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Social Determinants Of Health Inequality And Life Expectancy Among Women Of Edo State, Nigeria, Daniel Aromeh Odekina

Walden Dissertations and Doctoral Studies

Health inequality conflates a huge number of economic, social, and political issues. These issues, together described as social determinants, determine a population's health through influencing health status and life expectancy. The research purpose of this study was to examine how social determinants affected the life expectancy of the women of Edo State, based on secondary data from Nigeria's 2008 demographic and health survey (NDHS). The theories that guided the study were self-efficacy beliefs of the social cognitive theory and physical self-concept of the health belief model. This quantitative cross-sectional study examined the associations between socioeconomic status, nutritional status, literacy/educational attainment, …

Barriers To The Influenza Vaccination In Veterans, Zina Floyd

Walden Dissertations and Doctoral Studies

Influenza is the eighth leading cause of death in the United States, accounting for 56,000 deaths annually and leading to an average of more than 200,000 hospitalizations every year. Adults 65 years of age and older account for 50% to 60% of influenza-related hospital admissions and an estimated 90% of influenza-associated deaths occur in people age 65 and older. During the 2011 to 2012 influenza season, approximately 50 % of veterans between 45 and 70 years of age refused the influenza vaccine within the metro-area outpatient Veteran Administration (VA) facility in Atlanta, Georgia. The aim of this project was to …

Pregnant Obese Women And Factors Which Impact Their Social And Physiological Well-Being, Stephanie Denise Morgan Frye

Walden Dissertations and Doctoral Studies

For more than 50 years, researchers have recognized complications associated with obesity and pregnancy as a problem for mothers and their unborn children. Despite this recognition, the rates of obesity and mortality in pregnant women have continued to rise. Using the health belief model, the transtheoretical model of behavior change, and the social cognitive theory as the theoretical frameworks, this phenomenological study examined barriers that might hinder the health of obese pregnant women and their unborn children. Semi-structured interviews were conducted with 12 women who had a body mass index of 30 to 50, were between the ages of 18-55, …

Increasing Student Interest In Poultry Science Careers Through 4-H, Peggy Lynn Armstrong

Walden Dissertations and Doctoral Studies

The demand for poultry science graduates to fill available positions in the poultry industry continues to increase. At the same time, there are not enough graduates to fill the positions. The purpose of this study was to investigate the implementation of the poultry curriculum in the 4-H program and student recruitment through the 4-H program into the Poultry Science Department. The targeted populations were 4-H leaders who implement the poultry curriculum and university students who were currently studying poultry. Career development theories suggest that previous experiences during adolescence can be a major influence in future vocation choice. A mixed methods …

Positive Psychological Capital, Need Satisfaction, Performance, And Well-Being In Actors And Stunt People, Brian Hite

Walden Dissertations and Doctoral Studies

Positive psychological capital (PsyCap), a second-order construct formed from optimism, hope, resilience, and self-efficacy, has predicted the performance and psychological well-being of a variety of full-time workers, and mediators of the relationships between PsyCap and performance and psychological well-being have rarely been examined. Using self-determination theory, broaden-and-build theory, and the conceptual framework of positive psychology, this study was an exploration of (a) the relationships among PsyCap, (b) basic psychological need satisfaction (i.e., autonomy, competence, relatedness), and (c) psychological well-being and performance using a sample of 103 working actors and stunt people. A serial mediation model was proposed whereby PsyCap predicted …

Certified Nursing Assistants' Experiences Regarding Resident-To-Resident Bullying In Nursing Homes, Cheryl Jones

Walden Dissertations and Doctoral Studies

Elder bullying is on the rise and occurs in many contexts such as senior living communities and nursing homes, causing concern for the well-being of the residents by families, staff, themselves, and society in general. Although research has been limited, it does reveal that resident-to-resident bullying in nursing homes is a problem warranting further scholarly attention. The purpose of this study was to investigate the experiences of certified nursing assistants (CNAs) regarding resident-to-resident bullying in nursing homes. The theory of reasoned action and the theory of reflective equilibrium provided a conceptual lens from which to explore and describe the importance …

General Education Diploma Students' Familial Attachment Experiences Influencing Premature High School Departure, Tonya Suzanne Wright-Stone

Walden Dissertations and Doctoral Studies

Lowered academic achievement and premature departure from high school continue to plague the educational system, creating the need for greater insight into experiences affecting students' classroom performance. Much is known about academic achievement; however, less research has focused on the role of familial attachment on premature departure from high school. Guided by attachment theory, the purpose of this interpretative phenomenological study was to gain insight into General Education Diploma (GED) students' familial attachment experiences influencing premature departure from high school. The research questions focused on GED students' primary caregiver and educational experiences. Participants (n = 14) consisted of current or …

Attachment Style, Leadership Behavior, And Perceptions Of Leader Effectiveness In Academic Management, Rehema Underwood

Walden Dissertations and Doctoral Studies

Organizational effectiveness is related to both effective leadership styles and to having leaders with secure attachment styles. Transformational and charismatic leaders often have secure attachment styles. However, the relationships between insecure attachment styles and leadership styles remain unclear. The purpose of this study was to examine whether insecure attachment in leaders (fearful, preoccupied, and dismissing attachment styles) is related to transformational, charismatic, transactional, and laissez faire leadership. A quantitative, non experimental approach was taken in this study. Participants included those in leadership positions (college deans, chairpersons, and provosts) (n = 18) and instructors (subordinates) (n = 36) from local community …

The Impact Of Implementing Bedside Report To Transition Patients Across Units, Tonya Johnson

Walden Dissertations and Doctoral Studies

Evidence supports bedside report as a mechanism to improve communication, patient safety, quality of report, and nurse and patient satisfaction when implemented in a closed unit. The purpose of this project was to examine the impact of implementing a bedside report process to transition patients from the emergency department to a medical-surgical unit. Specifically, the goal was to analyze the impact of a bedside- reporting process on patient progression and on nurse and patient satisfaction. Lewin's change model provided the theoretical framework for this quasi-experimental study. Patient progression data consisted of 706 patient transitions from the emergency department to the …

Clinical Significance Of Response Shift In A Spine Interventional Clinical Trial, Robin Carlson

Walden Dissertations and Doctoral Studies

The effectiveness of treatments for degenerative spine conditions, where the primary symptom is back pain, is typically determined using patient-reported quality of life (QoL) measures. However, patients may adjust their internal standards when scoring QoL based on factors other than their health. This response shift phenomenon could confound the interpretation of study data and impact effectiveness conclusions. In the current study, response shift was examined using structural equation modeling (SEM) and previously collected clinical trial data comparing 2 minimally invasive medical devices in lumbar spinal stenosis patients through 1 year postintervention. In subject QoL results, reprioritization shift between 3 months …

Neighborhood Risks And Resources Correlated With Rates Of Successful Reentry Of Youth Returning From Detention Centers In Massachusetts, Nokuthula Sibanda

Walden Dissertations and Doctoral Studies

Youth delinquency is a major social problem in the United States with approximately 29% of youths aged 18 to 21 reoffending within the first year of release in Massachusetts. Given the amount of state resources used for youth corrections, the factors that encourage the youth to reoffend become important to understand. The purpose of this quantitative, cross-sectional correlational study was to examine whether community and environmental risks and resources are related with successful reentry of youth returning from detention centers in Massachusetts. Using the collective efficacy and routine activities theory to explain the motivations to reoffend, the study sought to …

The Effect Of Bullying Prevention Programs On The Perceptions Of Bullying Among Female Youth, Karen Tokarick

Walden Dissertations and Doctoral Studies

Bullying has become a widespread social issue. Previous research has focused on both genders and various grade levels; it has shown that programs reduce bullying and improve social climates and attitudes toward academics. The effect of these programs, specifically on female youth, has not been studied. This study addressed the effect of bullying prevention programs on perceptions of bullying among female youth in Grades 5-7 in 2 schools in rural eastern Pennsylvania. One school utilized a prevention program while the other did not. Teachers and administrators were also interviewed to gain insight regarding their perceived effectiveness of the program. The …

A Phenomenological Study Of Female Gender Inequality In The Defense Industry, Erica Helaine Woods

Walden Dissertations and Doctoral Studies

Despite advances made during the women's movement, gender inequality is a problem for women seeking leadership opportunities within the U.S. Defense Industry today. The purpose of this phenomenological study was to understand the perceptions of civilian females who had experienced gender inequality obstacles in their professional advancement opportunities within the U.S. Defense Industry. The mommy track framework, defined as the family/work imbalance; the gatekeeper framework; and the institutional sexism framework were used to guide this study. The research questions focused on how these women perceived both internal and external barriers to their professional advancement in the U.S. Defense Industry. A …

Current Capacity Building Needs Of Occupational Therapists Related To Older Driver Screening, Assessment, And Intervention, Ranyouri Hines Senia

Walden Dissertations and Doctoral Studies

Older adult safe driving is a growing public health issue; however, the skill set of occupational therapists that provide services to these older clients is unclear. The extent to which occupational therapists possess the skills to evaluate an elderly person's ability to operate safely an automobile is unclear. Therefore, the purpose of this quantitative, cross-sectional survey was to determine the current capacity building needs of occupational therapists (OT) related to older driver screening, assessment, and intervention. The ecology of human performance framework was the theoretical base of the study. The independent variables were the OTs' training related to older drivers, …

Teacher Perceptions Of Elementary Children's Internalizing Symptoms When Experiencing Parental Wartime Military Deployment, Letitia Henson

Walden Dissertations and Doctoral Studies

Military wartime deployment of parents has a powerful and potentially damaging impact on their young children. As tours lengthen and deployments of military parents become more frequent, the possible negative effects on the children increase proportionally. This quantitative, comparative study evaluated internalizing symptoms among 220 young children who had a parent currently on military deployment and a parent who returned from military deployment compared to a control group of same age peers whose parents were nonmilitary. Using the theoretical frameworks of attachment theory and ambiguous loss theory, the study investigated 3 internalizing symptoms: Anxiety/Depressed, Withdrawn/Depressed behaviors, and Somatic Complaints among …

Third-Degree Family Health History And Perception Of Disease Risk, Liana Carrasco Romero

Walden Dissertations and Doctoral Studies

Chronic diseases are a significant cause of illness and mortality in the United States. Hereditary predisposition to chronic diseases is a useful indicator for identifying people at risk for disease development. An ideal tool for determining this predisposition is the CDC, NIH, and AAFP recommended third-degree family health history (FHH). The aim of this quantitative, cross-sectional study, based on the theoretical frameworks of social constructivism and the health belief model, was to assess the possible influence between the completed third-degree FHH and the participant's perception of disease risk. Two-hundred seventy-three participants were recruited from health care facilities and from the …

Social Intelligence Of Undergraduates Enrolled In Traditional Vs. Distance Higher Education Learning Programs, Bo Scott Bennett

Walden Dissertations and Doctoral Studies

Participation in, and acceptance of, distance education has reached an all-time high. Yet many academics, policy makers, and laypeople remain concerned that distance education can adversely affect one's social development. The purpose of this quantitative study was to test that concern by comparing the social intelligence of distance undergraduates with the social intelligence of traditional undergraduates at different class ranks (i.e., freshman, sophomore, junior, senior) while limiting the ages of the participants (n = 190) to 18-24. Social intelligence, an operationally defined measure of the construct often referred to as social development has been a popular focus of research in …

Business Strategies To Improve On-Time Deliveries And Profits In Southcentral Alaska, Donald Richard Leaver Ii

Walden Dissertations and Doctoral Studies

Traffic congestion can cause late deliveries, decreased profits from vehicle fuel idling in traffic, and delayed distribution in tight delivery windows. The focus of this study was on developing strategies that business leaders could use to increase on-time deliveries. The conceptual frameworks for this case study were systems theory, traffic equilibrium theory, bathtub theory, and kinematic wave theory. Data were collected from semistructured interviews with 6 delivery service leaders from 3 delivery businesses in Southcentral Alaska. In addition, secondary data were collected from government information. Interview responses were coded to identify trends including delivery time, business activity, and amount of …

Examining The Lived Experiences Of Child Welfare Workers, Rebecca Merle Dameron-Brown

Walden Dissertations and Doctoral Studies

The purpose of this phenomenological study was to examine the lived experiences of a homogeneous group of frontline child welfare workers in Los Angeles, CA. Data were collected using recorded in-depth, open ended interviews with 10 participants. Critical incident technique was used to collect data on specific incidents. Symbolic interactionism was the theoretical framework used. Five themes emerged during the analyses which are the main findings of this study: (1) Organizational factors contributed to the challenges and stress of the job, (2) participants shared a belief that management did not value them, (3) participants' morale and workloads were adversely affected …

Effect Of A Cardiology Nurse Practitioner Service On The Reduction In Length Of Stay For Low Risk Chest Pain Patients, Marcia Andrea Reid

Walden Dissertations and Doctoral Studies

Healthcare organizations are responding to changes in reimbursements by redesigning and re-evaluating existing programs to improve patient outcomes. .One such intervention at the project setting was the re-evaluation of the treatment of patients with low risk for chest pain and implementing a cardiology nurse practitioner (NP) service focusing on the reduction of length of stay (LOS) with the goal of improving patient outcomes. The purpose of this doctor of nursing practice project was to evaluate the effectiveness of a nurse practitioner-led service on the reduction of LOS of patients with low risk for chest pain. An established evidenced-based guideline developed …

Perceptions Of Leadership: Impact Of Leadership Style And Gender On Employee Motivation, Kristin Marquette Walker

Walden Dissertations and Doctoral Studies

Researchers suggest that individuals in Corporate America have stereotypes about the ways in which men and women lead. They also have found that a leader's style and gender can impact employees' job satisfaction, performance, and engagement. However, researchers have provided little empirical evidence about the specific relationship of leadership style and gender on employee motivation. The purpose of this quantitative study was to examine the effects of leadership style, as measured by the Multifactor Leadership Questionnaire (MLQ), and a leader's gender on employee motivation, as measured by the Work Preference Inventory (WPI). Because it was assumed that small organizations would …

Female Genital Mutilation/Circumcision: Culture And Sexual Health In Igbo Women In Dallas-Fort Worth, Texas, Dorothy Ebere Ukoha

Walden Dissertations and Doctoral Studies

Female genital mutilation (FGM) is practiced primarily in many African countries as well as some in Asia and the Arab Peninsula; however, it also takes place elsewhere around the globe among those who migrate from countries to which it is indigenous. This study was designed (a) to investigate the prevalence of FGM among the Igbo women in the Dallas-Fort Worth (DFW) area in Texas and (b) to understand the factors that support the continuation of the practice and the effects on women's sexual health. Using a quantitative approach to examine a variety of social variables aligning with the ecological framework, …

Attitudes And Beliefs Of Registered Retired And Registry Nurses Regarding Holistic Spiritual Care, Beverly S. Ward

Walden Dissertations and Doctoral Studies

The purpose of holistic spiritual care is to assess and provide for the spiritual needs of patients. Current literature indicates that holistic spiritual care is important to the healthcare of patients. Researchers suggest that nurses who practice holistic spiritual care are more aware of the attributes of caring, respect, and emotional support. This project study addressed a problem at the research site reported by local community nurses and holistic spiritual care experts of nurses not practicing holistic spiritual care. Mezirow's transformational learning theory was used as the theoretical foundation for this qualitative study, which was designed to examine the attitudes …

Decreasing Attrition Of Novice And Newly Hired Professional Nurses Through Preceptorship, Brenda Gould-Johnson

Walden Dissertations and Doctoral Studies

Approval

Walden University

College of Health Sciences

This is to certify that the doctoral study by

Brenda Gould-Johnson

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

and that any and all revisions required by

the review committee have been made.

Review Committee

Dr. Eric Anderson, Committee Chairperson, Health Services Faculty

Dr. Patti Urso, Committee Member, Health Services Faculty

Dr. Jonas Nguh, University Reviewer, Health Services Faculty

Chief Academic Officer

Eric Riedel, Ph.D.

Walden University

2015

Walden University

College of Health Sciences

This is to certify that the doctoral study by

Brenda Gould-Johnson

has been found to be …

Entry-Level Health Care Services Employee Motivation And Performance, Alecia Brooks

Walden Dissertations and Doctoral Studies

Healthcare administrators have regarded employee motivation and performance as significant factors because of the challenges with employee disengagement, which may decrease patient satisfaction and profitability for healthcare organizations. The number of available jobs within healthcare continues to increase at a high rate, while the total hires within the healthcare industry decreased from 2.9% in December 2014 to 2.7% in January 2015. Motivation in the workplace is a continuous concern for organizational leaders, more specifically for the health care industry. Based on Vroom's expectancy theory, the purpose of this single-case study was to explore the motivational strategies healthcare organizations' leaders could …

Anxiety And Focus In Work-Related Training, Steven Howard Harlan

Walden Dissertations and Doctoral Studies

Currently, nonemployee students who take General Electric's (GE's) pollution control classes do not demonstrate consistent knowledge gains following training. The purpose of this project was to investigate whether the independent variables of level of education and choice in attending the class made a significant difference in the means of the dependent variables of anxiety and ability to focus. The project was influenced by the theory of andragogy, which explores the motivations and principles specific to the teaching of adults. The research questions for this study probed relationships between level of formal education among participants and their choice in whether to …

Classroom Management Practices For Male African American Students With Behavioral Disorders, Jamie Helton Hubbard

Walden Dissertations and Doctoral Studies

Male African American students with disabilities in a South Carolina school district have received a greater proportion of discipline referrals and exclusionary consequences than have other demographic groups. The purpose of this sequential mixed methods study was to explore classroom management strategies that may reduce this disproportionality. The conceptual framework was Skinner's applied behavior theory, which states that to change behavior, the environment must be changed. The qualitative guiding question investigated teacher beliefs about best classroom management practices. The quantitative research questions were intended to provide a description of discipline preferences. Quantitative data were collected through the Behavior and Instructional …

Experiences Of Youth Recreation Sport Organizations' Administrators With Implementation Of Maryland Concussion Law, Donelle Mckenna

Walden Dissertations and Doctoral Studies

Experiences of Youth Recreation Sport Organizations' Administrators with Implementation of Maryland Concussion Law

by

Donelle Damali Ainsworth-McKenna

MHSA, The George Washington University, 2004

BS, Morgan State University, 2000

Dissertation Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Philosophy

Health Services

Walden University

September 2015

There have been statewide concussion policies implemented in all 50 states and the District of Columbia to address the problem of sports-related concussions in youth athletes. The efforts to implement the requirements of these laws have mainly focused on high school athletics, despite evidence that pre-high school youth athletes who participate …

An Evidence-Based Determination Of Whether Effective Leadership Competencies Are Universal And Transferable., John Michael Slade

Walden Dissertations and Doctoral Studies

Poor executive leadership of organizations over the last 20 years has resulted in the destruction of stakeholder value, loss of jobs, and in some cases, risk to the entire enterprise. An executive search firm database, encompassing 16,000 leaders from 300 organizations, was analyzed to determine if the commonality and transferability of leadership competences could be used to improve executive assessment. Implicit leadership theory, where leaders are gauged by the individuals that surround them, served as the theoretical foundation. The study also relies on a leadership competency model used by the executive search firm that constructed the database and is based …

Women's Perspectives On Adequacy Of Screening And Treatment For Postpartum Depression, Gloria Marcia Watson

Walden Dissertations and Doctoral Studies

Postpartum depression affects some 10% to 20% of mothers. Its impact on the health and well-being of mothers and their infants is well documented. If not identified and addressed early, it can result in emotional burden, costly hospitalization and treatment, and, at worst, suicide and or infanticide. Empowerment theory was the conceptual framework for this hermeneutic phenomenological study. The purpose was to understand the lived experiences of the screening and treatment processes of 10 women from New York City experiencing postpartum depression and their perceived adequacy of the treatment received. In-depth interviews were used to investigate participants' lived experiences of …