Digital Commons Network^™

Retention In Nursing Programs: Factors Contributing To The Success Of Esl Students, Patience Jegbefu Mbulu

Walden Dissertations and Doctoral Studies

The problem addressed in this project is the high attrition rate among English as Second Language (ESL) students in a local community college associate degree nursing program. If the retention problem is addressed, the increase in the number of ESL nursing student graduates could result in a more diverse nursing workforce, reflecting the diversity of the community. The purpose of this study was to examine student and faculty views regarding factors that contribute to the academic success and retention of ESL students. To that end, a qualitative case study approach was used, guided by the theoretical frameworks of Cummins's contextual …

Increasing Initiation And Exclusivity Of Breastfeeding In The Hospitalized Postpartum Dyad, Candace L. Rouse

Walden Dissertations and Doctoral Studies

The purpose of this project was to highlight an intervention to increase breastfeeding initiation and exclusive breastfeeding during the birth hospitalization in a coastal mid-Atlantic inner city hospital. Although researchers and national standards promote early initiation and exclusive breastfeeding, there continues to be a significant number of women who do not breastfeed and/or supplement with formula. The advantages of breastfeeding for mother and infant are substantial and include protecting babies from allergens to reducing maternal breast and ovarian cancer. Breastfeeding rates of initiation and exclusivity at the project hospital were below benchmarks set by international, national, and state agencies. The …

Development Of A Home Health Transitional Care Program For Elderly Heart Failure, Pamela Leshel Wright

Walden Dissertations and Doctoral Studies

Ineffective transitional care programs for ensuring the continuation of care from the hospital setting to the home setting often result in rehospitalization for elderly heart failure patients age 65 and older. The purpose of this project was to develop a home health transitional care program for elderly patients transitioning from inpatient settings to home settings using care bundles consisting of evidence-based practices to reduce preventable rehospitalizations within 30 days of discharge. The home-based chronic care model, which provides a foundation for home health's integral role in chronic disease management by ensuring patient-centered evidence-based care, guided the development of this program. …

Quantitative Study Of Clostridium Difficile Incidence Related To Influenza And Antimicrobial Use, Eileen M. Yaeger

Walden Dissertations and Doctoral Studies

In the United States, influenza causes approximately 36,000 deaths and over 200,000 hospitalizations each year with elderly most often affected. Clostridium difficile infection (CDI) is another major health care challenge and pressing public health issue associated with 14,000 deaths and over 335,000 hospitalizations annually. The use of antibiotics has been implicated in the development of CDI. This study's purpose was to test the relationship of seasonal influenza incidence and antiviral/antibiotic use in CDI development among hospitalized patients. Grounded in the epidemiologic wheel model of man-environment interactions, this retrospective observational study described and analyzed data from a proprietary, laboratory, and pharmacy-based …

Perceptions Of Discipline Policy, Practices, And Student Incivilities Related To Senge's Five Disciplines, Nkoh Lovonne Gaston

Walden Dissertations and Doctoral Studies

High occurrences of student incivilities are a growing concern in the K-12 education system. This problem may be directly impacted by systems thinking and inconsistent school policy enforcement. At a local high school, this problem affected student learning outcomes and teacher-student interpersonal relationships. The purpose of this case study was to explore the perceptions of teachers and administrators regarding consistency in discipline policies and practices, as well as student incivilities as they related to Senge's 5 disciplines. The conceptual framework for this study was Senge's 5 disciplines of organizational learning: systems thinking, mental models, team learning, shared vision, and personal …

Identifying Functional Characteristics That Influence Team Outcomes, Eduardo Diego Diaz

Walden Dissertations and Doctoral Studies

Industry and research have shown that, in addition to the knowledge, skills, and abilities of individuals, other factors play an influential role in the efficiency of a team. The research questions for this study examined the influence of functional characteristics, defined as the cognitive and evaluative processes such as intentions, emotions, planning, and perception that influence decisions, on team outcomes and the time it takes to complete a task. Using a quantitative, experimental research design, the research questions were grounded in personality systems interactions as the theoretical framework. Analysis of variance was applied to evaluate the hypotheses with an independent …

Temporality Of Risk Factors And The Gender Differential Related To Autism Spectrum Disorder Diagnosis, Donna L. Sullivan

Walden Dissertations and Doctoral Studies

Autism spectrum disorders (ASD) constitute life-long neurodevelopmental conditions. Globally, ASD risk for males remains 2 to 4 times greater than for females. Critical exposure mechanisms, their timing on ASD risk, and associations with the ASD gender differential remain elusive. The purpose of this study was to describe the relationship between preconception, pregnancy, recalled lactation practice, and infant traits, on ASD risk and the gender differential of ASD. A recently published temporal framework was adapted to study effects of maternal smoking and vitamin use, and recalled lactation practice on offspring ASD diagnosis with adjustment for preconception health and infant breathing traits. …

Identifying And Mitigating Domestic Minor Sex Trafficking In An Urban Community, Anne Ellen Gresham

Walden Dissertations and Doctoral Studies

Human trafficking, domestic minor sex trafficking (DMST), and commercial sexual exploitation of children (CSEC) are complex and multifaceted occurrences in the United States. As the numbers of youth ensnared in sexually exploitive situations increase, organizations and communities are called upon to address the ramifications of this abuse; little research was located, however, that examined collaborative networks and partnerships that address victim identification and mitigation of DMST and CSEC. The purpose of this qualitative single case study was to determine whether strategic partnerships existed within the community under investigation. The theoretical framework was environmental theory, as first described by Florence Nightingale; …

Impact Of Eu Medical Device Directive On Medical Device Software, Guy Foe Owono

Walden Dissertations and Doctoral Studies

Directive 2007/47/EC of the European Parliament amending Medical Device Directive (MDD) provides medical device manufacturers with a compliance framework. However, the effects of the amendments to the MDD on competition in the U.S. medical device software industry are unknown. This study examined the impact of this directive on the competitiveness of U.S. medical device software companies, the safety and efficacy of medical device software, employee training, and recruitment. The conceptual framework for this study included 3 dimensions of medical device regulations: safety, performance, and reliability. The overall research design was a concurrent mixed method study using both quantitative and qualitative …

Methods Used In Public Policy Decision Making By County Managers In North Carolina, Jeffrey Bryan Gowen

Walden Dissertations and Doctoral Studies

Researchers have examined ways in which policy makers develop their decisions. The literature has not explored, however, the methodologies used by county managers to arrive at decisions, or whether they consider the medium- and long-term policy implications, or second and third order effects, of those decisions. The purpose of this study was to identify the methodologies and decision-making processes used by county managers in North Carolina. The theoretical framework was Lindblom's theory of incrementalism in decision making. Data for this phenomenological study were collected through semi-structured interviews with 10 purposefully selected county managers, and were coded and categorized to identify …

A Cross-Sectional Study: Dietary Micronutrient Levels In Allied Health And Nursing Students, Grisseel A. Cruz-Espaillat

Walden Dissertations and Doctoral Studies

The adequate intake of micronutrients is important to maintain optimal health and prevent nutritional disorders and chronic disease. Studies have shown that medical students often reduce self-care behaviors and lack adequate dietary intake, leading to nutritional deficiencies. In this quantitative cross-sectional study, measurements of micronutrient levels in a sample of allied health and nursing students were compared to Recommended Daily Allowance (RDA) values. NutritionQuest Data-on-Demand System was used to analyze nutrients and food group intake. The postpositivist paradigm was used to examine how the independent and dependent variables relate to each other. Using a one-sample t test, a comparison of …

Implementing Relationship Based Care In An Emergency Department, Ruthie Waters Rogers

Walden Dissertations and Doctoral Studies

When patients and families come to the emergency department seeking medical attention, they come in with many mixed emotions and thoughts. The fast paced, rapid turnover of patients and the chaotic atmosphere may leave patients who visit the emergency department with the perception that staff is uncaring. The purpose of this project was to implement a patient care delivery model, relationship-based care, in the emergency department. The model is comprised of several caring theories including Jean Watson's model of human care and Kristen Swanson's middle range theory of caring. The main goals of the project were to help staff enhance …

The Impact Of Caring For Seniors On The Caregiver's Stress Level, Georgina Ugochi Njoku

Walden Dissertations and Doctoral Studies

The number of Canadian seniors with 2 or more chronic health conditions living into their late 90s or older has never been greater. As such, concerns have been raised that the Canadian healthcare system will be unable to meet the growing healthcare needs of the aging population. In this project, an Advanced Practice Nursing needs assessment was used to identify the impact that caring for a senior has on caregivers' stress levels, and what resources caregivers need to in order to cope with their role. Guided by Neuman's system model theory and Rogers' diffusion of innovation model, a convenience sampling …

Individual And Work Related Factors Of Burnout Among Direct Care Staff, Jamie Roberts

Walden Dissertations and Doctoral Studies

Burnout is the response to prolonged emotional, situational, and interpersonal stress of one's job. Direct care staff, who work with challenging populations, are at increased risk for burnout. Maslach's and Leiter's multidimensional model of burnout posits that the relationship between an individual and his or her occupation leads to either engagement or burnout. This study aimed to determine if the associations between the 6 areas of worklife (workload, control, community, reward, fairness, and values) and the 3 aspects of burnout (emotional exhaustion, depersonalization, and personal accomplishment) identified in this model are moderated by age and gender. The study included 117 …

Self-Efficacy, Cultural Competence, And Perception Of Learning Environment In Traditional And Interprofessional Education Physical Therapy Curricula, Laura Smith

Walden Dissertations and Doctoral Studies

Interprofessional education (IPE), a concept that brings students from different health care professions together in the learning process, has been adopted by some physical therapy (PT) schools as an alternative to traditional PT-only curricula. Both approaches have the goal of improving patient outcomes for an increasingly diverse population. There was a void in the research comparing IPE and traditional curricula in PT education. Grounded in the theoretical frameworks of adult and social learning theory, the purpose of this study was to examine differences in students' self-efficacy, cultural competence, and perceptions of the learning environment based on curricular type and prior …

Productivity Standards, Marriage And Family Therapist Job Satisfaction, And Turnover Intent, Gilbert Ernest Franco

Walden Dissertations and Doctoral Studies

Turnover among mental health professionals is high, which can have a direct impact on access to services and continuity of care. Informed by goal-setting theory, social-cognitive theory, and self-efficacy, this quantitative study investigated how California community mental health agency productivity standards were related to self-efficacy, job satisfaction, and marriage and family therapist (MFT) turnover intent among 141 MFTs. Participants completed a Demographic and Productivity Questionnaire, Job Self-Efficacy Scale, Job Satisfaction Scale, and Turnover Intention Scale. The relationship between participant age, gender, experience, number of work hours, licensure status, and job site with job satisfaction and turnover intent were assessed using …

Effects Of Investor Sentiment Using Social Media On Corporate Financial Distress, Tarek Hoteit

Walden Dissertations and Doctoral Studies

The mainstream quantitative models in the finance literature have been ineffective in detecting possible bankruptcies during the 2007 to 2009 financial crisis. Coinciding with the same period, various researchers suggested that sentiments in social media can predict future events. The purpose of the study was to examine the relationship between investor sentiment within the social media and the financial distress of firms Grounded on the social amplification of risk framework that shows the media as an amplified channel for risk events, the central hypothesis of the study was that investor sentiments in the social media could predict t he level …

The Correlation Between A Pastor's Job Experience And Church Servant Leadership Practices, Beth Ann Fylstra

Walden Dissertations and Doctoral Studies

Churches contribute both indirectly and directly to community economic development and social transformation. Some researchers cite lack of leadership as a factor in Christian churches in the United States experiencing declining attendance, with many churches closing. The purpose of this study was to determine the extent to which a senior pastor's past and current church leadership experience affects servant leadership practices in the pastor's current church. Servant leadership theory was this quantitative, correlational study's theoretical framework. Five research questions focused on a pastor's past and present church leadership experience and how it affects the servant leadership practices within the organization's …

Mental Health Disorders As Predictors Of Relapse In Previously Detoxified Individuals, Toni Lee Simonson

Walden Dissertations and Doctoral Studies

Researchers have shown a relationship between mental health disorders and alcohol dependence. However, only 5-10% of individuals with substance use problems co-occurring with mental health problems are correctly identified. The purpose of this research was to identify predictors of relapse using three different instruments of varying complexity: the Patient Health Questionnaire-9 (PHQ-9), the Modified Mini Screen (MMS), and the Millon Clinical Multiaxial Inventory-III (MCMI-III). Researchers have found that using alcohol produces relief, similar to a pharmacological intervention, from troublesome mental health symptoms that individuals experience. Considering this association, the self-medication hypothesis was the conceptual lens used for the study as …

Small Business Strategies For Company Profitability And Sustainability, Denise Leigh Gandy

Walden Dissertations and Doctoral Studies

Small businesses are critical to the health of the United States economy as they account for approximately 50% of all jobs and 99% of all firms. The purpose for this descriptive multiunit case study was to explore what strategies small business owners used to achieve profitability by the end of the first 5 years of opening their business. The sample comprised 4 small business owners who have been profitable by Year 5 of being in business in Denver, Colorado. The conceptual framework for this study was built upon the general systems theory. The data were collected through semistructured interviews and …

Law Enforcement Officer Performance, Education, And Risk For Suicide, April James Mccommon

Walden Dissertations and Doctoral Studies

Police suicide has been a largely under-researched topic with a small number of quantitative studies- that limit the exploration of potential causals models in the literature. This restricts current scholarly explanations behind officer suicide, furtheradding barriers to adequate prevention and detection. This study was focused on possible explanations behind police suicide, using Zhang's strain theory of suicide and Joiner's interpersonal-psychological theory of suicide to explain the variables used in the model. Using a moderation model, the research question asked to what extent an officer's education level affects the relationship between levels of police officer misconduct and risk for suicide. This …

Ceo Duality And Performance Of Not-For-Profit Hospitals, Anh Ngoc Pham

Walden Dissertations and Doctoral Studies

Depending on their needs for enhancing and sustaining their business and market values, some firms choose to operate with a corporate governance structure of CEO duality, in which an executive serves as the CEO and the chairperson of the board of directors. The problem addressed in this study is that past empirical and theoretical studies of the relationship between CEO duality and firm performance of organizations across different industries have generated ambiguous results, and no studies have focused specifically on the relationship between CEO duality and financial performance of not-for-profit hospitals. Based on agency and stewardship theories, and considering that …

Exploring Potential Associations With The Presidential Discretionary Power Of Fema Funds Dispensation, Matthew Thomas Eagles

Walden Dissertations and Doctoral Studies

US presidential approval of Federal Emergency Management Agency (FEMA) funding has been the subject of much research that largely has been inconclusive or contradictor as it relates to whether funds may have been distributed in a biased way through the use of presidential discretionary power. The purpose of this study was to explore if or to what degree US presidents acted in a potentially biased manner with the approval of FEMA approvals during election years in election battleground states. This study was an exploration of whether there was presidential political favoritism in approving FEMA funding from 1996-2012. The theoretical constructs …

Spiritual Well-Being Of Black Lgbt Individuals When Faced With Religious Homonegativity, Patricia Hill

Walden Dissertations and Doctoral Studies

Spiritual Well-Being of Black LGBT Individuals When Faced With Religious Homonegativity

by

Patricia A. Hill

MA, Loyola University-Chicago, 2004

BS, Chicago State University, 2000

Dissertation Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Philosophy

Psychology

Walden University

May 2015

Abstract

Black lesbian, gay, bisexual, and transgendered (LGBT) individuals in the United States often face homophobic sermons and messages within their traditional religious settings. This phenomelogical research study was designed to document and understand the lived experiences of Black LGBT individuals' spiritual well-being in the face of homonegativity, and to identify the ways in which they …

Midcareer Women Leaving Information Technology: An Examination Of The Phenomenon, Susan F. Way

Walden Dissertations and Doctoral Studies

Midcareer women are leaving the information technology (IT) career field at a much higher rate than are men. This attrition has contributed to a decreasing percentage of women in the IT field, hindering the creativity, innovation, and productivity that can result from a diverse workforce. This phenomenological study addressed a gap in the current research by examining the lived experience of women who have left the IT field. The conceptual frameworks of the study included Rhodes and Doering's integrated career change model based on traditional turnover theory, a model of gender and power in careers by Ragins and Sundstrom, and …

Combat-Related Posttraumatic Stress Disorder: Locus Of Control And Marital Satisfaction, Jesus Botello

Walden Dissertations and Doctoral Studies

Combat-related posttraumatic stress disorder (PTSD) is a psychological condition researchers have cited as a major cause of marital discord and divorce for veterans with PTSD. This study examined the psychological construct of locus of control among the wives of veterans diagnosed with combat-related PTSD and whether or not it was a predictor of marital satisfaction within this context. An extensive search of the current literature revealed no previous studies that had investigated this relationship. Utilizing the family systems theory to address this gap, this study sought to compare reported marital satisfaction in wives with an internal locus of control to …

The Association Of Lead With Cataracts And Vision-Related Problems In Perimenopausal Women, Imogene Drakes

Walden Dissertations and Doctoral Studies

Around the world, women are subject to an earlier incidence of cataracts, have a higher risk for cataracts, and also have a higher risk for other vision-related problems than men. Previous research has indicated an association between endogenous lead stored in long bones and cataracts in men over 60 years of age; however, a similar study in women did not reveal an association. This case control study was conducted to investigate whether perimenopausal mobilization of endogenous lead serves as a possible causative factor for women's generalized vision issues and cataract incidence in particular. Secondary data were gathered from 1,416 women …

Small Seasonal Business Strategies To Increase Profits Through Community Collaboration, Kevin B. Gibbons

Walden Dissertations and Doctoral Studies

Seasonal small business owners (e.g., boating and golf industries), primarily within the upper and Midwestern United States, face challenges for profit and growth because of a brief business potential year and limited time to establish a reliable and committed customer base. The purpose of this case study was to explore strategies that seasonal small business owners in Oakland County, Michigan may use to collaborate with local associations and charitable organizations to increase profits. Stakeholder theory served as the conceptual framework for this study. A purposive sample of 4 successful small seasonal business owners in Oakland County, Michigan participated in face-to-face …

The Use Of A Standardized System Of Communication To Change The Perception Of Handoff Communication In A Psychiatric Setting, Alicia Renee' Plunkett

Walden Dissertations and Doctoral Studies

The Use of a Standardized System of Communication to Change the Perception of Handoff Communication in a Psychiatric Setting

by

Alicia Renee' Plunkett

MSN, Walden University 2007

MSHA, University of St. Francis, 2005

BSN, University of Memphis, 1995

Project Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Nursing Practice

Walden University

December 2014

The Joint Commission's review of sentinel events indicated that communication errors were the cause of over 65% of the sentinel events occurring in healthcare. The nursing profession has the responsibility of providing 24-hour care in an acute care setting and nurses are …

Frequent Superintendent Succession: The Impact On Personnel Trust And Morale, Edgar Byrum Davis Camacho

Walden Dissertations and Doctoral Studies

A superintendent is vital to the success of school districts. Stability of an individual in this position is important for building trust and morale for district personnel over time. Small school districts in a large southern state have experienced increased rates of voluntary or involuntary superintendent succession, having had 2 or more superintendent changes within a 6-year period. Participative leadership theory served as the framework for this study. The guiding questions for this study investigated the impact of frequent superintendent succession in small school districts and the levels of trust and morale among district personnel. The variables for the study …