Digital Commons Network^™

Perceived Self-Efficacy Of Secondary General Education Teachers In The Inclusion Classroom, Pamela Sime-Cummins

Walden Dissertations and Doctoral Studies

Teacher self-efficacy (TSE) has been linked to the academic success of students. This association has been found in contexts where teachers have received training relevant to working with the student population being served. In the suburban Pennsylvania school district targeted in this study, there was little district-sponsored professional development (PD) available to general education teachers regarding strategies for teaching students with disabilities in the inclusion setting. The purpose of this quasi-experimental study was to determine whether a difference exists in perceived TSE when instructing in the inclusion setting compared with the traditional setting, and whether an association exists linking prior …

Nurses Knowledge, Skills, And Attitude Toward Electronic Health Records (Ehr), Sharon L. Adams

Walden Dissertations and Doctoral Studies

Information technology (IT) has been rapidly integrated into the healthcare industry, including nursing, and has the ability to reduce errors, cut cost, and enhance patient care. However, approximately 45% of the current nurse workforce lacks adequate training in computer skills, which may hinder the adoption of health-related IT in the workplace. Characteristics of Rogers's diffusion of innovation (relative advantage, compatibility, complexity, trialability, and observability) guided this project. This project was conducted to address the problem of IT adoption on a local level and was designed to assess whether simulation training on a generic electronic health record (EHR) system would improve …

Principals' Perceptions Of The Bully Busters Program In Combating Cyberbullying In Elementary Schools, Sheila Ann Cuffy

Walden Dissertations and Doctoral Studies

Over time and with both the increasing ubiquitousness of the Internet and children's technological knowledge at young ages, cyberbullying has grown more widespread and acts of bullying have become more intense. However, little is known about the effectiveness of different antibullying programs for decreasing cyberbullying behaviors. This study addressed that gap in the literature by exploring one elementary school's use of the Bully Busters program for combating cyberbullying. The decision-making model was used as the conceptual framework for this qualitative interview study. Participants were 3 principals from 3 schools using the program. Data were gathered from the participants via interviews …

The Relationship Between Social Intelligence And Hearing Loss, Deborah Finken

Walden Dissertations and Doctoral Studies

This study was an exploration of adults with long-term hearing loss (LTHL) and how it may relate to social intelligence (SI) proficiency. The outcome of this study was intended to illuminate a gap in the literature, namely, the manner in which those with long-term LTHL were able to understand social situations and communicate with others when auditory comprehension was limited. A quantitative nonexperimental method was used that provided the Tromso Social Intelligence Scale (TSIS) to a group of 66 adults with LTHL who were diagnosed with hearing loss as children, as well as a group of 70 adults with no …

Quality Improvement To Increase Nurse Knowledge On Nursing Informatics Project Management Standards, Elizabeth J. Fleischer

Walden Dissertations and Doctoral Studies

When an inexperienced nurse project manager is assigned to serve as a project manager for health information technology (HIT) tools, there is increased risk the project will not be completed on time, within budget, and in scope. An identified business need at a large military treatment facility was an educational tool to bridge the gap between nursing informatics and project management. The scholarly project was a Nursing Informatics Project Management Guidebook, which served as an educational tool to increase nurses' knowledge to serve in the HIT project manager role. With a quality improvement methodology, the outcome and impact sequence logic …

Evaluating Success Factors In Implementing E-Maintenance In Maintenance, Repair, And Overhaul (Mro) Organizations, Peter Rocky Toves

Walden Dissertations and Doctoral Studies

Despite more than a decade-long process to transition aircraft maintenance practices from paper-to electronic-based systems, some organizations remain unable to complete this transition. Researchers have indicated that while organizations have invested resources in technology improvements, there remains a limited understanding of the factors that contribute to effectively managing technology-enabled change. The purpose of this case study was to identify and explore socio-technical (ST) factors that inhibit an effective transition from a paper-based system to an electronic-based system for aircraft maintenance. A conceptual model applying theories of change management, technology acceptance, systems thinking, and ST theory informed the research. Thirteen participants …

Predictors Of Community Supervision Failures Among Female Offenders, Fayola Wolfe

Walden Dissertations and Doctoral Studies

This study explored the predictors of community supervision failures amongst female offenders in the United States criminal justice system. Female offenders have, in comparison with male offenders, particular challenges for community reintegration. This study used the relational theory and Maslow's hierarchy of needs theory to investigate the effects of childhood trauma on adult female offenders' behaviors, including substance use disorder and mental health issues. Secondary archival data were obtained from the Court Services and Offender Supervision Agency's AUTO Screener and Supervision and Management Automated Record Tracking System; this data pool included information on 1,085 female offenders who had served at …

Case Study Of Parental Involvement For Enhanced Kindergarten Students' Development In Low Socioeconomic Households, Robyn Tresnak

Walden Dissertations and Doctoral Studies

Evidence suggests that parents in low socioeconomic households may have unaddressed educational needs about their children's development. The purpose of this case study was to discover innovative ways parents in a low socioeconomic community engaged in activities with their young children to influence academic and social development. Bronfenbrenner's ecological theory of human development and Epstein's parental involvement model, the family process model, and the family strength model were used to build the conceptual framework. Parents and educators were asked to describe parent-engagement opportunities that were provided within the kindergarten classroom. Data were collected using a focus group with 13 educators …

Improving Attitudes And Perceptions About Teamwork Among Health Care Professionals With A Teamstepps Approach, Tetsuya Umebayashi

Walden Dissertations and Doctoral Studies

Effective communication among health care professionals is essential for the provision of quality patient-centered care; however, effective communication practices are not guided by evidence-based models in many health care organizations. The Joint Commission has estimated that most sentinel events are induced by miscommunication among health care professionals. The problem addressed in this project was poor and ineffective teamwork skills and general communication among health care professionals and a lack of formal models to guide effective communication among the healthcare team. The purpose of the project was to adapt TeamSTEPPS to an institutional context in order to improve health care team …

Exploring Consumers' Experiences With Corporate Greenwashing, Mark Emerson Wood

Walden Dissertations and Doctoral Studies

Greenwashing means the advertisement of goods and services that are alleged to be of benefit to the environment, and is a phenomenon that persists as an advertising tactic in corporate marketing. Research has found that consumers are distrustful of greenwashing, as many claims of eco-friendly products have been shown to be false. This crisis of confidence recalls scandals of the past decade related to insider trading, price fixing, and lack of corporate social responsibility placing the brand equity of major corporations at risk. Given a limited understanding among corporate leaders of consumers' experiences with greenwashing, the purpose of this phenomenological …

A Couple’S Marital Disharmony And Its Psychological Effects On Their Children During The Hiv Disclosure Process In Kenya, Grace Gachanja

Walden Faculty and Staff Publications

Limited published data exists on how HIV-positive parents perform disclosure to all their children. A couple’s HIV disclosure experience to all their children is presented. They participated in a larger study conducted to understand the lived experiences of HIV-positive parents and their children during the disclosure process. Each underwent individualized in-depth semi-structured interviews. Interviews were transcribed and transferred into NVivo 8 for analysis using the Van Kaam method. Three themes emerged including HIV testing, full disclosure delivery accompanied by marital disharmony, and postdisclosure psychological effects on the family. Marital disharmony and non-involvement of the father caused the mother to fully …

Google Glass App For Displaying Asl Videos For Deaf Children – The Preliminary Race, Becky Parton

Walden Faculty and Staff Publications

Glass Vision 3D is a grant-funded project focused on the goal of developing and researching the feasibility & usability of a Google Glass app that will allow young Deaf children to look at an object in the classroom and see an augmented reality projection that displays an American Sign Language (ASL) related video. Session will show the system (Glass app) that was developed and summarize feedback gathered during focus-group testing of the prototype.

Measuring Happiness To Guide Public Policy Making: A Survey Of Instruments And Policy Initiatives, Laura Musikanski

Journal of Sustainable Social Impact

This author examines subjective indicators of well-being as they relate to the happiness movement, a global effort to create a new economic paradigm. The essay focuses on the prominent international institutions that are developing happiness metrics as well as agencies exploring the use of happiness data for crafting supportive public policy. A definition of happiness metrics, based on international institutions, identifies the primary questions that compose perceived happiness and how this data can be used.

The Current State Of Evidence-Based Practices With Classroom Management, Peter Ross, Bruce Sliger

Walden Faculty and Staff Publications

Education has been calling for evidence-based practices to help validate it as a bona fide profession (Gable, Tonelson, Sheth, Wilson, & Park, 2012). Lack of evidence-based practices presents an unusual irony in education since the literature has been addressing this research-to-practice gap for years. In particular, evidence based practices in classroom management and discipline have been nearly absent. Skinner noted as far back as 1968 (Skinner, 1968) that most teachers simply incorporate personal experiences into classroom practices rather than embracing science-based methods.

Natural Labor Pain Management, Debora Henline Sullivan, Courtney Mcguiness

Walden Faculty and Staff Publications

There is a current trend toward natural pain management in labor, and pregnant women will seek the guidance of childbirth educators to make qualified decisions. The childbirth educator bases practice on the most current evidence; however, natural pain management in labor is not well studied. This paper offers information and current evidence as well as a story that illustrates the use of many natural or complementary and alternative medical therapies used in pain management during labor.

Speaking Their Language: Integrating Social Media Into Childbirth Education Practice, Deborah Weatherspoon, Christopher Weatherspoon, C. Ristau

Walden Faculty and Staff Publications

With the advancement of modern technology, the internet has become a standard platform for many forms of communication and education. The majority of pregnant females fall into the cohort known as Millenials and have experienced technology since early in life. Millenials consider technology as part of their everyday life and use it for personal interaction or a source of information. The established comfort with the use of technology combined with busy lifestyles, multiple commitments, transportation costs or logistics, childcare, or a desire for privacy, support the use of perinatal online learning. This article examines options that childbirth educators may consider …

Cyp2a6 Polymorphisms May Strengthen Individualized Treatment For Nicotine Dependence, Yawo M. Akrodou

Walden Faculty and Staff Publications

Each CYP2A6 gene variant metabolizes nicotine differently depending on its enzymatic activities. The normal nicotine metabolizer CYP2A6*1A is associated with high scores of nicotine dependence (5-10) on the Fagerström Test for Nicotine Dependence (FTND) scale because it encodes for enzymes that catalyze nicotine 100%. Slow nicotine metabolizers (i.e., CYP2A6*1H, CYP2A6*4A, CYP2A6*9, and CYP2A6*12A) are associated with underrated nicotine metabolizing activity (50%-75%), linking them to low scores for nicotine dependence (0-4) on the FTND scale. In a clinical trial involving the use of bupropion, people who were carriers of slow nicotine metabolizers were found to have a tendency to maintain abstinence …

Disruptive Mood Dysregulation Disorder, Brandy L. Gilea, Rachel M. O’Neill

Walden Faculty and Staff Publications

Disruptive mood dysregulation disorder (DMDD), a new diagnosis in The Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM–5; American Psychiatric Association [APA], 2013), is characterized by chronic, severe persistent irritability in children and adolescents. DMDD was added to the DSM-5, in part, to address concerns about potential over-diagnosis and overtreatment of bipolar disorder in children (APA, 2013). DMDD characterizes behavior that is considered outside of the normal range of childhood behavior; the major features of this disorder include severe recurrent temper outbursts manifested verbally (e.g., verbal rages) and/or behaviorally (e.g., physical aggression toward people or property) that are …

Green Exercise And Rural America: Cultural, Ecological, And Ideological Implications For Positive Social Change, Joshua M. Garrin

Journal of Sustainable Social Impact

As the global obesity pandemic continues to extend its epidemiological reach, its magnitude continues to transcend demographic boundaries. Increasingly, the extant literature highlights the myriad challenges experienced by socioeconomically disenfranchised populations to combat the insidious biopsychosocial impact of chronic health conditions. However, a counter argument suggests that rural Americans have wide ranging access to the natural environment—an intrinsic resource that offers a broad spectrum of health and wellness opportunities. Beyond its application as a tool for good health practices, green exercise—defined as physical activity in natural settings—can provide an existential platform for the ideals of self-sufficiency, solidarity, and sustainability. A …

The Relationship Between Stressors And Intent To Leave Nursing Homes Among Directors Of Nursing, Crystal R. Williamson

Journal of Sustainable Social Impact

According to the Centers for Medicare and Medicaid Services, some nursing homes have been ranked worst in the nation when rating the quality of resident care. The purpose of this study was to determine the relative strength of workplace stress, job satisfaction, organizational support, and personal data (number of years employed, age, highest education level) in predicting director of nursing (DON) intentions to leave the position. This information contributes to social change because it is important to know that DONs need to experience general satisfaction in order to maintain stable leadership that positively contributes to the quality of care in …

Principals' Experiences Initiating, Implementing, And Sustaining Change Within Their School, Lennart Theodore Erickson Iii

Walden Dissertations and Doctoral Studies

Many research studies have investigated the role of the principal in implementing change. Despite the information gleaned from those investigations, principals continue to struggle with initiating, implementing, and sustaining change in their schools. Guiding this narrative inquiry study were theories related to principal leadership, educational change theory, and the theories associated with school culture, with the intent to understand the experiences of principals as they initiated, implemented, and sustained change in their schools. This study explored the challenges and successes principals experienced along with the specific actions that contributed to successful implementation. Five principals from southern Idaho were interviewed. Narratives …

Reducing Challenging Behaviors In Intellectually Disabled Individuals: A Comparison Of Organizational Culture And Treatment Approach, Frances Mascolo-Glosser

Walden Dissertations and Doctoral Studies

The deinstitutionalization of the intellectually disabled (ID) and their transition to community living in New York State necessitated training initiatives for staff to manage challenging behaviors safely and humanely. However, the use of physical interventions to control self-injury and physical aggression may have become organizationally habituated, and limited research has compared programs that use physical versus nonphysical interventions. This mixed-method, comparative case study compared a restraint-free day habilitation program with one that used physical interventions, examining the differences in reducing self-injury, aggression, and types of interventions applied. Qualitative differences in philosophical approach to behavior intervention strategies and staff training protocols …

Impact And Prevention Of Psychiatric Polypharmacy In The Elderly, Rose Cordelia E Onyekwe

Walden Dissertations and Doctoral Studies

Adequate medication management is a focus of effective care that is often overlooked in caring for adults with comorbid psychiatric and physical conditions, especially in patients who are treated by multiple care providers and have a variety of health issues at the same time. The purpose of this project was to develop evidence-based policies and practice guidelines to reduce polypharmacy in elderly patients in a rural outpatient psychiatric clinic. Bandura's self-efficacy theory was used to inform the project for its value in assessing motivation, capacity for self-regulation, and perceptions of individual ability. An interdisciplinary team of stakeholders explored best practices …

The Environmental Health Of The Autistic Student In The Public School Classroom, Antonia Klein

Walden Dissertations and Doctoral Studies

Professionals have found autism to be an enigmatic condition. While necessary

biomedical research continues, a gap exists in the inclusion of parental opinions,

knowledge, and experiences in educational planning for their autistic children. The

purpose of this mixed methods study was to identify the factors that the parents felt

contributed to the academic success of their autistic child in the public school classroom

environment and ways in which their ideas might contribute to overall educational

planning and classroom design in structure, curriculum development, and intervention

strategies which might lead to reduced stress. Parental input was explored through

semistructured personal interviews …

The Quest For Work And Family Balance Using Flexible Work Arrangements, Sandra Ellen Forris

Walden Dissertations and Doctoral Studies

Abstract

Employees experience challenges managing home and work. The increase of women in the workforce, single-parents, childcare, elder care responsibilities, and men in nontraditional roles warrant changes in traditional working hours and flexibility in work schedules. Through the theoretical frameworks of work-family conflict, spillover, border, and boundary theories, the purpose of this phenomenological study was to explore how flexible work arrangements (FWAs) assisted employees in meeting work and family obligations. Minimal research is available in the defense industry and the use of FWAs. A nonprobability, convenience sample was used to explore how management and nonmanagement participants from a Midwest defense …

Weight Management Counseling And Obesity Severity In Children With Special Health Care Needs, Adeola Sonaike

Walden Dissertations and Doctoral Studies

Epidemiologic surveillance indicates an increased susceptibility to obesity among children with special health care needs (SHCN) in comparison to children without. The present study investigated this disparity in weight severity between both groups, with a focus on the provision of obesity management counseling by physicians. This study consisted of a retrospective medical record review that acknowledged the effect of patient-provider interactions on health behaviors and risk perceptions. An independent sample t test compared the incidence of clinician-initiated obesity management counseling received by children with SHCN to that which was received by children without SHCN. This t test revealed a statistically …

Self-Control, Self-Efficacy, And Work Ethic As Potential Factors In Entitlement In Adolescents, Janine Shalka

Walden Dissertations and Doctoral Studies

Narcissism has increased in the past 3 decades. Entitlement is a component of narcissism, and substantial research indicates that entitlement is associated with negative behaviors such as aggression, relationship conflict, incivility, and unreasonable expectations in the workplace, learning environments, and relationships. Despite such findings, factors such as self-control, work ethic, and self-efficacy that might explain the variance in entitlement in adolescents has received little investigation. Social cognitive theory indicates that continuous reciprocal relationships exist between personal, behavioral, and environmental factors. The study employed cross-sectional survey research to gather data from 118 students in Grades 10, 11, and 12 in the …

Pediatric Nurses' Perceptions Of Continuing Professional Development Opportunities, Suzanne Taylor

Walden Dissertations and Doctoral Studies

With the growth in healthcare research and rapid changes in technology, nurses' participation in lifelong learning is a critical factor in providing excellent patient care. However, many nurses encounter difficulties engaging in continuing professional development (CPD) activities. The purpose of this case study was to understand pediatric nurses' perceptions of CPD opportunities at a tertiary, freestanding, children's hospital in Southern California. Social cognitive theory was the framework for the study. Interviews and focus groups were conducted with a purposeful sample of 39 nurses comprised of day- and night-shift nurses plus nurse managers. The data were coded into categories and themes …

The Effect Of An Online Coping Skill Application On Relapsing-Remitting Multiple Sclerosis Sufferers, Jennifer H. Garrison

Walden Dissertations and Doctoral Studies

Many individuals with multiple sclerosis (MS) are classified as having relapsing-remitting MS (RRMS), a form of the illness that requires constant symptom management for suffers to achieve optimum outcomes. There are only a few community-based educational programs that exist to help RRMS sufferers cope with their illness; the effectiveness of those that have been fielded has not yet been adequately assessed. The research questions of this study were to determine if an online training development module would increase the coping skills of those affected by RRMS and if the online educational module would be more effective at improving the coping …

The Predictors Of Physician-Patient Discussions Of Sexual Health With Older Adults, Dana Marie Werner

Walden Dissertations and Doctoral Studies

The number of adults aged 65 years and over has been rising quickly, as has the rate of new onset sexually transmitted diseases within this population. Discussions of sexual health between physicians and older adults are currently lacking in frequency and effectiveness. Using the foundation of stereotype embodiment theory, the purpose of this study was to identify the factors that predict frequency of discussing sexual health with older adult patients. A comparative sample of geriatric physicians and family practitioners completed 2 researcher-developed questions and the Sexual Health Care Scale-Attitude tool that assessed their stereotype beliefs toward discussing sexual health with …