Digital Commons Network^™

Leadership Strategies For Combating Medicare Fraud, Taniesha Michelle Grant

Walden Dissertations and Doctoral Studies

Healthcare fraud is threatening the economic stability of the U.S. healthcare system and negatively affecting organizational costs. Financial losses from healthcare fraud account for approximately $80 billion per year of the $2.4 trillion healthcare budget. Leadership strategies that may aid in combating Medicare fraud were explored in this qualitative single case study. The criminal violation of trust theory guided the study as it provides healthcare leaders with an understanding of the portion of the fraud triangle over which they have the most control to combat fraud: the opportunity to commit fraud. Data were gathered from review of publically available documents …

E-Leadership And Leader-Member Exchange Strategies For Increasing Nonprofit Virtual Team Productivity, Nichole Guerra

Walden Dissertations and Doctoral Studies

Nonprofit leaders often place new employees with little experience in challenging virtual team settings, where they are expected to meet increased service demands. Productivity failures reported in the 2015 State of the Nonprofit Sector survey revealed that 76% of U.S. nonprofit agencies experienced increased demand for services in 2014, while 52% were unable to meet those demands. Based on the e-leadership and leader-member exchange (LMX) theories, the purpose of this descriptive, single case study was to identify the leadership strategies used by nonprofit midlevel supervisors to increase productivity of virtual teams containing new employees in Colorado. A purposeful sampling method …

Attack At Fort Hood: Experiences And Suggestions For Security, William P. Moravits

Walden Dissertations and Doctoral Studies

In the past 8 years, at least 4 lone wolf terrorists have targeted military bases or recruiting centers in the United States and research suggests attack on the US military are increasing globally. The problem was that research had not addressed the lived experiences of survivors of lone wolf attacks or how they could inform procedures regarding a sense of security for military men and women. The purpose of this research was to establish a need to address threats to the security of the military from these attacks, to provide a rich description of survivors' experiences of the attack at …

Home Care Factors Associated With Hospital Readmission Of Psychiatric Patients, Ashley Renee Payne

Walden Dissertations and Doctoral Studies

There has been inadequate attention to the aftercare of psychiatric patients, resulting in an increase in readmission rates plus longer hospital stays. There is a gap in the aftercare for psychiatric patients; The purpose of this qualitative retrospective study is to explore what may have contributed to readmission for psychiatric patients. The biopsychosocial model was used as the theoretical framework to support the direction of the research. The health belief model and transtheoretical model of change were used to further support for biopsychosocial model. The research questions were created to determine the influences on readmission, psychological well-being, explore the adaptation …

Social Responsibility Strategies To Improve Firm Performance, Dennis Vincent Reade

Walden Dissertations and Doctoral Studies

Historical research on corporate social responsibility (CSR) and its influence on corporate financial and social results arrived at contradictory findings. Although 95% of the world's 250 largest corporations reported investing in CSR activities in 2011, some managers lack strategies to evaluate CSR effectiveness. This multiple case study explored strategies that 6 CSR managers with CSR oversight in privately owned companies in Brazil used to effectively enact CSR. The stakeholder theory was the conceptual framework for this study. Data were collected through individual interviews and supplemented with company annual reports to explore the strategies managers employed to evaluate CSR effectiveness. Member …

School Social Workers' Roles Involving Teacher-Student Sexual Misconduct And Exploitation, Cedrina Monique Ruffin

Walden Dissertations and Doctoral Studies

Incidents of sexual misconduct by educators continue to become more prevalent in the United States, resulting in negative social, emotional, and psychological effects on many students. School social workers are professionals with backgrounds in prevention, intervention, and advocacy; however, very little literature has examined the roles of school social workers in preventing and addressing teacher-student sexual misconduct. This case study explored school social workers' roles and their perceptions thereof in relation to incidents that involved teacher-student sexual misconduct and exploitation. General systems theory provided the framework for understanding the roles of social workers and their approaches to working with the …

Strategies Used By Nonprofit Leaders To Motivate Volunteers, Michael C. Williams

Walden Dissertations and Doctoral Studies

A motivated volunteer workforce is essential to many nonprofit organizations and the success of the organizational leaders. The purpose of this qualitative single-case study was to explore motivational strategies used by 3 leaders of a nonprofit organization in Minnesota's Valley X through the conceptual lens of Maslow's theory of human motivation. Data were collected using semistructured interviews, organizational documents, and online databases. Using thematic analysis, 4 key themes emerged: process strengths, process opportunities, results strengths, and results opportunities. Open communication, appreciation events, building relationships, and recognition and rewards are strategies that nonprofit leaders can use to motivate their workforce, especially …

Capitalization Strategies For Small Business Sustainability, Richard Basch

Walden Dissertations and Doctoral Studies

Over the past 15 years, privately held small businesses generated nearly two-thirds of the net job growth in the United States, yet much of what scholars know regarding the capitalization challenges faced by small businesses is limited to data from large corporations. In 2013 alone, business bankruptcies numbered 33,212, and each year approximately 10% to 12% of U.S. small businesses close. Ineffective capitalization strategies coupled with a limited understanding of funding options frequently results in unsustainable business practices. In this multiple case study, the capital budgeting theory was utilized to explore the capitalization strategies small business owners in the greater …

Effective Strategies Small Retail Leaders Use To Engage Employees, Dr. Janet Lynn Deskins

Walden Dissertations and Doctoral Studies

Research suggests that 70% of North American employees are disengaged in the workplace. Some small retail managers lack strategies for engaging employees. Using the employee engagement framework, the purpose of this descriptive case study was to explore successful strategies that small retail managers use to engage employees. The target population was small retail leaders, purposefully selected because of their success with engaging employees at an Orlando, Florida, company. Data collection was through face-to-face interviews with 5 leaders; and a review of archived organizational documents, including company memorandums, central email software, and online customer reviews through social media websites such as …

Effect Of Public And Private Preschool Attendance On Kindergarten Literacy, Matthew Garofolo

Walden Dissertations and Doctoral Studies

Students who enter kindergarten lacking readiness skills often struggle to meet literacy benchmarks and to successfully complete school. The problem to be investigated by this study is the low literacy scores on the standardized Fountas and Pinnell Benchmark Assessment test at 2 public New Jersey elementary schools. While some students attended public or private preschools, others did not attend any preschool prior to starting kindergarten. The purpose of this quantitative study was to determine the difference in kindergarten literacy gain scores among students who attended public, private, and no preschool. Vygotsky's sociocultural theory and emergent literacy theory served as the …

Success Strategies Of Latin American Immigrant Small Business Entrepreneurs, Bruce David Gaynor

Walden Dissertations and Doctoral Studies

Small business restaurants represent a significant segment of the U.S. economy; however, many small business restaurants fail before 5 years of operation. The purpose of this exploratory multiple case study was to explore the strategies entrepreneurs used to sustain operations beyond 5 years. The population for this study was 3 Latin American immigrant small business restaurant owners in the central part of the U.S. state of Georgia, who had sustained operations for more than 5 years. The conceptual framework consisted of entrepreneurship and knowledge management theories. The data derived from semistructured interviews and organizational documents presented by the participants. Data …

Happily Ever Resilient: A Content Analysis Of Themes Of Resilience In Fairytales, Stephanie Goloway

Walden Dissertations and Doctoral Studies

One in 4 children in the United States lives in a family impacted by the chronic, heritable disease of substance use disorder (SUD), also known as alcoholism or addiction. Recent research has demonstrated that resilience is a key protective factor against developing the disease in adolescence and adulthood and that the neurological roots of resilience lie in the child's experiences in early childhood. In spite of this, few resources related to family SUD or current models of resilience are included in preservice teacher preparation for early childhood educators. This study examined whether key components of Masten's model of resilience are …

Social Media Marketing Strategies In Nonprofit Professional Membership Organizations, Avis Gordon

Walden Dissertations and Doctoral Studies

The use of social media in nonprofit professional membership organizations affects how leaders communicate with members, consumers, the community, and other stakeholders. The purpose of this qualitative multiple case study was to explore the social media marketing strategies that leaders in nonprofit professional membership organizations use to keep their organizations sustainable. Data were collected from 5 social media marketing leaders representing 5 nonprofit professional membership organizations in the Chicago region. Data collection occurred through semistructured interviews, review of organizational documents pertaining to social media marketing strategies, and review of the social media sites and websites of the participants' organizations. Rogers's …

Health Portal Functionality And The Use Of Patient-Centered Technology, Anita Joyce Simmons

Walden Dissertations and Doctoral Studies

Health portals are dedicated web pages for medical practices to provide patients access to their electronic health records. The problem identified in this quality improvement project was that the health portal in the urgent care setting had not been available to staff nor patients. To provide leadership with information related to opening the portal, the first purpose of the project was to assess staff and patients' perceived use, ease of use, attitude toward using, and intention to use the portal. The second purpose was to evaluate the portal education materials for the top 5 urgent care diagnoses: diabetes, hypertension, asthma, …

Successful Ethical Decision-Making Practices From The Professional Accountants' Perspective, Tammy Tanner Webster

Walden Dissertations and Doctoral Studies

Unethical behavior includes all decisions and actions counterproductive to an organization's mission and can cause irrevocable damage to the organization's professional reputation. The Securities and Exchange Commission reported 807 ethical violations in 2015. This study was underpinned by the ethical leadership theory, which emphasizes leadership decision making based on fair and just practices, for all involved parties. The purpose of this qualitative multiple-case study was to explore the ethical decision-making best practices that not-for-profit accounting managers in the Washington, DC, metropolitan area needed to strengthen the ethical decision-making process in their organizations. Data were collected through semistructured interviews from 5 …

A Narrative Analysis Of Resilience And Coping In Persons Diagnosed With Multiple Sclerosis, Mildred Christian Alford

Walden Dissertations and Doctoral Studies

A Narrative Analysis of Resilience and Coping in

Persons Diagnosed with Multiple Sclerosis

by

Mildred C. Alford

Ph.D., Ed., Berne International Graduate University, 1998

M.S. Ed., Texas A & M University, Commerce, 1989

B.S., Psychology, University of Houston, 1976

Dissertation Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Philosophy

Health Psychology

Walden University

June 2017

Gender Differences In Discussion Strategies Of Asynchronous Online Undergraduate Psychology Major Students, Shawna Marie Burtis

Walden Dissertations and Doctoral Studies

Numerous studies have focused on gender differences in communication in various learning settings and have found that men and women typically communicate in different ways; however, no studies have directly investigated undergraduate psychology major students. Based on symbolic convergence theory, a survey design was in this quantitative study to examine gender differences in online discussion strategies among undergraduate psychology student majors at online universities. Focusing on 4 asynchronous online discussion strategies, the research questions addressed gender differences in discussion strategies while controlling for students' previous experience with online learning and level of study in their current program. A convenience sample …

Influences Of Provider-Patient Communication On Health Literacy And Public Policy Relevant Outcomes, Rachel Carla Cartwright-Vanzant

Walden Dissertations and Doctoral Studies

Several artifacts of federal policy address the connection between health literacy of patients and health outcomes. These laws include The Plain Writing Act, Health Information Technology for Economic and Clinical Health, and the Health Insurance Portability and Accountability Act. Even with this policy structure, little is known about how nurses' knowledge of health literacy may influence patient understanding of medical information and health outcomes. Using Knowles' principles of effective communication, the purpose of this mixed-methods study was to concurrently examine the relationship between nurse knowledge of health literacy and communication techniques used by nurses to identify any causal relationships in …

Crowdfunding As A Financing Resource For Small Businesses, Melissa Cohen

Walden Dissertations and Doctoral Studies

Although small businesses borrowed $1 trillion in 2013 from traditional lenders, 35% of small business owners were unable to obtain adequate financing and subsequently sought alternative sources such as crowdfunding. Guided by the pecking order theory, the purpose of this exploratory case study was to explore how 6 small business owners in Tennessee successfully used crowdfunding to start, grow, or sustain their businesses. Data were collected from semistructured interviews and a review of crowdfunding project data on the internet platform including the project description, target goal, amount achieved, number of backers, and locations of the funders. Data were inductively analyzed, …

Relationships Among Body Image Dissatisfaction, Body-Enhancing Behaviors, And Self-Esteem In Adult Males, Shimeka Damon

Walden Dissertations and Doctoral Studies

Body image dissatisfaction (BID) is increasing among U.S. men and is associated with body-enhancing behaviors that threaten physical health, such as excessive dieting and exercising. A research gap was identified about the relationships between men's body image dissatisfaction, body-enhancing behaviors, and the possible mediating effect of self-esteem. The purpose of this study was to examine the relationships among body image dissatisfaction, body-enhancing behaviors, and self-esteem in adult males. Sociocultural and social comparison theory served as the theoretical frameworks for this study, which included 103 participants recruited through a university participant pool and gyms. Participants completed questionnaires including the Body-Esteem Scale, …

Retention Strategies Of Labor Union Membership, Nina W. Hatcher

Walden Dissertations and Doctoral Studies

Labor union membership decline spans more than 4 decades since 1954. In 2012, union membership decreased from 14.1% to 11.3%, which is the lowest since the post-Second World War Era. Union membership decline leads to the inability of some union leaders to retain union members, resulting in a loss of profitability. The purpose of this qualitative multiple case study was to explore strategies union leaders use in improving membership retention. Twenty union, former union, and nonunion participants from governmental and industrial firms of Jefferson County, Alabama participated in the study offering their lived experiences in industries with active union environments. …

Differences In Survival Times, By Gender, Among Those Diagnosed With Necrotizing Fasciitis, Ashley Elizabeth Hill

Walden Dissertations and Doctoral Studies

Necrotizing fasciitis infections have high mortality rates especially when treatment is delayed. Despite the abundance of research in many areas of necrotizing fasciitis infection, there are limited and conflicting studies focusing on gender-related outcomes for those diagnosed and died with necrotizing fasciitis infection. The purpose of this study was to determine the association that gender plays on survival time of patients who have been diagnosed with necrotizing fasciitis using a cross-sectional study design. Succeeding the conceptual design of the life course model, the research question tested whether there was a significant difference in survival time between the genders while in …

Employee Turnover Intentions In The Hospitality Industry, Bettye L. Holston-Okae

Walden Dissertations and Doctoral Studies

Employee turnover is detrimental to organizational performance and profitability, leading to loss of diverse financial and intellectual resources and assets. Grounded in the motivation-hygiene theory, the purpose of this correlational study was to examine the relationship between employee turnover intention and job satisfaction, employee compensation, employee engagement, employee motivation, and work environment. The population consisted of low- to mid-level hospitality employees residing in Western Georgia, Central Mississippi, and North Central Texas, over the age of 18, and employed in the hospitality industry. A convenience sample of 156 participants completed the Compensation Scale, Job Satisfaction Scale, Utrecht Work Employee Engagement Scale, …

Faculty Perceptions Of Instructional Strategies That Foster Student Engagement In Online Courses, Sharon M. Hope

Walden Dissertations and Doctoral Studies

Developing online instructional strategies for increasing student engagement and success is significant locally and nationally due to growth in the online field, advances in technology, and the need for colleges to maximize student success. This study stemmed from the desire of administrators at an upstate New York private college to discover additional ways to design and deliver effective online instruction. The purpose of this qualitative instrumental case study was to discover faculty perceptions of and experiences with instructional strategies that they used to foster student engagement in online learning. Kearsley and Shneiderman's engagement theory formed the study's conceptual framework. Ten …

Minority Business Enterprise Program's Impact On African American Businesses In Atlanta, Georgia, William Alvin Hopkins

Walden Dissertations and Doctoral Studies

There was a long history of Jim Crow laws in the State of Georgia, which permeated in social, educational, and economical ways that prohibited African American business owners from competing for the state contracts. In 1982, there was a shift in state policy that implemented an outreach programs to seek out African American businesses and ensure that those interested businesses were enrolled as registered vendors for procurement. Yet little is known about the success of those outreach efforts over the last 35 years. Using Swearing and Plank's work on survival of minority business programs as a conceptual framework, this study …

Engagement Strategies For Catalyzing It Sales Team Performance In Asia, Jeb Stephen Hurley

Walden Dissertations and Doctoral Studies

Sales leaders who can foster sales team engagement drive an organization's sales performance. Some information technology sales leaders lack team engagement strategies that support revenue results above market growth rates. The purpose of this qualitative, single-case study was to explore the team engagement strategies of 6 sales leaders, in various offices in the Asia-Pacific region of a single, public information technology company, who demonstrated the ability to support year-on-year revenue results above market growth rates. Participants demonstrated the ability to foster team engagement and consistently deliver year-on-year revenue results above market growth rates. The conceptual framework for this study was …

Uae Preschool Teachers' Attitudes Toward Inclusion Education By Specialty And Cultural Identity, Afraa Salah Hussain

Walden Dissertations and Doctoral Studies

Inclusion of children with special education needs into public classrooms in United Arab Emirates applied in 2006. The application of inclusion programs started in high schools, and followed by elementary schools and preschools. Teachers' attitudes toward inclusion evaluated among high school and elementary teachers but not among preschool teachers. The effect of the cultural background of teaching staff on inclusion education not evaluated in a UAE preschool. The purpose of this quantitative study was to examine the effect of educational specialty and culture on teachers' attitudes toward an inclusion education system in United Arab Emirates. The theory of planned behavior …

The Meaning Of Feeling Fearful For New Community/Public Health Nurses, Demetrius Ann Jones

Walden Dissertations and Doctoral Studies

This study examined the meaning of feeling fearful for nurses entering community/public health (C/PH) nursing. Nurses are entering the C/PH workforce with less experience and education than ever before, and may feel afraid or fearful in their jobs. Additionally, the autonomous nature of C/PH nursing poses significant challenges for this population such as fear of isolation and/ or abandonment. Therefore, the purpose of this qualitative descriptive study was to explicate the meaning of feeling fearful for new C/PH health nurses. Ten nurses with up to 2 years of C/PH experience volunteered for this study. The research questions were guided by …

An Exploration Of Efforts To Combat Human Trafficking In A Small Community, Shirley Konneh

Walden Dissertations and Doctoral Studies

Human trafficking is a global crime that violates the rights of people by holding them in captivity and coercing them into sexual slavery or strenuous labor. It has become a growing phenomenon on Cape Cod, Massachusetts with no signs of stopping. Using John Kingdon's work on multiple policy streams as the primary theoretical foundation, the purpose of this case study was to identify the perceived barriers to implementing existing Massachusetts's policies targeting human trafficking on Cape Cod as experienced by social service providers and law enforcement. Data were collected from 6 participants through e-mail interview. These data were inductively coded …

The Effectiveness Of Course-Based Health Education Interventions Towards Increased Physical Activity Among College Students, Jay Morris Martin

Walden Dissertations and Doctoral Studies

Despite the many health benefits, physical activity participation among those between 18 to 24 years is in significant decline during the college-age years. Postsecondary education has been identified as an ideal environment where young adults should be targeted for physical activity participation. However, a limited number of studies have assessed the effectiveness of college-level health education and physical education program interventions to increase physical activity levels among college students. The purpose of this study was to examine current physical activity levels of college age students who have completed a college-level health education course and laboratory to gain a better understanding …