Digital Commons Network^™

Sexual Health Education Policy: Influences On Implementation Of Sexual Health Education Programs, Renata Denise Ellington

Walden Dissertations and Doctoral Studies

High school youth in Grades 9-12 who are in public schools without comprehensive sexual health education (CSHED) are more likely to engage in high-risk sexual behaviors and have higher rates of HIV and sexually transmitted diseases than are their peers in schools with CSHED. The purpose of this correlational study was to explore the statistical relationship between the consistent implementation of CSHED, before and after the enactment of the Chicago Public Schools' (CPS) sexual health education policy, and the sexual risk behaviors of Chicago high school youth in Grades 9-12. The study was based on Antonovsky's salutogenic model of health …

Compassion Fatigue In Emergency Department Nurses, Dionne Hutson Hendy

Walden Dissertations and Doctoral Studies

Compassion fatigue (CF) is a problem seen within healthcare institutions worldwide, especially critical care units and emergency departments (EDs). The problem identified in this quality improvement (QI) project was CF, experienced by nurses in the ED. The effects of CF cross nurse-patient boundaries and negatively impact a patient's expectations of having a quality care experience. The Iowa model's evidence-based team approach was used to guide the development of the education initiative for nurses on recognizing, preventing, and identifying methods of coping with CF in the ED. The outcome products for the project included an extensive review of the literature, a …

Systematic Review: Barriers That Prevent Compliance With Hydroxyurea In Sickle Cell Disease, Uchechukwu Imegi

Walden Dissertations and Doctoral Studies

Sickle cell disease (SCD) is a blood disorder that is inherited from both parents and affects millions of people globally. The symptoms of SCD may be debilitating and pose a significant challenge to nursing care. Hydroxyurea (HU), the Food and Drug Administration (FDA) approved treatment for SCD in adults is reportedly effective, but its usage is still minimal among adolescents with SCD. The purpose of this systematic review was to evaluate existing literature on the barriers to HU use in adolescents with SCD. The Johns Hopkins Nursing Evidence-based Practice (JHNEBP) Rating Scales guided this study. An extensive electronic search of …

Generational Differences Among Social Security Administration Employees And Their Perception Of Value, Joyce Moses Jones

Walden Dissertations and Doctoral Studies

Social Security Administration (SSA) managers and leaders are facing an unprecedented challenge to understand 3 to 5 generations of employees, and value the diversity of each group (Glass, 2007). Perceived lack of recognition has resulted in low morale and job satisfaction, leaving employees not feeling valued. The purpose of this qualitative, phenomenological research study was to explore, identify, and examine the lived experiences and perceptions of SSA employees to determine how managers and leaders can contribute to employee valuation. The central question and subquestions were designed to determine whether generational theory accurately described the lived experiences and perceptions of the …

Improving The Completion Rate Of Advance Directives In Home Health Agencies, Ndidiamaka Ezinne Mbakpuo

Walden Dissertations and Doctoral Studies

The number of individuals aged more than 65 years in the United States and their life expectancy has been increasing in the past decades. In spite of the presence of federal and accreditation policies recommending completion of advance directive documents by patients admitted to health care settings, advance directive completion rates are low in most health care organizations. The purpose of this study was to determine the level of advance directive completion among home health patients. The health belief model provided the theoretical framework that guided this study. A retrospective chart review was carried out in a home health agency …

A Qualitative Study Comparing Proposals Used To Evaluate Airport Concessionaires, Raymond John Kayal, Sr.

Walden Dissertations and Doctoral Studies

This qualitative case study was used to examine the Request for Proposal (RFP) evaluation process used by airports for selecting concessions business operators, including retail and duty-free gift shops, restaurants, newsstands, and public parking. The case consisted of 42 purposefully selected RFPs from 35 airports representing 92% of all U.S. commercial airline passenger traffic compared against guidelines found in Airport Cooperative Research Program (ACRP) Report 54. A problem occurs when evaluation outcomes are challenged because of perceptions of bias, and formal protests and legal claims create delays that disproportionately affect small and minority-owned businesses. The purpose of this study was …

Heroes Or Victims: The Lived Experiences Of Women On Female Genital Mutilation/Cutting In Northwestern Nigeria, Sarah Kasham Philips

Walden Dissertations and Doctoral Studies

The custom of female genital mutilation/cutting (FGM/C) is a traditional practice inimical to women's health with profound implications. There is a gap in the literature on the lived experiences of women who have undergone FGM/C and their statuses within their communities. Guided by the social cognitive theory and the ecological model, this qualitative study aimed at explicating the attitudes and perceptions of women in the northwest region of Nigeria towards the practice of FGM/C, to illuminate how the women view themselves in their society and the inspiration for the continued practice of FGM/C. Interview and observation data were gathered from …

Junior High School Teachers' Perceptions Of Math Instruction For African American Students, Sandra Denise Richardson

Walden Dissertations and Doctoral Studies

A mathematics achievement gap exists between 8th grade African American students and other ethnic groups. Guided by the conceptual framework of constructivism, the purpose of this case study was to examine 8, Grade 8 math teachers' perceptions of factors contributing to mathematical performance gap in their African American students and what instructional strategies can be used to help reduce the achievement gap in southwest Georgia. Data were obtained through interviews and classroom observations and were coded and analyzed using typological analysis, followed by inductive analysis. The results of the data revealed teachers perceived recruiting and retaining African American teachers and …

Perceptions Of Adult Professional Studies Instructors Regarding Developing And Transitioning Online Courses, Miah M. Skinner

Walden Dissertations and Doctoral Studies

Although a mandate was given in an urban southern university for instructors in the Adult Professional Studies Program (APS) to begin transitioning their face-to-face courses to online curricula, few courses have been converted. The purpose of this case study was to determine APS instructors' perceptions of developing and transitioning face-to-face courses to an online format. Lewin's change theory and force field analysis provided the conceptual framework for this study. The research questions concerned the faculty's perceptions of developing and transitioning courses to an online format. A purposeful sample of fulltime and adjunct faculty, with different levels of expertise in online …

Methamphetamine Users And Gender Differences In Their Acceptance Of Long-Term Substance Abuse Treatment Programs, Kevin Garen Stepanyan

Walden Dissertations and Doctoral Studies

Methamphetamine abuse is a problem of public health importance among men and women in the United States. The two genders are affected even though the majority treatment programs are tailored for male alcohol addicts. The gender differences are prevalent in the acceptance of long-term substance abuse treatment programs. The study focuses on gender differences in methamphetamine abuse and whether both male and female addicts benefit from treatment. Respondent's suitability, participant's abuse condition, treatment, and progress questionnaires and interviews are used to collect data from 50 male and 50 female methamphetamine users at the Impact Residential Program in Montreal, Canada. Together, …

Middle School Teachers' Experiences With Teaching Self-Regulation Skills To Adolescents With Disabilities, Jessica Traylor

Walden Dissertations and Doctoral Studies

Research shows that adolescents with disabilities often lack self-regulated learning skills. Current research further indicates that explicit teaching of self-regulation skills is beneficial to adolescents with disabilities. The site of this study was a local middle school in rural Georgia that did not assess whether or not teachers were explicitly teaching self-regulation skills to adolescents with disabilities. It was unknown, therefore, whether adolescents with disabilities were learning self-regulation skills in school and whether teachers faced problems in teaching these skills. The study sought to explore this gap in knowledge and practice. Zimmerman's self-regulated learning theory and Bandura's self-efficacy theory served …

Domestic Violence Intervention Program Facilitators' Motivation For Working With Repeat Offenders, Elaine Marie Barclay

Walden Dissertations and Doctoral Studies

Domestic violence (DV) rehabilitative program facilitators administer the same treatment programs to males who reoffend. When DV facilitators administer the same unsuccessful treatment programs to repeat offenders, facilitators may lose intrinsic and extrinsic motivation to perform their job. For this study a hermeneutic phenomenological methodology approach was used to explore the phenomenon of DV facilitators' motivation. Self-determination theory was used to frame the influence of intrinsic and extrinsic motivation on DV facilitators who administer treatment programs to repeat offending males. A recruitment flyer was placed in the DV organization, data were collected from 7 participants through face-to-face or telephone interviews …

Exploring The Experiences Of Hispanic Esl Students In Esl Programs, Raynelda A. Calderon

Walden Dissertations and Doctoral Studies

Instructors of English as Second Language (ESL) at a private community college had raised concerns regarding Hispanic ESL students not developing sufficient English proficiency. The purpose of this single exploratory case study was to explore the phenomenon brought forward by ESL instructors and share the results with the ESL program and the college. The conceptual framework for this qualitative study was based on the classroom learning motivation theory suggesting that the environment in which a student is learning a new language also plays a major role in second language learning. Data collection was conducted through 3 ESL classroom observations and …

Attachment, Acculturative Stress, Social Supports, Separation, And Marital Distress In Mexican And Central American Adult Immigrants Separated From Primary Caregivers As Children, Isaac Carreon

Walden Dissertations and Doctoral Studies

Latinas/os are reported to be the fastest growing ethnic minority in the United States, with a large percentage being newly arrived immigrants. Previous research has found that many migrate in phases, with the father leaving the family behind or both parents migrating and leaving children in the care of family members. Separations from parental figures have been found to lead to psychosocial, psychological, and educational problems. Additional challenges of immigrants include acculturative stress, lack of social support, attachment problems, poverty, discrimination, unemployment, and marital distress. The purpose of this study was to inquire if immigrant variables (attachment, acculturative stress, and …

The Relationship Between Health Risk And Workplace Productivity In Saudi Arabia, Sarah Lorraine Hayman

Walden Dissertations and Doctoral Studies

Rising worldwide rates of noncommunicable diseases (NCDs) in the Middle East, principally Saudi Arabia, have put an increasing load on the health system and employers. Middle Eastern organizations have been slow to develop targeted health programs, which include an emphasis on employee productivity. The purpose of this study was to determine the relationship, if any, between employee lifestyle and workplace productivity. Productivity is the amount of work produced based on the time and cost required to do so. The underlying theoretical foundations of this research were the socioecological health model and the human capital model. The quantitative, ex post facto …

Exploring Barriers To Fathers' Implementation Of Behavioral Interventions For Nonverbal Children With Autism, Michael Lafasakis

Walden Dissertations and Doctoral Studies

Many families, regardless of their ethnic and cultural background, find it challenging to raise a nonverbal child with autism. Parent-implemented behavioral interventions can contribute to positive behavior change related to joint attention, imitation, and communication. However, many parents face barriers that prevent them from implementing behavioral interventions in the home. Very little research has been conducted on fathers of nonverbal children with autism to ascertain their perspectives on these barriers. In this qualitative study, a phenomenological design was used to obtain input from 12 fathers of diverse ethnic and cultural backgrounds residing in New York City regarding barriers to implementing …

Strategies For Managing An Age-Diverse Workforce In Curaçao, Yamil Walid Lasten

Walden Dissertations and Doctoral Studies

Some business leaders find it challenging to manage individuals from different age groups; this is an issue, as organizations in many developed countries become more age-diverse. The purpose of this single case study was to provide business leaders with information about strategies top-level business executives and team leaders at a large company in Curaçao (a developed island nation in the Caribbean) use for enhancing productivity of an age-diverse workforce. The conceptual framework of this study consisted of generational theory of Mannheim. A key tenet of the generational theory includes that belonging to the same generational unit, generational location, and generational …

Exploring Leader-Initiated Change Management For Adopting Cloud Services, Nancy Marie Landreville

Walden Dissertations and Doctoral Studies

Cloud technology requires a virtualized ubiquitous and scalable environment with shared resources. The general problem in cloud adoption is the absence of standardization across organizations. A standardized approach remained elusive since the inception of the Cloud First mandate. The purpose of this study was to explore leader-initiated change management (LICM) practices in cloud adoption within organizations. The theoretical framework included the classical theories of Kurt Lewin's organization change management, leader-member exchange, intentional change, and appreciative inquiry. A multiple case study design approach facilitated the exploration of LICM-value added practices to identify standardization in cloud adoption practices. Data collection included semistructured …

An Evidence-Based Asthma Management Plan For The Pediatric Practice Setting, Foroogh Narmani-Mohammadi

Walden Dissertations and Doctoral Studies

Asthma is the most common chronic disease in childhood. Education directed toward asthma self-management is vital and emphasizes patient participation in symptom monitoring and control. The practice problem addressed in this quality improvement project was the lack of an asthma management plan in the pediatric setting for which the project was developed. The purpose of the project was to develop an evidence-based asthma initiative consisting of a staff education curriculum with a pretest/posttest and a patient self-management component. Using a team approach, Rosswurm and Larrabee's conceptual model served as the practice framework to guide the development of the project. Two …

Probationers' Quality Of Life Based On Their Perception Of Sibling Relationship, Katherine Sump

Walden Dissertations and Doctoral Studies

Abstract

The quality of life of probationers remains low when reestablishing life in society.

Research has been conducted on how siblings can provide support to juveniles, yet

minimal research supported how adult sibling relationships have affected probationers'

quality of life. The purpose of this study was to explore the phenomenon of the effect

sibling relationships may have on probationers' quality of life. Attachment theory was

used as a theoretical framework to support the factors relating to sibling relationship

types. This research study used a qualitative interview design in order to explore

probationers' perspective of their sibling relationship type and quality …

Correlations Of Race, Ethnicity, And Family Relations On The Developmental Outcomes Of Youth Raised In Single Mother Headed Households, Sabrina Blount Watson

Walden Dissertations and Doctoral Studies

Despite known risk factors associated with families headed by single mothers such as delinquency, substance abuse, and early unprotected sex, researchers have rarely focused on how family relations positively shape the developmental trajectories of youth living in nontraditional families. The purpose of this correlational study was to examine the relationship between the independent variables of ethnicity, parent-child relationship, and family interaction (including the relationship with important non-parental adults) and the dependent variables of developmental outcomes (social and emotional competence) for youth living in families headed by single mothers. The associations were investigated using data collected from the Project on Human …

Exploring The Process Of Lean Training In The Healthcare Industry, Rose Bailey

Walden Dissertations and Doctoral Studies

Organizational leaders use lean training as a process improvement strategy to eliminate waste and inefficiencies in processes. Of the 91% of company leaders who believed lean training was important, 64% of those leaders expressed the perception that workers do not comprehend lean training and methodology. The purpose of this qualitative single case study was to explore how healthcare managers successfully implemented lean training strategies to combat escalating costs. The target population consisted of healthcare managers in a single rural care hospital located in Tennessee who had implemented lean training strategies to train staff in lean principles and lean tools. The …

Risk Of Alzheimer's Disease Among Older Hispanic/Latinos With Diabetes, Kathy Bianco

Walden Dissertations and Doctoral Studies

Alzheimer's disease (AD) is the 6th leading cause of death in older Americans. Currently there is no cure for AD, and even though the specific cause is unknown, diabetes mellitus type 2 (DM2) is regarded as a risk factor. Hispanics have a higher incidence of DM2 and possibly AD. I chose a life course theoretical model for this quantitative cross-sectional study to illuminate the variables most pertinent to a pathway from good health to poor health. The variables chosen were hypertension (HTN), obesity, smoking, stroke, dyslipidemia, and lower educational attainment. The research questions were used to examine biologic, metabolic, sociologic, …

Attitudes Of Nigerian Mothers Toward Children With Autism Spectrum Disorder, Valentine Ntoo Chukwueloka

Walden Dissertations and Doctoral Studies

Autism spectrum disorder (ASD) is a form of developmental disability that affects many children in the U.S. and abroad. The Center for Disease Control (CDC) has indicated that 1 out of every 68 children is diagnosed with ASD in the United States. However, there was limited literature about the attitudinal dispositions of Nigerian mothers toward children with ASD and their lived experiences with a child with autism. The purpose of this qualitative study was to explore the attitudes of Nigerian mothers toward their children with autism. The theoretical foundation of this study was the variation of the social relational understanding …

Strategies To Reduce Supply Chain Disruptions In Ghana, Carl Kwaku Dey

Walden Dissertations and Doctoral Studies

Supply chain disruptions are more prevalent in Ghana as businesses develop and become more complex. While business leaders recognize the importance of reducing the exposure to disruptions, 83 % of companies still suffer a form of disruption. Using the systems theory as the conceptual framework, the purpose of this qualitative case study was to explore strategies supply chain managers in Ghana use to reduce disruptions in the supply chain. The data collection was through face-to-face, semi-structured interviews from 12 supply chain managers who gave tape-recorded interview responses to 8 questions. Transcript evaluation, member checking, and methodological triangulation ensured reliability and …

Response To Intervention Teachers' Perspective Of Tier 2 Intervention Fidelity, Doretha Meissner

Walden Dissertations and Doctoral Studies

In an urban Texas school district, teachers and administrators were concerned about students' achievement and the teachers' knowledge and implementation of Response to Intervention (RTI) Tier 2 interventions with fidelity. This study addressed teachers' perceptions of the reliability of the application of Tier 2 interventions at the study site, its influence on student achievement, and the appropriateness of current professional development at the targeted campus. The constructivist concept of how people learn and the implementation theory of scaffolding instruction, meaningful experiences, and active learning provided the framework for this study. The educators provided perspectives of how the quality and frequency …

The Impact Of Gender And Focal Concerns Theory On The Treatment Of White-Collar Defendants By Federal Judges, Brandon Michael Roberts

Walden Dissertations and Doctoral Studies

Previous research found gender to be a primary consideration of judges in terms of actions towards defendants. Blameworthiness, the combined effect of criminal history, offense severity, and the defendant's role in the criminal event, is also known to impact judge's actions. Little, though, is known about how gender and blameworthiness, combined, may be related to judges' actions towards white-collar defendants. The purpose of this case study, therefore, was to explore whether defendant gender and blameworthiness impact judicial actions towards defendants charged with white-collar crime(s) in a federal district court of New York. The theoretical framework was Demuth and Steffensmeier's theory …

Cultural Relevance In An English Language Learners' Classroom: A Qualitative Case Study, Katherine L. Roe

Walden Dissertations and Doctoral Studies

Colleges and universities typically provide remedial reading coursework for English language learners (ELL) to develop academic reading proficiency. However, a disproportionate number of ELLs fail to exit remedial classes. Prior research has indicated cultural relevance can motivate and stimulate learning; however, the extent to which a culturally relevant classroom curriculum makes a difference in the ELL classroom experience has not been fully explored. This study describes the experience of cultural relevance in an academic reading ELL college class. Moll's funds of knowledge was used as the conceptual framework in a qualitative case study to examine how cultural strengths and knowledge …

Exploration Of Perceptions Of Marriage Dissatisfaction Among African American Couples, Terrence Schofield

Walden Dissertations and Doctoral Studies

Perceptions of Marital Dissatisfaction Among African American Couples

by

Terrence Schofield

MS, Walden University, 2012

BS, Knoxville College, 1994

Dissertation Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Philosophy

Clinical Psychology

Walden University

August 2016

Transitional Planning And Homelessness Of Youths Emancipated From Foster Care, Sharon Patricia Sutherland

Walden Dissertations and Doctoral Studies

Previous research has indicated that approximately 25% of the 30,000 youths emancipated from foster care each year experience negative outcomes including poor education attainment, limited employment opportunities, homelessness, lack of access to healthcare, and poor social networks. Despite the existence of federal legislation that requires foster care agencies to assist foster youths to make the transition to independent living, research has revealed that the current transitional planning process is not effective. There is a gap in the current literature regarding qualitative research on youths' shared experiences of the transitional planning process as they transit out of foster care. This study …