Digital Commons Network^™

Quality Improvement Initiative To Reduce Fall Risk In The Snf, Ramona C. Lancaster

Walden Dissertations and Doctoral Studies

Residents who fall in SNF either sustain significant decline to quality of life or die from their injuries. The average fall costs about $34,000 per incident. On average, 19.8% of residents fall at least once per month. The purpose of this project was to assess, identify, and advance nursing practice to decrease falls by evaluating current facility standard of practice, fall policy, procedures, and protocol. The objective was to create actions that would close the communication gap between clinicians and residents. This project encourages clinicians to intertwine resident feedback and strategies into the plan of care to help reduce fall …

Design And Development Of An Educational Intervention On Nurse Perceptions Of Caring, John S. Norris Iii

Walden Dissertations and Doctoral Studies

Caring is central to the nursing profession and important to patients and family members who expect nurses to display caring attributes. The acute care hospital in this study did not have an education program on caring practices for nursing staff although the organization acknowledged the importance of and need for a culture of caring practices in the organization. The purpose of this project was to design an educational program based on Watsons' theory of caring for registered nurses at the acute care hospital where the project took place. Rosswurm and Larrabee's model for change and Watson's theory of caring were …

Impact Of The Affordable Care Act On The Hiv Care Continuum, Ebere Erugo

Walden Dissertations and Doctoral Studies

People living with human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS; PLWHA) are at increased risk of insufficient medical care due to lack of insurance. Inadequate medical care for PLWHA contributes to increases in HIV transmission rates. The U.S. Surveillance Report noted that in 2015, over 1.2 million people were living with HIV infection, and there were approximately 50,000 new infections every year. The report further stated that about 675,000 people have died from HIV-related illnesses since its discovery in 1981. The implementation of the Affordable Care Act (ACA) in 2014 was intended to provide Americans, including people at …

Factors Influencing African American Women To Undergo/Forego Reconstruction After Mastectomy, Senetta Jean Hunt

Walden Dissertations and Doctoral Studies

The factors associated with the decision of African American women to undergo/forego breast reconstruction after mastectomy has not been well researched. The purpose of this quantitative, correlational study was to determine the extent to which certain factors (age, religion, confidence level, and education) were associated with the decision to forgo or undergo breast reconstruction after mastectomy among African American women. Using the social-cognitive theory as the framework, the study focused on the decision-making process regarding breast reconstruction after mastectomy among African American women in Florida. The research questions for this study were to determine to what extent age, religion, confidence …

Psychotherapists' Experiences Utilizing The New Posttraumatic Stress Disorder Diagnostic Criteria In Dsm-5, Linda Jacobus

Walden Dissertations and Doctoral Studies

The fifth and most recent edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), has presented revised diagnostic criteria for posttraumatic stress disorder (PTSD). The impact of the new diagnostic criteria upon the day-to-day experiences of mental health professionals, including diagnosis, treatment, and insurance billing has remained unclear. Using the adaptive information processing model as a theoretical framework, this multiple case study explored how licensed clinicians experienced utilization of the revised diagnostic criteria for PTSD. Fifteen mental health practitioners who had experience in the treatment of clients presenting PTSD symptoms were interviewed. Data from participant interviews were analyzed …

The Role Of Humility In Promoting Forgiveness Through Expressive Writing, Henrika M. Marshall-Youquoi

Walden Dissertations and Doctoral Studies

Forgiveness is an important characteristic of a healthy relationship. Several factors have been shown to be connected to forgiveness, but other factors may play a significant role in the forgiveness process. Little is known about how humility affects forgiveness in the context of an interpersonal conflict. Expressive writing, when combined with humility, may help counselors and other mental health providers in understanding how to better foster forgiveness among individuals and help them cope with stressful events and relational problems. The primary purpose of this study was to examine whether expressive writing involving humility regarding a minor offense leads to increased …

Paraprofessional Implementation Of Evidence-Based Practices For Special Education Students, Esther Bubb-Mckinnie

Walden Dissertations and Doctoral Studies

Paraprofessionals often constitute the primary support system for special education students and are core members of special education instructional teams. Therefore, the Individuals With Disabilities Education Act requires that paraprofessionals receive adequate training, including training in evidence-based practices (EBP). However, paraprofessionals often do not obtain the training and professional development they need to become qualified. The unpreparedness of paraprofessionals may lead to discouraging student outcomes. Informed by social constructivism, the purpose of this exploratory case study was to understand the perspectives of 6 special education administrators, 5 special education teachers, and 1 special education paraprofessional on paraprofessionals' implementation of EBP …

Predictors Of Job Satisfaction Among County Jail Correctional Officers, Richara Simmons

Walden Dissertations and Doctoral Studies

Job satisfaction among jail correctional officers is important because it ensures the continuity of officers who can promote and maintain a safe environment inside the jail for all staff and inmates. Most job satisfaction studies on correctional officers, however, are focused on prison officers and not county jail officers. The purpose of this correlational study was to test and extend Herzberg's Motivation-Hygiene theory by exploring job satisfaction and motivation among jail correctional officers in Miami-Dade Florida. Survey data were collected from 149 correctional officers using Specter's (1994) Job Satisfaction Survey. Data were analyzed through correlational and multiple regression analyses. Findings …

Careers In Stem Begin With Elementary Student Interest In Mathematics, Linda Ertrachter Brimmer

Walden Dissertations and Doctoral Studies

I investigated why math capable students are not entering science, technology,

engineering, and math (STEM) careers. To research the problem, I explored how highly

effective elementary math teachers (HEMT) create student interest in mathematics using the self-

efficacy (SE) theory and information and communication technology (ICT). The purpose

of the study was to discover if teacher training and instructional strategies can influence

student interest in mathematics to improve STEM career entry. The theoretical

framework adopted for this study was the SE theory, and the 4-phase model of interest

development was the conceptual framework. Participants in this multi-case qualitative

study included …

An Anova Analysis Of Education Inequities Using Participation And Representation In Education Systems, Bruce Jerome Carter

Walden Dissertations and Doctoral Studies

A problem recognized in the United States is that a K-12 public education in urban communities is more likely to support existing patterns of inequality than to serve as a pathway to opportunity. The specific focus of this research was on the poor academic performance in U.S K-12 urban communities. Using Benet's polarities of democracy theory as the foundation, the purpose of this correlational study was to determine which independent variables, enrollment rates, high school graduation rates, property tax funding rates for schools, teacher quality, and youth literacy rates are- statistically associated- with quality education outcomes by using the polarities …

Using Multi-Theory Model To Predict Low Salt Intake - Nigerian Adults With Hypertension, Christine Adekemi Dokun-Mowete

Walden Dissertations and Doctoral Studies

Hypertension is a chronic non-communicable disease and a major risk factor for cardiovascular diseases, renal malfunction, disability, and premature death. One of the public health recommendations for the management of hypertension is the reduction of sodium/salt intake. There is need to develop and implement new evidence-based theoretical interventions to initiate and sustain behavior change in health education and promotion. Therefore, the quantitative cross-sectional method and design was used to investigate the adequacy of multi-theory model (MTM) constructs for the initiation and the sustenance of low sodium/salt intake behavior in hypertensive Nigerian adults. In addition, the impact of the MTM (initiation) …

Clinical Social Work With Underserved Persons In Colorado In An Integrated Healthcare Facility, Trisha Sue Goetz

Walden Dissertations and Doctoral Studies

There is significant documentation showing that health disparities experienced by underserved persons can be mitigated through the provision of quality integrated healthcare. This research project was grounded in social support theory and how support influences improvements in physical, psychological, and overall health. Social workers in integrated healthcare are in a unique position to be the source of social support for individuals experiencing health disparities, yet there is little research concerning how these social workers are providing services and how they affect health outcomes. This research addressed gaps in the literature concerning social worker roles in order to improve integrated healthcare …

Policing The Mentally Ill In Coronado, Ca, Jennifer Susan Ayres

Walden Dissertations and Doctoral Studies

The growing number of individuals suffering from mental illnesses and their inability to access intervention methods has adverse effects on the criminal justice system. These impairments increase the likelihood that police officers will have negative attitudes about persons with mental illnesses. This study sought to understand whether police officers' empathy, education, experience outside of work as well as on the job, and officers' training in the field of mental health all related to police officers' attitudes relating to persons with mental illness. The purpose of this study was to expand the body of knowledge and determine how factors such as …

Strategies For Implementing Advertisements In The Green Industry, Ashley Deal Castle

Walden Dissertations and Doctoral Studies

After a growth in sales of 30% from 2007 to 2010, green product market sales declined 2% from 2010 to 2014 in the United States. Business leaders need to incorporate sustainable business practices and use green messaging within advertisements and marketing campaigns to assure that present needs do not compromise the ability of future generations to meet their needs. This qualitative case study explored marketing strategies that business leaders in the green advertising industry use to increase the sale of green products. The social cognitive theory was the conceptual framework used in this study. In-depth interviews with 5 purposively selected …

Effect Of Leadership Development Programs In The Workplace: Strategies For Human Resource Managers, Daniel Francisco Flores

Walden Dissertations and Doctoral Studies

Business leaders face the challenge of developing their employees to assume leadership positions within their organizations. However, business leaders devote less than 10% of their time to developing employee leadership capabilities through leadership development programs, resulting in poor leadership development programs designed to prepare employees to assume leadership positions. Using transformational leadership theory, the purpose of this multicase study was to explore strategies that human resource managers use to improve their employee leadership development programs. Participants were purposefully selected for their experience improving employee leadership development programs in organizations in Silicon Valley. Data were collected via semistructured interviews over Skype …

Strategies Used By Military Spouse Small Businesses During A Military Relocation, Sandra Dee Heredia

Walden Dissertations and Doctoral Studies

There are over 615,000 women military spouses and 1,786 known military spouse business owners who relocate every 2 to 3 years to follow their active duty spouse. The research problem addressed was the lack of strategies military spouse small business owners used to sustain their business during a mandatory military relocation. The purpose of this multiple case study was to explore the strategies that 5 women military spouse small business owners, located near Shaw Air Force Base or Fort Jackson, South Carolina, used to sustain their businesses during a relocation. The sampling method used was census sampling. The systems theory …

Developing Generation Z Fast Food Service Industry Leaders Through Training, Christa Hollis

Walden Dissertations and Doctoral Studies

The labor force consists of 4 generations including Generation Z with an estimated 25 million Baby Boomers leaving the workforce between the year 2010 and 2020. Franchise fast food service managers desire competent leadership in the workplace inclusive of Generation Z. Yet, many franchise fast food service managers do not have training programs to develop Generation Z's leadership behaviors. Based on Vroom's expectancy theory and Blau's social theory, the purpose of this single-case study was to explore the training programs franchise fast food service managers could implement to develop Generation Z's leadership behaviors. Data collection consisted of direct observation and …

Strategies For Reducing Employee Stress And Increasing Employee Engagement, Kumar G. Subramaniam

Walden Dissertations and Doctoral Studies

Stress inside and outside of work affects employee productivity. In 2013, the estimated impact of employee absenteeism on U.S. businesses was $225 billion per year through reduced efficiency, overtime wages, fixed fringe benefits, and the cost of replacement employees. Based on the social exchange theory and the theory of planned behavior, the purpose of this qualitative single case study was to explore the strategies that HR leaders in a single organization used to reduce employee disengagement caused by stress. Using semistructured interviews, data were collected from 12 HR leaders and line managers within a single healthcare organization in eastern Tennessee. …

The Barriers And Quality Of Care Issues For Individuals Diagnosed With 22q11.2 Deletion Syndrome, Barbara Bavette Miller

Walden Dissertations and Doctoral Studies

Individuals diagnosed with 22q11.2 deletion syndrome (22q) have many barriers and quality of life issues associated with the condition. Without an obvious anomaly, affected individuals may live years without a proper diagnosis. The purpose of this qualitative case study research was to explore perceptions of caregivers of individuals with 22q. Uncertainty in illness theory was used as it describes the inability to find answers with unpredictable medical issues. The central research question focused on at how challenges associated with a 22q diagnosis are addressed. Interviews were conducted with 10 caregivers. Guided by the uncertainty in illness theory, data analysis was …

Spiritual Well-Being, Intelligence, And Job Satisfaction Among U.S. Federal Employees, Jesse Earl Moore

Walden Dissertations and Doctoral Studies

Until a slight 1% increase in FY2015, job satisfaction within the United States federal government had decreased between 2010 and 2014. However, even with the slight increase, the job satisfaction level was low which presents a cause for concern for federal government agencies. A growing body of research has indicated that employees are looking for ways to express their spiritual essence in the workplace. Research in this area has suggested that when organizations allow their employees to exercise their spiritual essence in the workplace it not only increases job satisfaction for the employee but also increases job performance. This study …

Effectiveness Of A 10-Week Weight Reduction Program In A Retail Clinic, Love Chibuihe Nzeako

Walden Dissertations and Doctoral Studies

Obesity is a serious health problem that leads to several chronic diseases and premature deaths. TheIn this project,was used to evaluate the effectiveness of the the Weigh Forward (WF) program, a 10-week weight-loss program administered in retail clinics, was evaluated, and it is provided in retails stores. The project analysis was completed on a limited data set on The population consisted of 15 obese participantsmembers of the program, 18 years and above, at 13 dispersed clinics in Maryland and Virginia.in the WF program from 13 dispersed clinics in Maryland and VirgiObesity is a body mass index (BMI) > 30 kg/m2. Participants …

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 …

Effect Of Self-Determination, Motivation, And Dispositional Optimism With Physical Therapy In Geriatric Patients, Leslie Yaneth Urias-Bodnar

Walden Dissertations and Doctoral Studies

Older people are frequently faced with physical conditions that require treatment. A better understanding of the components of engagement relating to the outcomes of treatment was the focus of the study. The purpose of this quantitative study was to examine whether there was an association between the independent variables of optimism, pessimism, motivation, and self-determination and their impact on the dependent variable of achieving physical activity goals in 86 geriatric patients, ages 65 to 80 receiving physical therapy services. The theoretical framework of self-determination, motivation, optimism, and pessimism was assessed by using two self-report questionnaires, The Self-Determination Scale and The …

Coping And Work-Related Correlates Of Burnout For Counselors Of Sex Offenders, Sonya A. Adams

Walden Dissertations and Doctoral Studies

Burnout affects mental health workers both personally and professionally. Identifying variables that lead to burnout, such as poor coping skills, may assist organization in preventing burnout among mental health workers. Most researchers studying burnout in the mental health field have focused on human service workers in general. There is a gap in the literature concerning job burnout among counselors of sex offenders. The theory of cognitive appraisal and coping was the theoretical foundation for this study. The purpose of this quantitative study was to examine whether problem-focused coping and emotion-focused coping, genders, years of experience, and caseload size predict job …

Diabetes Self-Management Problems Of Older, Low-Income African American Women, Pearlean Day Day

Walden Dissertations and Doctoral Studies

Type 2 diabetes disproportionately affects low-income African American women, age 50 years and older: 30% to 40% of this population has this chronic disease. Two significant factors affecting poor diabetes practice adherence are food insecurity and depression; another is obesity. The purpose of this quantitative correlational study was to determine if either food insecurity or depression significantly affect Type 2 diabetes self-management practices; and/or if food insecurity significantly influences practice adherence indirectly, through the mediator of depression, while controlling for obesity. The research questions were aligned with the theoretical pathways posited in Matthews's reserve capacity model (RCM) and used the …

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 …

Behavioral Impacts Of Father Absence On Middle School African American Boys, Ivy J. Johnson

Walden Dissertations and Doctoral Studies

Father absence is the experience of children who grow up in households without their biological father. The African American population experiences the highest level of father absence of all demographic groups in the United States. Research shows that father absence influences school behavior. There is a lack of literature evaluating the extent to which father absence affects children, particularly African American boys, at different stages of development. This quantitative study was used to evaluate how father absence affected school behavior of African American boys, ages 13-15, in the middle school setting, in Houston, TX. Guided by attachment theory, the research …

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 …

Team Member Selection Strategies, Robert Carl Stewart

Walden Dissertations and Doctoral Studies

Business teams have been losing millions of dollars every year in cost and schedule over-runs from incomplete or failed projects. The purpose of this single case study was to explore the strategies that business managers use to determine team fit when selecting employees for assignment to cross-functional project teams. The participants for this study were 3 senior management personnel and a 6-member employee focus group, all from midsized, nonprofit organizations located within 200 miles of the tri-state region of Delaware, Maryland, and Virginia. The conceptual framework for this study was Werbel and Gilliland's theory of person-group fit, McCrae's and John's …