researchers have focused on the nursing faculty shortage; however, insufficient information exists on the relational influence leadership has on faculty retention. The research problem addressed in this study was the lack of information identifying how and in what ways leadership influences retention and intent to stay in academia. The purpose of this phenomenological study was to explore the perceptual views of current faculty, using the leader-member exchange theory. Focusing on baccalaureate nursing …


Teacher Leadership In State Education Policy, Megan Marie Allen Jan 2016

Teacher Leadership In State Education Policy, Megan Marie Allen

Walden Dissertations and Doctoral Studies

There is a national call for teacher leadership, which has occurred after many education reforms have struggled due to a perceived lack of teacher involvement. The purpose of this study was to examine whether teachers felt that their involvement in education policy had impact and whether there is ample teacher expertise in education policy. The overarching research question was to appraise educator perceptions of teacher impact on state education policy. The study revealed a perceived lack of teacher impact and education expertise. The conceptual framework was based on theories of adult learning and the development of expertise and supported the …


Nurse Education And The Reduction Of Nosocomial Infections In Acute Care Settings, Charmaine Amoy Byrd Jan 2016

Nurse Education And The Reduction Of Nosocomial Infections In Acute Care Settings, Charmaine Amoy Byrd

Walden Dissertations and Doctoral Studies

Nosocomial infections are acquired in health care settings and they can lead to catastrophic health care consequences for patients. These infections can also pose significant financial burdens on society and health care systems. Educating nurses on hand hygiene is essential to reducing infection rates. The research question for the study examined the effectiveness of hand hygiene among nurses in reduction of nosocomial infections and how can health care organizations develop educational strategies to reduce nosocomial infections to improve public confidence in health care systems. The purpose of this study was to educate nurses on how to reduce the incidence of …


Managing Acute Pain In Postoperative Surgical Patients, Sabrina Gregory Jan 2016

Managing Acute Pain In Postoperative Surgical Patients, Sabrina Gregory

Walden Dissertations and Doctoral Studies

Every year, millions of Americans suffer from either chronic or acute pain that results in tremendous healthcare cost, rehabilitation, and loss of work productivity. Pain is an unpleasant sensation associated with sensory and emotional experiences that can cause potential or actual tissue damage. One plausible solution to managing pain is the use of nonpharmacological modalities such as guided imagery. The purpose of this project was to determine if there was a difference in pain scores following pharmacological interventions and the use of guided imagery among postoperative same day surgical patients. Guided imagery is a nonpharmacological modality that uses pictures, music, …


Environmental Factors Associated With Body Mass Index Among Long Haul Truck Drivers, Charlotte Hughes Huntley Jan 2016

Environmental Factors Associated With Body Mass Index Among Long Haul Truck Drivers, Charlotte Hughes Huntley

Walden Dissertations and Doctoral Studies

In 2009–2010, the prevalence of obesity among U.S. adults was 40%, and the prevalence was 69% among long haul truck drivers. Researchers have not established a clear relationship between working environment and weight among truck drivers. This quantitative cross-sectional study, using an ecological framework, evaluated the relationship between the working environment (sleep performance, food choices, driving environment, and activity level) and weight severity (e.g., body mass index [BMI]) among long haul truck drivers. One hundred and twenty six adults (46 + 10, years of age), including both genders (male = 97 and females = 29) completed an online questionnaire evaluating …


Strategies For Improving First-Line Supervisor Problem-Solving Abilities In The Retail Supermarket Industry, John E. Jarvis Jan 2016

Strategies For Improving First-Line Supervisor Problem-Solving Abilities In The Retail Supermarket Industry, John E. Jarvis

Walden Dissertations and Doctoral Studies

First-line supervisors in U.S. retail organizations are unable to resolve nearly 34% of typical daily customer problems for their organizations. The purpose of this single case study was to explore the strategies retail supermarket managers have used to improve 1st line supervisor problem solving abilities within a retail supermarket company in Winston-Salem, North Carolina. The conceptual framework for this study was the skills-based leadership model. Data were collected from semistructured interviews with 4 retail store manager participants with a successful record of improving first-line supervisor problem solving abilities. Additionally, the review of company documents including training guides, training checklists, job …


The Impact Of The Sentinel Initiative And Faers Surveillance System On Consumer Safety, Sonia Batra Jan 2016

The Impact Of The Sentinel Initiative And Faers Surveillance System On Consumer Safety, Sonia Batra

Walden Dissertations and Doctoral Studies

The U.S. Food and Drug Administration (FDA) uses the FDA Adverse Event Reporting System (FAERS) to monitor adverse events resulting from pharmaceutical drug use. However, this system has limitations such as not allowing real-time data collection. To address these limitations, the FDA launched the Sentinel Initiative in 2008. This comparative case study was conducted to describe perceptions of investigating the efficacy of the Sentinel Initiative compared with the FAERS. The study was based on the theory of preemption as it emphasized the need for efficient means for providing unquestionable proof that consumers suffered adverse drug effects. The sample included interivews …


Development Of A Policy And Procedure To Decrease Alarm Fatigue, Samantha Deck Jan 2016

Development Of A Policy And Procedure To Decrease Alarm Fatigue, Samantha Deck

Walden Dissertations and Doctoral Studies

According to The Joint Commission (TJC), 98 unexpected and unacceptable events related to alarm fatigue were reported in United States hospitals between January 2009 and June 2012. There were 80 deaths, 13 permanent loss of function, and 5 extended care stays that occurred during this time period. The problem identified in this quality improvement (QI) initiative was the TJC report that nursing staff in the US was experiencing alarm fatigue due to the overstimulation of senses from continuous beeping from alarms on the unit. Framed within the Iowa model of evidence-based practice to promote quality care, the purpose of the …