Digital Commons Network^™

Consequences Of Community Water Fluoridation Cessation For Medicaid Eligible Children And Adolescents, Jennifer Meyer

Walden Dissertations and Doctoral Studies

Oral health impacts general health and well-being throughout the lifespan. Recent trends in the United States towards cessation of community water fluoridation (CWF) may increase disparities in oral health. The purpose of this quantitative retrospective cohort study was to analyze Medicaid dental claims records for caries related procedures among 0 to18-year-old patients during an optimal CWF year 2003 (n = 854) and compare them to claims records from 2012 (n = 1,053), 5 years after CWF was ceased. The theoretical framework of this study was the diffusion of innovations theory. Statistically significant results included higher mean number of caries related …

Lived Experiences Of Secondary Victims During The Parole Process: A Phenomenological Approach, Jessica Millimen

Walden Dissertations and Doctoral Studies

Secondary victims of traumatic violent crimes are subject to continuing the process of fighting for the loved ones they have lost. Once the offender is incarcerated, such victims may still have to face the process of parole if the offender has been granted a possibility of parole after years served. There is a gap in the literature and a need for research in the area of lived experiences for secondary victims as they progress through the parole process. For this study, a phenomenological study was utilized with 10 secondary victim participants. Participants were interviewed questions via telephone and the data …

Creating Leadership Efficacy Through Digital Media In The Electricity Supply Industry, Kenny Moodley

Walden Dissertations and Doctoral Studies

Business leaders lack transformational leadership strategies to promote the use of digital communication in the electricity supply industry. The purpose of this multiple case study was to explore transformational leadership strategies to promote the use of digital communication to mitigate electricity-related shutdowns and other electricity-related product recalls. The conceptual framework for this study aligns with general systems theory. The participants recruited in the study were business leaders, key account electricity consumers, and electricity consumers located in Johannesburg, South Africa. The rationale for the target population was their success in implementing transformational leadership strategies to promote the use of digital communication …

Predictors Of Human Papillomavirus Vaccination In Georgia, Ashley Nash

Walden Dissertations and Doctoral Studies

Although the human papillomavirus (HPV) vaccine has been approved by the Federal Drug Administration (FDA) and is available for males and females, completion of the 3-shot series in Georgia remains relatively low. The purpose of this study was to examine the predictors of HPV vaccination initiation and completion for male and female adolescents, ages 13 to 17 years old, in Georgia between 2013 and 2015. The theoretical foundation of the study was the structural model of health behavior which is an ecological model. Logistic regression was performed to determine if there was any relationship between the independent variables of parental …

Translating Evidence Of Skin-To-Skin And Rooming-In To Practice, Francisca Njoku

Walden Dissertations and Doctoral Studies

The old practice of separating the mother-baby-dyad was without measurable benefits to mothers or their infants. Evidence has shown that skin-to-skin care (SSC) prevents hypothermia and hypoglycemia, decreases crying during painful procedures in newborns, and reduces maternal anxiety, stress, and postpartum depression. Rooming-in care (RIC) has been linked to an increase in the rate of breastfeeding and mother-infant interaction, as well as a decrease in the infant morbidity rate. This project assessed the effect of an educational intervention to increase rates of SSC and RIC in an obstetric unit, in addition to measuring nurses' attitudes and barriers in relation to …

Strategies To Mitigate Losses From Product-Harm Crises In The Agri-Food Industry, Leslie Owen Paull

Walden Dissertations and Doctoral Studies

Some agri-food managers of United States-based companies use strategies to mitigate product-harm crises.The loss of brand and corporate sustainability increases for companies not utilizing mitigating strategies to reduce losses from agri-food product-harm crisis.The purpose of this multiple case study was to explore the strategies managers use to mitigate losses from agri-food product-harm crises. Coombs' situational crisis communication theory served as the conceptual framework for this study. A sample of 3 managers from 3 agri-food companies in the southern United States shared their mitigating strategies to reduce losses from a product-harm crisis. Methodological triangulation assisted in reviewing and analyzing information from …

Engaging A Multigenerational Workforce, Schnarda R. Robinson

Walden Dissertations and Doctoral Studies

The U.S. Office of Personnel Management reported the productivity levels of the American multigenerational workforce decreasing as leaders strive to actively engage employees to improve organizational output. The purpose of this qualitative single case study was to explore what leadership strategies federal government managers use to engage a multigenerational workforce. The conceptual framework consisted of Kahn's employee engagement theory and Strauss and Howe's generational cohort theory. The sample consisted of 3 federal government managers within metro Atlanta, Georgia who had successfully managed a multigenerational workforce, demonstrated through the feedback they received from their employees. Data were collected using face-to-face semistructured …

The Experiences Of African American Women Participating In Church-Based Weight Loss Programs, Mangle L. Shanks

Walden Dissertations and Doctoral Studies

While obesity is a nationwide phenomenon, African Americans - especially women - continue to be more severely affected than any other ethnic group. According to the Centers for Disease Control and Prevention, over 20% of African American women are obese compared to 15.6% of Caucasian women. The church is an important community center for many African Americans, and is often a site for health promotion programs, though little is known of the effectiveness of these programs. The purpose of this qualitative study was to study the experiences and attitudes of African American women who have gone through a church-based weight-loss …

An Analysis Of Teachers' Perceptions Of Bullying At The Elementary School Level, Tiffany Wilson Thomas

Walden Dissertations and Doctoral Studies

Teachers in elementary schools are often faced with countless disruptive bullying behaviors, which cause them to lose valuable classroom instruction time. In addition, bullying victims have shown a decline in academic success as compared to students who are not bullied. The purpose of this qualitative bounded case study was to explore teachers' understanding and awareness of bullying behaviors and policies at the elementary school level, particularly in an elementary school in a southeastern state that has experienced large increases in student disruptive behavior over the past 2 school years. Bandura's social cognitive theory served as the conceptual framework. Semi-structured interview …

Lived Experiences Of Mothers Returning To Work After A Child-Rearing Hiatus, Brenda Marceline Yahraes

Walden Dissertations and Doctoral Studies

Mothers who leave the workforce to raise children may face personal and professional difficulties when returning. There was a lack of qualitative research on what these women experience in their return to work. The purpose of this study was to discover and describe how a mother in a professional or managerial position experiences a return to the workforce after a hiatus of 2 or more years to raise children. The philosophy of Husserl and the methodology of Moustakas guided this transcendental phenomenological study. Through purposive snowball sampling, 12 women participated in semistructured interviews. Data analysis followed the Stevick-Colaizzi-Keen method leading …

Emotional Eating In The Work Place: The Eating Patterns Of Mental Health Workers, Carly Rene Zies

Walden Dissertations and Doctoral Studies

More than a third of all adults in the United States are considered obese. Due to the high costs of health care for obese adults and children, obesity has become a national health crisis. Many government programs have been developed to curtail obesity in adults and children. Unfortunately, there has only been limited success. Past research has shown that obesity has been linked to stress and eating while stressed. Emotional eating occurs when individuals respond to certain emotions, such as stress, by eating to cope with the emotion. Research has shown a correlation between nursing and disordered eating. Given the …

The Impact Of An Online, Mastery, And Project-Based Developmental Math Curriculum On Student Achievement And Attitude, Steven Ray Zollinger

Walden Dissertations and Doctoral Studies

Due to anxiety, low confidence, and inadequate content knowledge, many college students struggle to complete their developmental math coursework. As colleges redesign their programs to address these issues, careful research is imperative to determine the factors that best meet the needs of these struggling students. The purpose of this study was to analyze the impact of one college's redesigned program (integrating online, mastery, and project-based learning) compared with the traditional program. Using Weiner's attribution theory of achievement motivation and emotion as a guide, this mixed methods case study used a quasi-experimental nonequivalent control group design in conjunction with a qualitative …

Nurse Practitioners' Guide On Consumption Of Hundred Percent Fruit Juice By Children, Monisola Adeyemo

Walden Dissertations and Doctoral Studies

Childhood obesity has reached an epidemic level in the United States, growing exponentially and posing a great risk to the current and future health of the American people. The trend of increasing incidence of overweight and obesity in children has been occurring for decades; there is a need for multimodal preventative solutions to control the rate of growth. Sufficient evidence has shown a correlation between the feeding of 100% fruit juice to infants as dietary supplements and childhood obesity. Therefore, the purpose of this project was development of a guideline for 100% fruit juice feeding in children that is adaptable …

Sustainable Supply Chain: Maintaining A Competitive Advantage In Retail Organizations, Sherman M. Arthur

Walden Dissertations and Doctoral Studies

Some retail managers encounter challenges with efficiency and responsiveness in their attempts to gain and maintain a competitive advantage in the retail industry. Many retail managers are receptive to changes in global markets, technology, and customer demands. The purpose of this qualitative single case study was to explore the strategies that some retail managers used to motivate their sales associates to maintain a competitive advantage in the retail industry. Maintaining a competitive advantage increases profitability and customer satisfaction. Sustainable Supply Chain Management was the primary conceptual framework for this study. The purposive sample consisted of 4 retail managers from a …

Restaurant Management Strategies To Comply With Food Safety Regulations, Dr. Carlos Juan Calcador

Walden Dissertations and Doctoral Studies

The recent economic crisis in Puerto Rico has created decreased health department fiscal capabilities, adding more responsibilities to health department officials in charge of restaurant inspections without adding more operational funds, which in turn led to less regulatory capacity. This situation instigated increased food safety regulation violations, and food safety legislation changes, imposing more economic pressure to restaurant owners, which leads to a lack of restaurant sustainability. The purpose of this case study was to explore strategies six business visionaries, smart entrepreneurs, who have positioned themselves as successful restaurateurs, in the restaurant industry in Puerto Rico. They were key factors …

Violence Against Nurses, Terri Lynne Declerck

Walden Dissertations and Doctoral Studies

Workplace violence against nurses causes stress, job dissatisfaction, injury, and financial burden. The purpose of this project was to examine training for nurses on violence, risk factors and on reporting workplace violence. The practice-focused question was designed to examine the effectiveness of educating nurses regarding violent patients and how to report episodes of violence. Benner's novice to expert theory guided the skill acquisition training of a convenience sample of 25 Midwestern medical nurses. The nurses participated by completing a survey prior to and following a violence simulation. A qualitative design was used with the 25 nurse participants who completed the …

Leadership Strategies For Developing And Implementing Organizational Change, Hardy L. Delay Iv

Walden Dissertations and Doctoral Studies

Leaders in some narcotics treatment programs struggle with change development and implementation. The objective of this single-case study was to explore strategies used by leaders in a narcotics treatment program to develop and implement organizational change initiatives successfully. Participants included 4 leaders who had developed and implemented successful change initiatives repeatedly for more than 10 years in a narcotics treatment program in the southeastern United States. Bertalanffy's general systems theory was the basis for the conceptual framework. Data collection included semistructured interviews of leaders of a narcotics treatment program and collection of archival data, such as reports relating to strategic …

Marriage Dissolution In The Active Duty Air Force, Mark Edelstein

Walden Dissertations and Doctoral Studies

With the advent of the Global War on Terror in 2001, more than 2 million troops have deployed in support of contingency operations throughout the world. During this time, the divorce rates have increased throughout the military, hitting an all-time high in 2011, and dropping slightly thereafter. Enlisted members on active duty in the United States Air Force exhibited a higher rate of divorce than did their counterparts in any other branch of military service. At present, the reasons for the heightened Air Force divorce rates are still unknown. Perhaps more importantly, research has not identified which specific subgroups within …

Postsecondary Instructor Attitudes Toward Tablet Use For Collaboration And Critical Thinking Development, Jerry Hubbard

Walden Dissertations and Doctoral Studies

Although research has identified critical thinking (CT) as an objective of higher education, limited quantitative research has focused on how postsecondary instructors view using handheld devices for classroom collaboration to support CT. There are studies examining how the use of tablet technologies influence collaborative learning (CL), showing a link between CL and CT, and connecting CT to academic achievement. However, understanding how instructors perceive the intersection of these factors has not been well studied. Applying Vygotsky's social cognitive theory as a foundation of CL, using adapted questions from two questionnaires (Technology Acceptance Model and Cooperative Learning Implementation) and two frameworks, …

Mitigating Underage Marriage Of Girls In Bo Town, Sierra Leone, Anne-Marie Kumba Kamanda

Walden Dissertations and Doctoral Studies

The underage marriage of girls (UMG) practice by some parents continues to occur in Bo Town, Sierra Leone, and it is a problem. Regardless of the negative consequences, parents continue to marry off their young girls who become wives of rebels and participate in the civil war. The purpose of this qualitative case study was to explore the perceptions of adult women between 18 and 24 who experienced child marriage, parents who married off their young girls, and community leaders to understand why the UMG persisted in Bo Town. The theoretical frameworks used in this study were the social cognitive …

Implementation Variables Of Corporate Social Responsibility In The Financial Services Industry, Gregoire Kokomo

Walden Dissertations and Doctoral Studies

Abstract

Seventy percent of small and medium-sized U.S. companies experience negative performance because of leaders' lack of knowledge of corporate social responsibility (CSR) program implementation. CSR implementation is complex and requires organizational resources such as expertise, personnel, time, and money. Implementing CSR programs is challenging for many leaders. Research on CSR implementation in the U.S. financial services industry is scarce, and leaders of financial services firms do not have a clear understanding of how to make CSR implementation successful. The purpose of this study was to explore optimal strategies for making corporate social responsibility program implementation effective. The central research …

Employee Job Satisfaction And Employees' Voluntary Turnover Intentions (Vtis), Bridgette Larkin-Perkins

Walden Dissertations and Doctoral Studies

Within the U.S. sales industry, organizational productivity has decreased due to employee job dissatisfaction and increased voluntary turnover intentions (VTIs). Some leaders in the industry lack knowledge about the relationship between intrinsic and extrinsic job satisfaction, and the negative effect on employees' VTIs. The purpose of this correlational study was to examine whether intrinsic and extrinsic job satisfaction significantly predicted retail sales employees' VTIs. The Minnesota Satisfaction Questionnaire (MSQ) and the Turnover Intentions Scale (TIS-6) were used to collect data from full- or part-time employees in the U.S. retail sales industry. The theoretical framework was based on Herzberg's motivation-hygiene theory. …

Developing And Maintaining Online Romantic Relationships, Corrina Lowe

Walden Dissertations and Doctoral Studies

The Internet has become the one of the most used ways for individuals of both sexes to meet potential mates. The purpose of the grounded theory study was to gain an understanding of the stages of development of an online romantic relationship and the motivations that impact the progression and the maintenance of relationships through asking individuals who have experienced the phenomenon about their experiences. Social penetration model, social learning theory, and the stimulus- role-value theory guided the study. Four samples of convenience were used to obtain the 20 participants, including the Walden University participant pool, 2 local universities, Match.com …

Survival Strategies For Small Independent Full-Service Restaurants, Haitham Nizam

Walden Dissertations and Doctoral Studies

Small businesses play a vital role in the modern economy. They represent the main catalyst for economic development. However, small businesses fail at a high rate, especially small independent restaurants. Around 25% of small independent restaurants fail within the first year of operation, and around 60% do not survive for more than 3 years. The purpose of this multiple case study was to explore what strategies small independent full-service restaurant owners in the Al Rehab District, Cairo, Egypt implemented to sustain operations for more than 5 years. The restaurant viability model provided the conceptual framework for this study. The population …

Multigenerational Financial Values: Differences Between Leaders In The Workplace, Terrence S. Ransom

Walden Dissertations and Doctoral Studies

Company leaders in the workplace represent all generations with diverse values, and those values influence their financial decisions in the workplace. The problem is that multigenerational company leaders and their employees possess different values from one another, which in turn creates different financial priorities for the company. The purpose of this qualitative study was to gain a better understanding of how the financial values of company leaders from different generations are developed, and how those values influence their financial decisions in the workplace. The key research question for this qualitative study examined how the financial values and decisions of company …

The Lived Experiences Of Low Income Parents Of Children With Autism, Renee L. Sullivan

Walden Dissertations and Doctoral Studies

Previous studies indicated that parents raising children with autism (CWA) experience higher rates of stress; however, no qualitative studies have addressed low-income parents' lived experiences of raising CWA. The purpose of this hermeneutic phenomenological study was to understand the challenges that low-income parents of CWA face daily within the framework of family systems theory and biopsychosocial theory. Research questions focused on the impact of income and the core symptoms of autism (social deficits, communication deficits, and repetitive behaviors) on marital and interpersonal relationships. Semistructured interviews with 13 parents were conducted, and transcripts were analyzed for themes using a 4-step process. …

From Combat Veterans To Criminals: Posttraumatic Stress Disorder And Criminal Justice Involvement, Jolene M. Van Nevel

Walden Dissertations and Doctoral Studies

Posttraumatic stress disorder (PTSD) is currently known as the silent killer among combat veterans who have served in Operation Iraqi Freedom, Operation Enduring Freedom, and Operation New Dawn. Many combat veterans do not know or understand that they may be suffering from mental illness/disorders such as PTSD and turn to maladaptive behavior, resulting in criminal justice involvement (CJI). The goal of this study was to assess a relationship between PTSD and CJI among combat veterans. This study used cognitive behavior theory to understand the relationship between PTSD, CJI, and combat. This study used a predictive correlational design and statistical analysis …

Barriers To Membership In A Professional Organization For Advanced Practice Nurses, Kesha Renee Walton

Walden Dissertations and Doctoral Studies

Professional organizations offer nurses services and resources for professional growth throughout their careers; yet, membership has declined over the past 10 years. Accordingly, this study was to understand the barriers in membership and identify positive changes that will increase membership and retain members. A quantitative descriptive design was employed within a convenience sample of 150 advanced practice registered nurses (APRNs) who were past or nonmembers of a professional organization. Exchange theory was applied and the Professional Association Membership Questionnaire (PAMQ) was administered to assess the barriers to APRNs participating in a specific professional organization. Statistical analysis included mean scores for …

Impact Of Social Support Networks On Level Of Stress And Self-Esteem Among Canadian Immigrants, Jackie Williamson

Walden Dissertations and Doctoral Studies

Immigration may be an effective survival strategy for individuals from countries involved in war or political unrest.However, the immigration process may exacerbate a number of physical and psychological health symptoms. There are limited data on the health status of new Canadian immigrants, and some social support networks are not formally connected to settlement programs.The purpose of this cross-sectional quantitative study was to assess the level of stress and self-esteem of 400 recent and older immigrants in Canada, and to investigate the impact of social support networks on the mental well-being of recent immigrants.Cultural care and general adaptation theory provided the …

Barriers To Preventive Healthcare For Immigrants In Michigan, Sondos Ghazi Al-Hachim

Walden Dissertations and Doctoral Studies

The Affordable Care Act expanded insurance coverage to the general population; however, expanding insurance coverage to immigrants might not be sufficient to improve utilization of annual physical preventive exams. This study evaluated adult Michigan immigrants' individual demographics, perceptions, and behaviors, as well as the collective cultural and system characteristics that might act as barriers to the utilization of annual physical preventive exams. Ken Wilber's integral operating system model for medicine conceptual framework was used to create a comprehensive map of factors and bring more clarity and understanding to the barriers to annual physical preventive exam. The quantitative survey was the …