Digital Commons Network^™

Factors Impacting Hiv Post Exposure Prophylaxis Among Health Care Workers, Ulunma Njemanze

Walden Dissertations and Doctoral Studies

Health care workers are at risk of contracting HIV as a result of occupational exposure while treating infected patients. HIV postexposure prophylaxis (PEP) is an effective antiretroviral treatment course used in preventing potential HIV infection following an accidental occupational exposure to HIV. The objective of this cross sectional study was to identify the factors that impact the practice of HIV PEP among health care workers at the National Hospital, Abuja, Nigeria. A cross-sectional survey using self-administered, structured questionnaires was conducted on 182 health care workers at the National Hospital comprising of medical doctors, nurses, and laboratory scientists. A chi-square test …

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 …

Understanding Self-Management Decision Making In Heart Failure, Constance Louise Schumacher

Walden Dissertations and Doctoral Studies

Heart failure patients are responsible for managing fluctuations in symptoms between exacerbations by employing treatment adherence, active monitoring, and management strategies based on expert guidelines. Despite education, delayed help seeking persists among those in the need of acute medical intervention, as evidenced by high hospital admission and readmission rates. The purpose of this qualitative grounded theory study was to explore the decision making processes undertaken by heart failure, community-dwelling individuals as they experience symptom changes. Eighteen face-to-face interviews were conducted with participants who had heart failure and received self-management education from a home care agency in Southern Ontario, Canada. Data …

U.S Marine Corps Veterans' Perceptions Of Screening For Posttraumatic Stress Disorder, Tiffany Lawing Schweitzer

Walden Dissertations and Doctoral Studies

Posttraumatic stress disorder (PTSD) is a serious issue for post-deployment United States Marine Corps (USMC) veterans, especially because PTSD can increase the risk of suicide. Marines are screened post-deployment, yet little is known about Marine veterans' perceptions of the PTSD screening process. The purpose of this phenomenological study was to explore USMC male veterans' perceptions of the Post- Deployment Health Reassessment (PDHRA). The social cognitive theory constructs of a triadic relationship among person, environment, and behavior were the framework for understanding this population's perceptions of the PDHRA and potential stigma. Two research questions focused on how people, culture, and behavior …

Initial Findings Of A Medicare Annual Wellness Visit Program, Hesper B. Nowatzki

Walden Dissertations and Doctoral Studies

Despite the emphasis of benefits on preventive health, many older adults are not receiving the recommended age specific, evidence based screenings and vaccinations. The Medicare Annual Wellness Visit (AWV) is designed to address modifiable risk factors with aging adults and close gaps in care not captured in routine office visits. Although a free Medicare benefit to patients, and a reimbursable service to health care providers, participation in the AWV is low nationwide. The purpose of the project is to introduce an AWV program to a rural health clinic in Northwest Illinois that has a population consisting of over 25% of …

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 …

A Mixed-Methods Study Of Alternate-Route Teachers' Effect On Student Learning, Cassandra Faye Spearman

Walden Dissertations and Doctoral Studies

Due to teacher shortages at the study site, teaching positions in the state that is the focus of this study are filled by alternate route (AR) teachers, who earned bachelor degrees in the fields that were not related to education and received teacher certification through alternative teacher education programs. Because there is limited information about the preparation and performance of AR teachers at the site of this study, the purpose of this sequential mixed methods project study was to explore AR teachers' preparation and their effect on student learning as measured by Northwest Evaluation Association's Measures of Academic Progress/Discovery Education …

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 …

Nurses' Reflection, Compassion Fatigue, And Work Burnout - A Correlational Analysis, Sarah Urban

Walden Dissertations and Doctoral Studies

Compassion fatigue and work-related burnout are harmful reactions to patient situations and work environments that negatively affect nurses' well-being and ability to provide safe, effective patient care. However, research is needed to understand how reflection as a self-care response to patient situations is related to nurses' development of work burnout, compassion fatigue, and secondary traumatic stress, a type of compassion fatigue. The purpose of this correlational, cross-sectional quantitative study was to determine the relationship between hospital-based acute care nurses' levels of reflection and their levels of compassion fatigue, secondary traumatic stress, and work burnout. The study was based on Hentz …

Understanding The Radicalization Process Of U.S. Homegrown Terrorists, Jose Manuel Vargas

Walden Dissertations and Doctoral Studies

Radicalization is an aspect in the development of homegrown terrorists; however, researchers have been unable to establish a path to radicalization, uncover how individual and social factors influence radicalization, and identify how the Internet and social media mediate this process. The purpose of this case study was to explore individual and environmental factors that contribute to the radicalization of U.S. homegrown terrorists and identify interventions. Conversion theory was used to develop an understanding of the radicalization of U.S. homegrown terrorists. Data were derived from interviews of local and state law enforcement, military antiterrorism officers (AT), and security personnel from military …

Relationships Between White Privilege, Organizational Belongingness, Racial Stereotypes, And Motivation To Lead, Scott Alexander Vaughan-Bonterre

Walden Dissertations and Doctoral Studies

Despite changes in the law and efforts by organizational diversity practitioners to expand leadership opportunities for people of color, there is still a sharp contrast in the ratio of white leaders to leaders of color. While much research exists regarding the diversity disparity in leadership, there is little research on factors that influence the motivation to lead. The purpose of this correlational study was to test critical race and leader categorization theories by comparing how the independent variables of white privilege, organizational belongingness, and racial stereotypes affected the dependent variable of motivation to lead of black American versus white American …

Retention Strategies For Reducing Voluntary Turnover In A Higher Education Institution, Susan K. Walker

Walden Dissertations and Doctoral Studies

Employees who choose to leave employment cause significant challenges for organizations. Compounded challenges exist when employee retention strategies are not effective, affecting job satisfaction and personnel replacement costs as the organization continues to lose qualified and valuable staff. This single case study, built on a psychological contract theory framework, was focused on effective employee retention strategies to reduce voluntary turnover in a for-profit, higher education institution located in the Midwestern United States. The population consisted of 12 employees, 6 Student Success employees and 6 Student Success managers, who shared their unique perspectives. Methodological triangulation was achieved through semistructured interviews with …

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 …

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 …

Higher Education Leaders' Transformative Learning And Leadership Experiences Responding To Student Drug Abuse, James Vernon Battin

Walden Dissertations and Doctoral Studies

Today's academic and social environment creates uncertainties, new roles, frequent changes, and challenging situations for student affairs academic leaders. The purpose of this study was to explore how student affairs academic leaders described their recent challenging experiences in addressing student drug abuse in higher education. The conceptual framework was based on adult transformative learning theory and applied transformative leadership perspectives. An interview format with open-ended questions was used to explore the experiences of 8 student affairs leaders who had faced challenging situations in the context of student drug abuse. A qualitative interpretive analysis was used that involved open coding of …

Integration Into A Historically Black University: Transfer And Native Students' Experiences, Zaigham Bokhari

Walden Dissertations and Doctoral Studies

Historically Black Colleges and Universities (HBCUs) receive the highest proportion of transfer students (TS) who encounter unique challenges to academic/social integration such as difficult socioeconomic backgrounds, insufficient support of their families, and limited access to student counseling and career guidance services on campus. The purpose of this study was to improve the understanding of the effects of these challenges on TS. Using the Survey of Native and Transfer Students Integration, the study collected quantitative data on measures of TS academic/social integration and qualitative data on TS personal experiences (n = 150). The results of correlation analyses suggest that (1) academic/social …

The President Management Agenda: An Examination Of Federal Employees' Perceptions, Famane Brown

Walden Dissertations and Doctoral Studies

Gauging the quality of the relationship between federal managers and employees and its impact on organizational performance excellence is a continuing problem for the federal Office of Personnel Management (OPM). President Barack Obama's President's Management Agenda mandated several actions- to respond to the problem. Part of the mandate was to use data from the Federal Employee Viewpoint Survey (FEVS) to gauge the relationship between management and employees and overall performance. The FEVS is a tool that measures employees' perceptions of whether, and to what extent, conditions that characterize successful organizations are present in their agencies. The research question for the …

Familial Factors Predicting Attitudes Toward Domestic Violence In African American Adolescents, Cassandra Clarke-Williams

Walden Dissertations and Doctoral Studies

Teen dating violence is more prevalent among African Americans than any other racial group in the United States leading to serious health consequences for victims. However, limited data exists on how African American adolescents' attitudes and perceptions regarding dating violence are formed, and whether they are influenced by family members. The purpose of this nonexperimental correlational study was to determine whether nonverbal or verbal communication from family members predicted adolescents' attitudes and perceptions toward dating violence. Survey data from 84 African American men and women ages 18 to 24 were collected using the Normative Beliefs About Aggression Scale, the Acceptance …

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 …

Development Of A Graduate Nurse Residency Program In Women's Services, Dinez Diamond Esmail

Walden Dissertations and Doctoral Studies

Graduate nurses' transition from school to the work place is challenging and often leads to burnout. There was no graduate nurse residency program in women's services at the practicum facility. As a result, this facility had been unable to recruit or hire graduate nurses in the women's services unit. The purpose of this project was to develop a nurse residency program in women's services to address the lack of formal orientation for new graduate nurses at this facility. A graduate nurse residency program will provide further training for nurses to care for a more complicated population of pregnant women. Theoretical …

Breaking The Silence: Postpartum Depression Among Reproductive-Aged Women In Akwa Ibom State, Nigeria, Atim Henshaw

Walden Dissertations and Doctoral Studies

Postpartum depression (PPD) is internationally recognized as one of the most prevalent and severe but neglected maternal mental health complications of childbirth. Previous studies have indicated that there is a high burden of disease associated with PPD in both developed and developing countries. However, there remain gaps in the current literature regarding the recognition and management of PPD in remote parts of the developing world. Therefore, the purpose of this study was to understand the perceptions, attitudes, and beliefs of health professionals towards PPD and examine the factors that either facilitated or hindered its recognition and management in a remote …

The Training Deficiency In Corporate America: Training Security Professionals To Protect Sensitive Information, Kenneth Tyrone Johnson

Walden Dissertations and Doctoral Studies

Increased internal and external training approaches are elements senior leaders need to know before creating a training plan for security professionals to protect sensitive information. The purpose of this qualitative case study was to explore training strategies telecommunication industry leaders use to ensure security professionals can protect sensitive information. The population consisted of 3 senior leaders in a large telecommunication company located in Dallas, Texas that has a large footprint of securing sensitive information. The conceptual framework on which this study was based was the security risk planning model. Semistructured interviews and document reviews helped to support the findings of …

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 …

Strategies Used To Retain Talent In The Insurance Industry, Jamie Edward King

Walden Dissertations and Doctoral Studies

Employee engagement levels are critical to organizations that desire to retain a workforce

that innovates, produces positive results, and stays committed to the organization. The

purpose of this single case study was to explore employee engagement strategies used by

business leaders to retain talent. The conceptual framework that guided this study was

Deci's self-determination theory. Data collection occurred through semistructured

interviews with four participants within the insurance industry having three or more years

of management experience and having a positive reputation for engaging employees. The

participating company is located in central Indiana. Participants answered 10 open-ended

questions related to employee …

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. …

Implications Of Small Group Instruction For Overage Secondary Students' Academic Performance, Orlando Ledyard

Walden Dissertations and Doctoral Studies

In a secondary school in a southeastern state a large number of overage students who are at least 2 grade levels behind where they should be in academic terms, have struggled with academic performance and have often dropped out of school. Educational researchers have found that the implementation of instructional interventions is important in meeting the learning needs of these students. The purpose of this bounded case study was to determine educators' perspectives of possible intervention strategies to improve the academic performance of overage students in grades 9 and 10 at the school. Constructivism was used as the conceptual framework. …

Relationship Between Active Learning Methodologies And Community College Students' Stem Course Grades, Cherish Christina Lesko

Walden Dissertations and Doctoral Studies

Active learning methodologies (ALM) are associated with student success, but little research on this topic has been pursued at the community college level. At a local community college, students in science, technology, engineering, and math (STEM) courses exhibited lower than average grades. The purpose of this study was to examine whether the use of ALM predicted STEM course grades while controlling for academic discipline, course level, and class size. The theoretical framework was Vygotsky's social constructivism. Descriptive statistics and multinomial logistic regression were performed on data collected through an anonymous survey of 74 instructors of 272 courses during the 2016 …

A Phenomenological Study On The Leadership Experience Of Teleworking Leaders, Patrice Ann Louie

Walden Dissertations and Doctoral Studies

Technological advances and the desire for employees to improve work-life balance have contributed to the growth of telework. Finding and retaining effective leadership talent are critical needs of organizations. Recruitment and retention of leadership talent can be supported by access to perquisites such as the ability to telework. Although research on teleworking employees in general, and virtual team leaders, can inform the industry, few leadership models exist that specifically help understand what it takes to be a teleworking leader. The purpose of this phenomenological study of teleworking leaders filled this gap by examining the experiences of 12 teleworking leaders with …

Nonprofit Sustainability: How Does Departure Of A Founding Leader Impact Outcomes?, Lauren Mcindoo

Walden Dissertations and Doctoral Studies

There is a high failure rate among local community-based nonprofit human service organizations in New York State, which may lead to service gaps in communities. Increasing sustainability may reduce these gaps and allow nonprofits to continue following the first leadership transition. Using McGregor's human resource theory as the guide, the purpose of this phenomenological study was to explore the relationship between leadership succession planning and how departure of founding leaders impacts the sustainability of nonprofits. Data were collected through interviews with 16 leaders that included departing founding leaders, successors, and 2 board members in 4 local community-based nonprofit human service …