Digital Commons Network^™

The Transition-To-Practice Gap And Graduate Nurse Proficiency, Maxine Coleman

Walden Dissertations and Doctoral Studies

After nursing school, graduate nurses complete a licensure examination to demonstrate possession of the minimal knowledge necessary to practice nursing. Even with the successful completion of the examination, many new graduate nurses still lack the competencies required for safe practice. This discrepancy between demonstrated knowledge and competent practice, which is termed a transition-to-practice gap, is a safety issue especially for persons with chronic illnesses. The purpose of this study was to identify and clarify this transition gap to determine possible solutions in the local setting of a large health care system. The theoretical model framing this investigation was Benner's novice …

Retention Of Information Technology Employees, Sherry Ann Dixon

Walden Dissertations and Doctoral Studies

Business leaders often realize greater profitability when they have strategies to retain IT

employees. However, the cost to replace IT employees creates significant challenges for

business leaders. Given the growing impact of technology on operational costs, retention

of IT employees is imperative. This exploratory single case study sought to identify the

strategies that leaders use to increase IT employee retention. The population was 6

leaders from a military organization in Norfolk, Virginia, responsible for the retention of

IT employees. Herzberg's two-factor theory was the conceptual framework for this study.

The data was collected from semi-structured interviews with 6 leaders along …

Emergency Room Utilization Of Participants With Mental Health Conditions Enrolled In Health Home Services, Amanda Duff

Walden Dissertations and Doctoral Studies

Large numbers of individuals utilize the ER each year for mental health reasons. The health home agency in this study was designed under the Affordable Care Act with the intention of increasing patient self-management thus decreasing high-cost service utilization. The effectiveness of health homes in reducing mental health-related ER visits has remained unexplored. In this study, the relationship between participation in this program and ER utilization was examined, using the theoretical framework of the Health Belief Model. The sample of 128 health home participants with documented mental health conditions was selected using systematic random sampling. A one-way, repeated-measures t-test and …

Examining Barriers That Inhibit Student Achievement From A Teacher's Perspective, Taryn Everett

Walden Dissertations and Doctoral Studies

Teachers at an urban high school in the Southeast have failed to see an increase in classroom achievement or standardized test scores despite efforts to increase passing rates. If achievement rates do not increase, school restructuring will occur. While the site has implemented programs to reduce academic failure, data exists that external barriers may be affecting student achievement. Guided by Bandura's (1986) theory of metacognitive beliefs and self-efficacy as the conceptual framework, this qualitative case study explored teachers' perceptions about the root causes of poor student achievement. This study examines how to identify those causes to help students improve academically, …

Strategies For Maintaining Credit Union Profitability In Grenada, Nadia Lisa-Adele Francis-Sandy

Walden Dissertations and Doctoral Studies

Nonbank financial institutions (NBFIs), of which credit unions comprise, constitute an important part of the financial sector because of their contribution to economic development, particularly in developing economies. This multiple case study explored strategies for maintaining credit union profitability against the backdrop of numerous closures in the past decade. The conceptual framework for this study was agency theory. Data were collected from 6 purposefully selected managers or directors representing individual credit unions in Grenada. Data were also collected from publicly available sources and used to conduct methodological triangulation. The interview data were coded using a computer-aided software package, and the …

Identifying Future Effective Foster Parent Characteristics: Using The Casey Foster Family Assessment, Jennifer Grimes-Vawters

Walden Dissertations and Doctoral Studies

In 2014, Washoe County Department of Social Services in Nevada, licensed only 50 of 400 parents who applied to foster children. Lack of long-term effective foster parents creates instability within the system. Significant concern over increased numbers of children entering foster care and a decreased number of qualified foster care applicants continues. The Casey Foster Family Assessment (CFFA), a comprehensive assessment of key traits of effective foster parents may further enhance the fostering application process. The identified CFFA subscales most predictive of future foster parent effectiveness, may help WCDSS more effectively identify applicants likely to provide long-term stable homes for …

Marketing Strategies Of Small Traditional Travel Agencies In A Technology-Driven World, Charice Hayes

Walden Dissertations and Doctoral Studies

In 2012, there was a 70% increase in online travel booking, resulting in small traditional brick-and-mortar travel agencies having serious difficulties with obtaining and retaining customers. The purpose of this case study was to explore online marketing strategies that leaders of small traditional travel agencies have used to successfully obtain and retain customers. Technology disruption theory was the conceptual framework of this study. Using criterion sampling, the population for this study consisted of 3 leaders of small traditional travel agencies located in the state of Maryland. Data collection consisted of interviews, observations, and review of documentation, such as displays, websites, …

Parent And Principals' Perceptions Of Cyberbullying In 21st Century Rural Elementary Schools, Kathleen Virginia Hosterman

Walden Dissertations and Doctoral Studies

Cyberbullying is a common form of harassment and aggression engaged in by today's youth. This phenomenon is affecting primary-school-aged children as technology devices are now made available to elementary school students in rural settings. Based on the framework of Bandura's social cognitive theory, this mixed methods project study included a survey to quantitatively investigate the associations between parental knowledge of the phenomenon of cyberbullying and children's grade levels, and a focus group to gather qualitative data from school principals regarding their perceptions of the extent and impact of cyberbullying in 4 rural elementary schools in Massachusetts. Due to highly skewed …

Exploring Strategies To Gain Frontline Employee Buy-In During Change Initiatives In Manufacturing, Charles James Iv

Walden Dissertations and Doctoral Studies

The high failure rates of change initiatives threaten the sustainability of commercial printing operations. The focus of this qualitative multicase study was to research the strategies commercial printing managers use to succeed in gaining frontline employee buy-in during change initiatives to improve productivity and profitability in a manufacturing environment. The participants included four commercial printing managers from the Midwestern United States. Each manager had implemented successful change initiatives in the past 2 years and maintained profitability of the business for 12 months before the study. McGregor's (1960) Theory Y served as the basis for the conceptual framework. Data collection included …

Impact Of Distance, Diagnosis, And Demographics On Attendance For Rural Outpatient Treatment, Trey Howard Jensen

Walden Dissertations and Doctoral Studies

Missed psychotherapy appointments inhibit mental health treatment, limit the availability of treatment to those waiting for care, and reduce clinician revenue. Previous research has revealed that the factors that predict missed appointments vary depending on the geographic location in which that research is conducted. There is not a complete understanding of the characteristics of people who miss appointments in a rural context. This study used information from 281 client records to examine the predictive relationships among missed appointments and the distance traveled to the clinic, mental health diagnosis, age, and gender at a rural outpatient mental health clinic. The purpose …

Retail Inventory Control Strategies, Mackie Johnson

Walden Dissertations and Doctoral Studies

Despite using computerized merchandise control systems in retail, the rate of stockouts has remained stagnant. The inability to satisfy customer needs has caused a loss of 4% in potential revenue and resulted in dissatisfied customers. The purpose of this qualitative multiple case study was to explore cost-effective inventory control strategies used by discount retail managers. The conceptual framework that grounded the study was chaos theory, which helped identify why some business leaders rely on forecasting techniques or other cost-effective strategies as an attempt to prevent stockouts. The target population was comprised of discount retail managers located throughout northeast Jacksonville, Florida. …

Career Mobility Patterns Of Aspiring Female Leaders At California Community Colleges, Tracy Lynn Johnson

Walden Dissertations and Doctoral Studies

Many women struggle to move up the career ladder. Women aspiring to executive positions in community colleges within the United States may face gender barriers, family-work life barriers, and barriers regarding their leadership ability. The problem studied was a gap in knowledge of how women succeeded in attaining executive positions in community colleges. The purpose of this study was to examine ways that female leaders at Southern California community colleges assumed executive-level roles at their institutions and the barriers they faced to attain those positions . The theory of upward mobility and the concept of self-efficacy comprised the study's conceptual …

Business Strategies For Asean's Single Window In Southeast Asia, Craig Allen Mcgee Jones

Walden Dissertations and Doctoral Studies

Since the Asian Financial Crisis of 1997 and the Global Financial Crisis of 2007, members of the Association of Southeast Asia Nations (ASEAN) have sought to strengthen ASEAN's regional economies through a digital trade project known as the ASEAN Single Window (ASW). The purpose of this case study was to explore the business strategies that multinational organizational leaders used to overcome business barriers while implementing ASEAN partnership contracts and ASW region-wide projects. This study may be unique in that, at the time of this research, there was no published study in which researchers had explored a single window for a …

Retention Of Internal Stakeholders In The U.S. Volunteer Fire Service, Candice M. Mcdonald

Walden Dissertations and Doctoral Studies

Volunteer firefighters make up almost 75% of the U.S. fire service. Fire service leaders face challenges in retaining volunteers, as evident by the 12% decline in volunteer firefighters since 1984. The purpose of the study was to explore what strategies fire service leaders have used to retain firefighters in the United States. The conceptual framework of this single case study was Freeman's stakeholder theory, which states that leaders can maximize the organization's performance by meeting the needs of those with a stake in the future of the organization. Face-to-face, seminstrucutred interviews were conducted with a purposeful sample of 5 fire …

Effects Of Direct Instruction Common Core Math On Students With Learning Disabilities, Joseph Ifeanyi Monye

Walden Dissertations and Doctoral Studies

U.S. students with learning disabilities' math skills acquisition has been on the decline in recent years. Studies show that teachers using traditional methods of teaching math lack knowledge of task analysis, chunking, sequencing, mass practice, modeling, and repetition of instruction. These components of direct instruction or pedagogical activities are hallmarks of special education teaching and are collectively described as cognitive support pedagogy. The study evaluated direct instruction teaching strategies to teach Common Core math to middle school students with learning disabilities, to determine if the current downward trend in math skills acquisition amongst them can be reversed. The theoretical framework …

Facilitating Person-Centered Care For People With Intellectual And Developmental Disabilities, Laure Bertille Ndeutchoua

Walden Dissertations and Doctoral Studies

The patient centered care (PCC) model is recommended by the Institute of Medicine for individuals with intellectual and developmental disabilities. The problem identified in this quality improvement (QI) project was that PCC practices had not been included in the training curriculum within the organization. Framed within the plan-do-study-act model of QI, the purpose of this project was to develop an educational initiative on PCC that included a curriculum plan, a pretest/posttest, a protocol, a revision of the training policy, and an implementation and evaluation plan. Drawing upon the evidence-based literature and using a team approach, a curriculum plan on PCC …

Grit, Student Engagement, And Academic Performance At A Historically Black Community College, Sharonica Marie Nelson

Walden Dissertations and Doctoral Studies

Obtaining a college degree benefits individuals and society, yet only 20% of students are graduating from community colleges. At many institutions, graduation rates have decreased over the last 5 years, including one historically Black community college in the southern United States. To explore possible causes of low graduation rates at this unique and understudied type of college, this correlational study examined the relationships among student engagement, academic performance, and grit-persistence and passion toward long-term goals. Tinto's theory of student persistence served as the theoretical framework for this study. The convenience sample included 116 college students who already had a first-year …

Addressing School Failure And Recidivism Among 10-13-Year-Old Incarcerated Juveniles: A Case Study, Beverly Savoy Nolan

Walden Dissertations and Doctoral Studies

Early involvement in delinquent behavior coupled with large academic deficiencies increase the chances of long-term offending over a lifetime. A 2012 Texas report on recidivism rates and types of judicial-related programs offered showed that 1-year reoffense rates for youth in secure placement rose slightly from 41.9% in 2007 to 43.3% in 2010. The primary purpose of this qualitative case study was to examine how a Texas-based juvenile probation department coordinated services to address the needs of incarcerated juveniles who are at risk of school failure and recidivism. Maslow's hierarchy of needs framework and Moffitt's developmental classification framework served as the …

Referral And Treatment Settings For Pregnant Women, Linda D. O'Daniel

Walden Dissertations and Doctoral Studies

Drug and alcohol addiction in pregnant women is a significant public health issue. The purpose of this study was to assess drug and alcohol addiction in pregnant women and the setting in which they sought service or treatment to determine whether U.S. census regions and race data could predict the type of addiction service or treatment that pregnant addicts chose. The theories of self-efficacy, cognitive behavioral therapy, and rational emotive behavioral therapy were used as the theoretical framework for this study. The research questions were used to examine whether there was a relationship between the source of addiction treatment referral …

The Development And Content Validation Of An Adult Obesity Educational Program, Abel Okuma

Walden Dissertations and Doctoral Studies

Overweight and obesity in patients with intellectual and developmental disabilities (IDD) are at epidemic levels in the United States. The problem identified for this DNP project is the incidence of overweight and obesity in IDD. The framework used involved the quality model for improvement. For this DNP project a new program called the Daily-Enhanced Physical Activities Program (DEPA) was developed to promote weight loss, reduce sedentary activities, and optimal body mass index (BMI) for IDD patients. Local experts consisting of two registered nurses, two physical therapists, and one direct support personnel working with IDD patients were recruited. Each expert reviewed …

Employee Engagement And Organizational Profitability, Schrita Osborne

Walden Dissertations and Doctoral Studies

Disengaged employees typically cost U.S. corporations $350 billion annually. The purpose of this case study was to explore strategies that some communication business leaders used to engage their employees that resulted in increased profits. The target population consisted of 4 communication business leaders located in Jackson, Mississippi who possessed at least 1 year of successful employee engagement experience. The self-determination theory served as the study's conceptual framework. Semistructured interviews were conducted and the participating company's archived documents were gathered. Patterns were identified through a rigorous process of data familiarization, data coding, and theme development and revision. Interpretations from the data …

Servant Leadership, Organizational Commitment, And Perceived Organizational Support In The Restaurant Industry, Chee Kiong Piong

Walden Dissertations and Doctoral Studies

The high employee turnover rate in the U.S. restaurant industry constitutes a major expense for restaurants. The research problem for this study was to determine if restaurant employees' perceptions of their supervisor's servant leadership practices were associated with the employees' organizational commitment and perceived organizational support, which have been shown to reduce turnover. Greenleaf's servant leadership theory provided the theoretical framework. The research question for this study was whether restaurant employees' perceptions of their supervisor's servant leadership practices were associated with the employees' organizational commitment and perceived organizational support, thereby potentially reducing employees' turnover rate. A purposive sample of 88 …

Maternal Characteristics And Childhood Immunization Series Completion Rates Among Children 2-Years-Old, Merlene Ramnon

Walden Dissertations and Doctoral Studies

Delays in childhood immunization may have adverse health implications. In the United States, childhood immunization among children who are below 3 years of age continues to be below Healthy People 2020 targets for some vaccines such as DTaP, PCV, HIB, Hep A, Rotavirus, and Hep B birth dose. The purpose of this study was to examine the association between maternal characteristics and childhood immunization series completion rates among children 2 years of age. The social learning theory and self-efficacy theory provided the theoretical foundation for the study. Data from the Florida Department of Health Immunization Surveys were used. ANOVA and …

A Curriculum On Culturally Competent Practices To Prevent Retraumatization In Diverse Survivors, Luana Rodriguez

Walden Dissertations and Doctoral Studies

This DNP project addresses the healthcare issue of intimate partner, domestic, and sexual violence (IPDSV), its impact on survivors, and reducing the potential for retraumatization by those who care for them in the clinical, behavioral, and social settings. Trauma-informed care interventions are designed to address the sequelae of trauma, promote recovery, and support resilience. Since IPDSV is a global health issue, supporting cultural needs of all clients is an essential aspect of trauma-informed care. This project was guided by a central research question that examined if trauma-informed, culturally competent curriculum be viewed by community stakeholders as an appropriate intervention for …

Associative Relationship Among Mindfulness, Academic Grades, And Affective Outcomes In Adolescence, Elena Ksendzov

Walden Dissertations and Doctoral Studies

Adolescents navigate through escalating academic and social pressures while undergoing major physical and psychological changes. Concerned with behavioral, mental, and emotional challenges of youth, educators seek to expand approaches to promote learning success. Research founded in mindfulness theories has suggested that mindfulness positively and significantly correlates with psychological and physical health, work performance, decision-making ability, and emotional regulation, and may be a factor in learning. Two theoretical viewpoints on mindfulness, Western- and Eastern-based, formed the conceptual framework for this study, which aimed to examine associative relationships between mindfulness and academic achievement, and between mindfulness and affective outcomes for the general …

Diminishing Stigma Sentiments In Individuals With Depression: Sociopsychological Predictors Of Deflecting And Challenging Coping Orientations, Jennifer Marie Lee

Walden Dissertations and Doctoral Studies

Individuals who suffer from depression can be stigmatized by labeling and resort to negative stigma coping orientations such as secrecy and withdrawal, resulting in internalized self-stigma. Self-stigma can have negative effects such as low self-esteem, low self-efficacy, isolation, and feeling like a failure. Guided by modified labeling theory, the purpose of this study was to fill a gap in the literature on predictors of two orientations (challenging and deflecting) of positive stigma coping. Challenging stigma involves taking action, and deflecting is a cognitive strategy; both are used to positively cope with the stigma of mental illness. Predictors included symptom severity, …

Writing Center Editor Strategies For Addressing Student Academic Entitlement In Intervention Editing, Sarah Ann Matthey

Walden Dissertations and Doctoral Studies

Not all students who enroll in postsecondary institutions have the skills needed to be successful in higher education in reading and writing. At a for-profit, online university in Minnesota, many students were not completing 4 weeks of a remedial writing program, Intervention Editing (IE). According to internal surveys and personal communications, students' struggles to complete IE were partly due to academic entitlement (AE). AE is defined as students placing the responsibility for their academic success on third parties rather than on themselves. Using the theory of self-efficacy as a framework, the purpose of this intrinsic case study was to determine …

Strategies To Retain Employees In The Insurance Industry, Marilyn Martin

Walden Dissertations and Doctoral Studies

Employee turnover costs can be 100%-200% of the total compensation package of an employee who leaves the organization, depending upon their position and experience. Leaders in the highly competitive insurance industry should emphasize the importance to retain talented employees with managers in an effort to minimize costs and diminish productivity levels associated with employee turnover. The purpose of this qualitative multiple case study was to explore strategies to retain employees used by insurance managers in the Charlotte, NC metropolitan area. The conceptual framework included Herzberg's motivator-hygiene theory to explore motivator factors that encourage employee retention. Seminstructured interviews were conducted with …

A Qualitative Study On Female Opinions Of Female Bullying And Relational Aggression, Cindy Lee Stevenson Mcclure

Walden Dissertations and Doctoral Studies

According to the American Psychological Association, 160,000 children miss school each day because of a fear of bullying. Existing research indicates that the typical male style of bullying is distinctly different from the typical female style of bullying, which is referred to as relational aggression. This kind of aggression can cause damage to girls in the form of low self-esteem, eating disorders, and suicide. Research on female bullying has increased in the last five years, yet there is minimal research on relational aggression from the female perspective. The purpose of this qualitative study was to expand on the existing bullying …

Experiences And Perceptions Regarding Emergency Telephone Number Use Relative To Civic Engagement, Jacquetta Mccoy

Walden Dissertations and Doctoral Studies

Lack of engagement in public service awareness education programs, coupled with reduced funding to implement a diversion system such as 311 systems or 10-digit phone numbers, contribute to 911 misuse. Many local governments have invested in alternative systems, but research regarding community members' use of 911 or alternatives relative to civic engagement is lacking. Guided by Gordon's conceptualization of civic engagement, this phenomenological study bridged the gap in knowledge by exploring community members' civic involvement and their use of 911 between 2012 and 2015 in a county in the state of Georgia. A snowball sampling strategy was used to select …