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Implementation And Evaluation Of Dietary Modification With Gestational Diabetes, Celia T. Ojeaga Jan 2016

Implementation And Evaluation Of Dietary Modification With Gestational Diabetes, Celia T. Ojeaga

Walden Dissertations and Doctoral Studies

Gestational diabetes mellitus (GDM) negatively affects the health of both mothers and babies, and is the most common pregnancy complication in the United States. Many dietary modification programs for pregnant women diagnosed with GDM rely on a one-size-fits-all approach to menu planning. The purpose of this project was to develop a diet modification program for GDM management using a patient-centered approach. The project objective was to develop the policies, procedures, and supporting documents needed to implement a successful GDM management program for pregnant women receiving antenatal care at an obstetrical clinic. The developed program incorporated strategies for clinic nursing staff …


Applying Costing Models For Competitive Advantage, Sheila Petcavage Jan 2016

Applying Costing Models For Competitive Advantage, Sheila Petcavage

Walden Dissertations and Doctoral Studies

Making good supply management decisions is essential to competing in the global market, as these decisions often account for more than 60% of the average company's total costs. The purpose for this single case study was to explore the strategy that a large manufacturing firm in northeast Ohio used to identify costs when making effective purchasing decisions. The total cost of ownership (TCO) theory was the conceptual framework for the study. The data collection included a semistructured interview with a senior level supply manager and a focus group consisting of mid-level supply managers. Member checking provided verification of the interpreted …


Facilitators And Barriers To Physical Activity Among People With Spinal Cord Injury, Laura Nicole Richardson-Smith Jan 2016

Facilitators And Barriers To Physical Activity Among People With Spinal Cord Injury, Laura Nicole Richardson-Smith

Walden Dissertations and Doctoral Studies

Research has shown that people with physical disabilities are at risk for developing secondary health conditions. Many of these secondary health conditions may be reduced by engaging in physical activity, yet people with physical disabilities are less likely to participate in physical activity. Information gaps remain regarding facilitators and barriers to physical activity. The purpose of this phenomenological study was to understand the experiences with physical activity among adults with a spinal cord injury (SCI). Research questions asked were about exercise experiences, barriers and facilitators, and the role of the natural and social environment. The theoretical framework used was the …


Knowledge Sharing Intentions In Wholesale Distribution Organizations, Andrew E. Roth Jan 2016

Knowledge Sharing Intentions In Wholesale Distribution Organizations, Andrew E. Roth

Walden Dissertations and Doctoral Studies

Millions of American employees are eligible to retire through 2026, which may contribute to lowered organizational performance stemming from the resultant void in knowledge. Increasing knowledge sharing (KS) among organizational members may improve employee efficiency and company performance, and therefore may be of value to wholesale distribution leaders. Although researchers have suggested that sense of self-worth, subjective norms, and attitudes influence employees' inclinations to share knowledge, researchers have not analyzed the relationships between a subset of predictor variables and KS intentions in wholesale distribution organizations. The purpose of this correlational study, grounded in the theory of planned behavior, was to …


How To Help Students Develop Projects Independently For Self-Directed Learning, Evelyn Kerstein Sears Jan 2016

How To Help Students Develop Projects Independently For Self-Directed Learning, Evelyn Kerstein Sears

Walden Dissertations and Doctoral Studies

Experiential learning in adult education is on the rise. A small private college in the southeast United States initiated a program that required 3 experiential learning projects to be completed in addition to coursework. The problem was that less than 8% of students had independently developed their first project. Instead, they completed a project proposed by faculty. This situation resulted in student dependency on faculty rather than promoting self-directed learning. The purpose of this study was to gain an understanding about how to help students develop independent projects for the self-directed learning program. Experiential and self-directed learning theories formed the …


Examining Maternal Psychological Recollections Of Children Diagnosed With Autism Spectrum Disorders, Christine Desiree Shoop Jan 2016

Examining Maternal Psychological Recollections Of Children Diagnosed With Autism Spectrum Disorders, Christine Desiree Shoop

Walden Dissertations and Doctoral Studies

Mothers of children diagnosed with autism spectrum disorders (ASDs) experience symptoms of depression, anxiety, stress, and despair stemming from the challenges of raising offspring with behavioral, communicative, and socioemotional impairments. Researchers have shown that children diagnosed with ASDs exhibit symptoms within the first year of life (early-onset), while some exhibit normal development until the second year (regressive-onset), and some exhibit normal development until the second year but display abnormalities in the first year (mixed-onset). Despite the wealth of research on ASDs, there are few examinations of ASD symptom onset groups and the impact of those onset groups on parental psychological …


Junior High Latino Parents' Perceived Roles In Home And School Partnerships, Mytzy Vania Rodriguez-Kufner Jan 2016

Junior High Latino Parents' Perceived Roles In Home And School Partnerships, Mytzy Vania Rodriguez-Kufner

Walden Dissertations and Doctoral Studies

A rural K-12 district in the Midwest evidenced a rise in the Latino population from 2002 to 2013, yet parental participation amongst Latino parents at the junior high was low. Low parental involvement has been linked to lowered self-efficacy, which impacts student learning. Although there is a plethora of research on the positive aspects of parental involvement, there is little research on Latino parent involvement in small rural communities. Within this instrumental case study, Hoover-Dempsey and Sandler's model of parent involvement was used to explore Latino parents' perceptions of their roles and responsibilities of communication strategies within the junior high …


Perceived Self-Efficacy And Dispositional Optimism In Leaders' Behavioral Escalation Of Commitment, Adebimpe Yetunde Babatunde Jan 2016

Perceived Self-Efficacy And Dispositional Optimism In Leaders' Behavioral Escalation Of Commitment, Adebimpe Yetunde Babatunde

Walden Dissertations and Doctoral Studies

Escalation of commitment is an individual's persistent behavior at sustaining commitment to an original decision or course of action. Although researchers have found that personality impacts escalation of commitment behavior, this study addressed a gap in escalation of commitment behavior regarding personality in higher education, which has consistently been ignored. Building on the self-justification theory, this study was an investigation of (a) whether perceived self-efficacy and dispositional optimism individually predicted escalation of commitment behavior; and (b) whether perceived self-efficacy and dispositional optimism jointly predicted escalation of commitment behavior after controlling for age, gender, ethnicity, socioeconomic status, and tenure. Hierarchical regression …


Principals' Perspectives On The Effect Of Standardized Testing On Teaching And Learning, Jacqueline Bruton Wray Jan 2016

Principals' Perspectives On The Effect Of Standardized Testing On Teaching And Learning, Jacqueline Bruton Wray

Walden Dissertations and Doctoral Studies

Standardized tests are designed to show what students have learned and retained in a classroom setting. The study examined principals' perspectives related to the impact standardized testing has on teaching and learning in Grades K-12. In addition, the correlation between principals' perceived effects of standardized tests on students' performances and principals' characteristics was investigated. Vygotsky's theory was used as theoretical framework of the study, as the theory suggested nonstandardized assessment approaches are more effective. Research questions focused on principals' perspectives on the effect of standardized testing on teaching and learning within the school district in North Carolina and the extent …


Bedside Nurse Recognition Of Delirium In The Medical-Surgical Setting, Bridget Ann Denzik Jan 2016

Bedside Nurse Recognition Of Delirium In The Medical-Surgical Setting, Bridget Ann Denzik

Walden Dissertations and Doctoral Studies

Delirium in adults aged 65 and older is a common occurrence in the acute care setting and is often unrecognized by bedside nurses. Delirium can trigger a negative cascade of events resulting in an increase in morbidity and mortality, functional decline, longer length of stay, and high rates of post hospital institutionalization and has a significant socioeconomic impact. The purpose of this quality improvement project was to establish a solid foundation using scholarly literature to support the development of a delirium prevention, recognition, and treatment program in the medical-surgical acute care setting applying the program logic framework. The goal was …


Examining Paraprofessionals' Use Of Video Self-Modeling In Teaching Students With Autism Spectrum Disorders, Derrainnya Raquel Fuentes Jan 2016

Examining Paraprofessionals' Use Of Video Self-Modeling In Teaching Students With Autism Spectrum Disorders, Derrainnya Raquel Fuentes

Walden Dissertations and Doctoral Studies

The number of autism spectrum disorder (ASD) cases has surged in the U.S. educational system since the mid-2000s. At the same, paraprofessionals who work with these students are not being given adequate training, especially in how to implement applied behavior analytic services. To address paraprofessional's inadequate training, new behavioral treatments have surfaced, including Video Self-Modeling (VSM). VSM is an effective intervention tool derived heavily from Bandura's social learning theory. VSM uses edited video clips in which paraprofessionals view him or herself correctly performing target skills. This study used a single-subject, modified multiple baseline design to evaluate whether VSM could improve …


Relationship Between Nurse Staffing And Quality Of Care In Louisiana Nursing Homes, Veronica Kercado Jan 2016

Relationship Between Nurse Staffing And Quality Of Care In Louisiana Nursing Homes, Veronica Kercado

Walden Dissertations and Doctoral Studies

In 2014, Louisiana experienced substantive issues with quality of care in nursing homes. The state had the lowest nurse staffing level among all states, and 7,666 deficiencies for immediate jeopardy violations were recorded from 2011 to 2013. Despite ample research on nurse staffing and quality of care, there is no consensus on how higher nurse staffing relates to quality. The purpose of this quantitative, correlational research was to determine the relationship between nurse staffing levels and quality measures in Louisiana. Donabedian's category structure, process, and outcome was the conceptual framework used to develop the research questions. The data included the …


A Comparison Of Marketing Techniques Among Military Recruiters, Paul Vincent Mccullough Iii Jan 2016

A Comparison Of Marketing Techniques Among Military Recruiters, Paul Vincent Mccullough Iii

Walden Dissertations and Doctoral Studies

The U.S. Department of Defense spent $11 billion in enlistment and retention bonuses from 2006 to 2010, which had only a marginally positive effect on the enlistment rate for the Army. The case study addressed this business problem of recruiting by exploring marketing strategies successful recruiting professionals used to motivate individuals to join the military. The purpose of this study was to determine effective recruiting strategies. Therefore, it incorporated the conceptual framework of emergent strategy theory, which postulated the best strategies are neither completely planned nor completely random, but are rather an adaptation to changing dynamics and circumstances. The population …


16pf® Traits As Predictors Of Emergency Medical Service Worker Tenure, Beverly J. Paschal Jan 2016

16pf® Traits As Predictors Of Emergency Medical Service Worker Tenure, Beverly J. Paschal

Walden Dissertations and Doctoral Studies

The United States is experiencing a severe shortage of Emergency Medical Service (EMS) paramedics. The job outlook for paramedics (EMT-P) for the years 2012-2022 is predicted to increase by 23%-33%, which is much faster than the 4% average increase of other first-response professions. The average tenure of paramedics is less than 4 years. There is a significant gap in the literature concerning paramedic personality traits and tenure. The primary objective of the current study is to provide empirical data on the personality traits possessed by long-term paramedics (5+ years), and compare them to those with shorter tenure (< 5 years). Using Allport's Trait Theory, I predicted that personality would affect paramedic longevity. The 6 personality traits tested were warmth, reasoning, emotional stability, liveliness, social boldness and openness to change. A socio-demographic questionnaire, determined the length of their EMS career, while the 16PF® Assessment, tested their personality traits. Using t tests, Mann-Whitney U tests, and a set of regression analyses, data were examined to determine if length of career and personality traits predicted paramedic tenure. The research sample consisted of long term paramedics and former paramedics. The results showed that of the 6 personality traits, only warmth was a significant predictor of paramedic tenure. A logistic regression showed for every additional point in warmth, the odds of leaving EMS prior to 5 years increased by a factor of 2.77. This study provides support for positive social change by helping EMS to learn how to increase recruitment and tenure. It also helps by advising EMS agencies to attend to the mental and emotional health of their paramedics by being aware of the level of their warmth personality trait.


Marketing And Microbusiness, Joran Premo-Hurt Jan 2016

Marketing And Microbusiness, Joran Premo-Hurt

Walden Dissertations and Doctoral Studies

Marketing plays an influential role in small business survival. The purpose of this multiple case study was to explore the mechanisms used by microbusiness retail store owners for collecting, monitoring, and transforming market data into operational marketing activities. Marketing orientation (MO) provided the conceptual framework for this study. Guided by an abridged interview protocol, 4 retail microbusiness owners from Delaware participated in audio-recorded, semistructured interviews. Saturation of data occurred after 3 interviews, confirmed when the 4th interview produced no new information. After transcribing the interviews, member checking occurred, as each participant received a summary of the interview, along with thematic …


Exploring Transition Factors Among Female Veterans Of Operation Enduring Freedom/Operation Iraqi Freedom (Oif/Oef), Myra Robinson Jan 2016

Exploring Transition Factors Among Female Veterans Of Operation Enduring Freedom/Operation Iraqi Freedom (Oif/Oef), Myra Robinson

Walden Dissertations and Doctoral Studies

Many transitional challenges have affected female veterans after returning from serving in the war in Iraq and Afghanistan. The number of females joining the military and becoming involved in combat has increased within the past 10 years. Research exists on the transitional challenges of male veterans. However, little research exists on the reintegration challenges faced by female veterans. As these females become veterans, they are more visible in the Veterans Affairs Health Care System. Given this increase in number of female veterans, it is important to address transitional challenges experienced by females who served in Operations Enduring Freedom and Operation …


Predictability Of Delinquency Through Psychosocial And Environmental Variables Across Three Generational Status Groups, Margaret Frances Sabia Jan 2016

Predictability Of Delinquency Through Psychosocial And Environmental Variables Across Three Generational Status Groups, Margaret Frances Sabia

Walden Dissertations and Doctoral Studies

Issues such as the rapid growth of the immigrant youth population and delinquency among adolescents generate public safety concerns among the U.S. population. However, delinquency intervention strategies for immigrant youth in the United States remain scant, which is problematic because these youth face acculturative challenges that increase their risk for maladaptive outcomes. This quantitative, cross-sectional study addressed a research gap regarding the differential influence of risk factors in predicting delinquency across 3 generational statuses. The theoretical framework guiding the study consisted of acculturation theory, the immigrant paradox, and differential association theory. Two research questions were evaluated using a stratified random …


Improving Reading Fluency Of Elementary Students With Learning Disabilities Through Reader's Theater, Tami S. Schoen-Dowgiewicz Jan 2016

Improving Reading Fluency Of Elementary Students With Learning Disabilities Through Reader's Theater, Tami S. Schoen-Dowgiewicz

Walden Dissertations and Doctoral Studies

Elementary teachers in a school district in a western state expressed concerns about the reading achievement of students with disabilities (SWDs). SWDs were not developing decoding, comprehension, and fluency skills to become proficient readers. Without mastering these skills, SWDs will experience diminished academic attainment in their school career. To address this problem, teachers in elementary learning centers (LCs) within the district implemented Reader's Theater (RT), an evidenced-based reading approach that incorporates repeated readings using drama-based activities. The purpose of this qualitative bounded case study was to explore elementary LC teachers' use and implementation of RT to improve reading performance with …


Ability And Performance Comparisons Of Gifted Students In Homogeneous And Heterogeneous Settings, Cindy Rochelle Schwartz Jan 2016

Ability And Performance Comparisons Of Gifted Students In Homogeneous And Heterogeneous Settings, Cindy Rochelle Schwartz

Walden Dissertations and Doctoral Studies

To meet the educational needs and acceleration of talented and gifted (TAG) students, it is important to determine the best learning environment to afford optimal academic success during their educational experience. A study at a Bartow County school district in Georgia has been conducted in order to establish this best learning environment. This study investigated if Lexile scores (ability) and academic averages (performance) differ for 6th grade TAG students in homogeneous classes compared to TAG students in heterogeneous settings. Vygotsky's theory of social constructivism, which proposes that students need to feel socially and cognitively supported by their environment, was the …


Gender Differences, Learning Styles, And Participation In Higher Mathematics, Hilary Elizabeth Seifert Jan 2016

Gender Differences, Learning Styles, And Participation In Higher Mathematics, Hilary Elizabeth Seifert

Walden Dissertations and Doctoral Studies

Students' lack of participation in higher-level mathematics courses is a pressing concern. In a small rural district in Alaska, many high school students elect to opt out of taking higher-level mathematics once the minimum requirement is reached. According to Bandura's self-efficacy construct, a learners' motivation is influenced by their self-beliefs and affect towards learning. Moreover, research on student learning experiences in mathematics suggests a gender difference, with girls preferring that less abstract conceptual knowledge be taught through hands-on activities. As mathematics instruction is traditionally taught through lecture and demonstration, both of which are preferences of the assimilator learning style, this …


Gender-Specific Programming And Quality Improvement Ratings Of Florida Residential Delinquency Programs For Girls, Katrina Smith Jan 2016

Gender-Specific Programming And Quality Improvement Ratings Of Florida Residential Delinquency Programs For Girls, Katrina Smith

Walden Dissertations and Doctoral Studies

Female delinquency and adult female incarceration rates increased from the 1980s until the early 2000s. Many of these women and girls have been victimized, and their unresolved victimization issues may have led them to criminal behavior which may not be adequately addressed in the juvenile and criminal justice systems. The theoretical framework for this study consisted of 3 developmental theories (pathways, trauma, and addiction theories) that facilitated an understanding of the impact of victimization and criminality in these women and girls' lives. Florida's Department of Juvenile Justice implemented changes to address the victimization issue in the 10 female gender-specific programs …


The Influence Of Public Policy Interventions On Millennial Distracted Driving Behavior, Karen Anne Versuk Jan 2016

The Influence Of Public Policy Interventions On Millennial Distracted Driving Behavior, Karen Anne Versuk

Walden Dissertations and Doctoral Studies

Despite recent public policy initiatives limiting or banning forms of distracted driving resultant from cellular phone use, crashes remain on the rise. Individuals from the millennial generation, ages 16 to 35, appear to be most susceptible to distracted driving. Understanding the behaviors, attitudes, and habits of millennials is critical to developing effective policy for behavior change. A dual task ethnographic study framed by Skinner's theory of behavior modification and Maslow's hierarchy of needs motivational model, was used to investigate to what extent millennials feel public policy has influenced their driving, and if additional policy initiatives are required to deter distracted …


The Effectiveness Of Promoting Alternative Thinking Strategies ( Paths) When Used Once Per Week In Therapeutic Day Treatment, Beth Cherish Wilson Jan 2016

The Effectiveness Of Promoting Alternative Thinking Strategies ( Paths) When Used Once Per Week In Therapeutic Day Treatment, Beth Cherish Wilson

Walden Dissertations and Doctoral Studies

Promoting Alternative Thinking Strategies (PATHS) is an intervention program for children with behavioral and emotional deficits, designed for use, and shown to be effective when used in the classroom a minimum of 3 times per week. However, in some settings, as in the current study, PATHS is being used just once per week. The purpose of this quantitative study was to determine whether PATHS was beneficial in helping elementary school aged children improve their behavioral and emotional health when implemented once per week in a group therapy setting. PATHS was developed based on cognitive behavioral theory, which focuses on improving …


Socioeconomic Status-Related Inequities On Maternal Health Services: Trends, Associations, And Outcomes, Nibretie Gobezie Workneh Jan 2016

Socioeconomic Status-Related Inequities On Maternal Health Services: Trends, Associations, And Outcomes, Nibretie Gobezie Workneh

Walden Dissertations and Doctoral Studies

Maternal Mortality Rate (MMR) in Ethiopia remains one of the highest in the world due in part to very limited use of maternal health services. However, the underlying factors for limited use of the services and hence the high MMR are not well known. The purpose of this study was to identify factors associated with use of maternal health services and maternal health risks, to analyze inequity patterns between use of maternal health services and maternal health risks, and to measure the magnitude and trends in inequity. Behavioral-cultural and structural theories of health inequalities were used to frame the study. …


Culture Wars: Explaining Congressional Partisanship And Organizational Dysfunction Through Moral Foundations Theory, Jessica H. Wilson-Hart Jan 2016

Culture Wars: Explaining Congressional Partisanship And Organizational Dysfunction Through Moral Foundations Theory, Jessica H. Wilson-Hart

Walden Dissertations and Doctoral Studies

The focus of this study was the organizational working environment and existing partisanship evident in the United States Congress. There has been a reduction in the number of laws passed over the last 30 years from a high of over 1,000 to a low of around 120, with a period of complete government shutdown in 2013. This qualitative research utilized qualitative content analysis to discover the nature of partisan conflict as demonstrated by 6 members of Congress. The conceptual framework for this study was moral foundations theory. Different moral principles held by Democrats and Republicans were studied as a possible …


Predictors Of Treatment Outcomes Of Elderly Substance Abusers In Treatment Facilites, Renata Raye Bosek Jan 2016

Predictors Of Treatment Outcomes Of Elderly Substance Abusers In Treatment Facilites, Renata Raye Bosek

Walden Dissertations and Doctoral Studies

Research in the late 1990s and early 2000s projected that the number of people aged 50 and older who needed treatment for illicit drug use and abuse of prescribed medications to increase from approximately 1.7 million in 2001 to approximately 4.4 million in 2020. The purpose of this study was to examine how gender, marital status, employment status, and primary referral source predicted treatment outcomes with this older population. Of interest was how these predictions could better prepare treatment providers to treat individuals born between 1946 and 1964 who are addicted to substances. This quantitative study used an archival database, …


The Impact Of School Uniforms On School Climate, Attillah N. Brookshire Jan 2016

The Impact Of School Uniforms On School Climate, Attillah N. Brookshire

Walden Dissertations and Doctoral Studies

Approximately half of the public schools in the United States require uniforms or a formal dress policy and many are intended to reduce discipline problems and improve school climate. A suburban school district in Georgia recognized that there was an increase in discipline problems in their schools that affected the school climate. In an effort to promote school safety and improve climate, stakeholders at a district campus adopted a uniform policy. The purpose of this survey study was to examine the differences in perceived school climate between a district campus with a uniform policy and a similar campus with no …


Psychological Capital As A Mediator Between Team Cohesion And Productivity, Robert John Cesaro Jan 2016

Psychological Capital As A Mediator Between Team Cohesion And Productivity, Robert John Cesaro

Walden Dissertations and Doctoral Studies

Organizations attempting to optimize productivity are seeking new ways to develop psychological capital in teams. The researcher conducted a quantitative study to determine whether team cohesion, as assessed by the Revised Group Environment Questionnaire (RGEQ), impacts team productivity, as assessed by the Performance Measurement Team (PMT) Manufacturing Resource System (MRS); whether this relationship can be attributed to a team's level of psychological capital, as assessed by the Psychological Capital Questionnaire (PCQ-12); and whether psychological capital mediates the relationship between team cohesion and team productivity. Forty-five PMTs in a large U.S. defense manufacturing organization were surveyed using the PCQ-12 and the …


The Impact Of Post Traumatic Stress Disorder On Recurrent Violent Behavior Among African American Males, Adrian Cox Jan 2016

The Impact Of Post Traumatic Stress Disorder On Recurrent Violent Behavior Among African American Males, Adrian Cox

Walden Dissertations and Doctoral Studies

African American men in their late teens to early 20s account for nearly half the victims of violent crimes. This mixed methods social epidemiological study was designed to identify the social determinants of violence as described by a purposive sample of young adult African American men (n=353) who have experience as a victim or witness to any type of violence to determine the impact post traumatic stress disorder (PTSD) symptoms have on recurrent violent injury. The pathways to recurrence model shaped the theoretical framework of this study. Quantitative data were collected using the Past Feelings and Acts of Violence (PFAV) …


Executive Banking Leaders And Risk-Management Strategies On Subprime Mortgage Lending, Sam Elbarouki Jan 2016

Executive Banking Leaders And Risk-Management Strategies On Subprime Mortgage Lending, Sam Elbarouki

Walden Dissertations and Doctoral Studies

During 2000-2008, subprime mortgage loans were a profitable and popular commodity for banks and lenders alike. The majority of banks that offered this type of mortgage eventually suffered grave financial consequences, largely due to the lack of risk-mitigating processes within their mortgage portfolio. Guided by the stewardship theory, the purpose of this qualitative multiple case study was to explore the risk-mitigation protocols that 4 bank CEOs employed in Northern California used to mitigate the offering of this risky product. Semistructured interviews were used to elicit detailed narratives from these purposively selected bank CEOs on their experiences in risk mitigation. A …