Digital Commons Network^™

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 …

Comparing African- And U.S.-Born Blacks At Stage Of Diagnosis And Treatment For Nonsmall Cell Lung Cancer, Relindis K. Fofung

Walden Dissertations and Doctoral Studies

Lung cancer is a disease with a high mortality rate for the U.S. Black population. There had been considerable research done on different population demographics, necessary to achieve the Healthy People 2020 overarching goals to eliminate health disparities, gain health equity and maintain quality health. Yet, the African-born Black (AFBB) population has been understudied for nonsmall cell lung cancer (NSCLC). This study sought to determine whether within race differences in stage at diagnosis and treatment of NSCLC exists between AFBB and American-born Blacks (AMBB) populations in the United States. The study data is secondary data collected as part of the …

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 …

Corporate Social Responsibility And Financial Performance Of Banks In The United States, Waidi Alani Gbadamosi

Walden Dissertations and Doctoral Studies

Corporate social responsibility has evolved as a business strategy, but the business worth of voluntary social conduct has not been well understood. The contradictory research findings mean that social performance is not maximized, which constrains economic growth and sustainable development. Grounded by stakeholder theory, this correlational study was aimed at examining the effect of social responsibility factors on the market-based Fama-French cost of capital. Within a sample of 71 United States banks, the publicly available ethical ratings, financial data, and stock market data were analyzed using multiple regression models. Contrary to the positive effect of social conduct on financial performance …

The Effect Of Higher Education Classroom Management Behavior Strategies On Learning, Kalebra Henderson Henderson

Walden Dissertations and Doctoral Studies

Higher education instructors experience many uncivil behavior challenges among students in the classroom that affect learning. The purpose of this qualitative study was to investigate the effect of higher education classroom management behavior strategies on learning. Guided by Bandura's social learning theory and Piaget's cognitive theory, the research questions were designed to explore the perceptions of instructors and students about classroom management behavior strategies used in college settings and how student classroom incivility affects learning. The study included a panel of experts to aid in determining the feasibility of the project study protocol, testing the adequacy of research instruments, and …

Relationship Between Autonomous Motivation And Ego-Depletion, Mark A. Heilman

Walden Dissertations and Doctoral Studies

Previous research has shown that exerting self-control on a demanding task can impair performance on a subsequent demanding self-control task. This phenomenon is known as ego-depletion; however, its underlying mechanisms are not well understood. Notable gaps in the literature exist regarding whether participants’ motivation levels can attenuate the depletion effect, and whether trait self-control is related. Drawing from the process model of depletion and the self-determination theory, the goal of the study was to examine whether motivational incentives in the form of autonomy can impact performance on tasks in an ego-depleted state, and the potential relationship of trait self-control. Amazon …

Strategies To Reduce Voluntary Employee Turnover In Small Business, Angel M. Major

Walden Dissertations and Doctoral Studies

Increasing turnover rates are costly to businesses, causing problems with workloads and workflow. The annual resignation rate in the United States has approached 25%, which small business owners cannot afford. Guided by the Herzberg 2-factor theory, the purpose of this descriptive case study was to explore what strategies some small business owners have used to reduce voluntary employee turnover in the United States. Data saturation was achieved after conducting semistructured interviews and document reviews with 4 small business owners in southeast North Carolina who have been in business for at least 5 years and have not experienced any voluntary employee …

A Case Study Of Middle Schools Teachers' Perceptions Of The Use Of Classroom Websites, Deborah Mau

Walden Dissertations and Doctoral Studies

Research has confirmed the benefits of incorporating technology, such as course websites, within public school classrooms to enhance student learning. However, many teachers do not incorporate technology or class websites. The purpose of this case study was to investigate technology integration within classroom websites to enhance student learning. Guided by the theory of constructivism, the concerns-based adoption model, and the technological pedagogical content knowledge framework, the research questions focused on teachers' perceptions of how a classroom website influences teaching practices and the key benefits of technology integration. Data were collected from 12 certified teachers in 2 middle schools who were …

Perceptions Of Business School Students About Character Development And Ethical Reasoning, Larkey Mays Iii

Walden Dissertations and Doctoral Studies

Character development in higher education is essential for enhancing ethical awareness and moral reasoning. However, inconsistent perspectives exist concerning the impact of ethics education on students' ethical awareness and moral reasoning. This phenomenological study examined the perceptions of senior-level undergraduate business students on their own ethical belief systems and changes in ethical awareness. Astin's student development theory on the environmental effects on learning formed the conceptual framework. The research questions explored how the 4-year undergraduate business school experience changed the students' ability to recognize and evaluate ethical concerns in relation to the ethical aspects of coursework. Thirteen undergraduate seniors pursuing …

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 …

Toward Excellence: A Study Of Public Sector Department Of Defense Teams, Denise Marie Miller

Walden Dissertations and Doctoral Studies

The Department of Defense's (DoD's) budgetary and personnel challenges are affecting readiness, thus encouraging the use of effective teams to improve efficiency. This qualitative, descriptive case study examined how public sector DoD members experienced characteristics of high-performing teams (HPTs), defined by their members' shared sense of purpose, interdependent commitment, and exceptional team effectiveness. The documentation of these experiences may aid other DoD teams seeking to improve performance. Lewin and Sherif's theories on group dynamics, Johnson and Johnson's theory on groups, Katzenbach and Smith's theory of HPTs, and Edmondson's work on teams comprised the theoretical framework. Thirty-nine public sector DoD members …

Perceptions Of Cameroonian Women Regarding Cervical Cancer Prevention, Anna Nkapsah Nji

Walden Dissertations and Doctoral Studies

Women in Cameroon as well as those residing in the Maryland-Washington Metropolitan area and the Diasporas suffer a disproportionate rate of cervical cancer morbidity and mortality due to the vast disproportion in the distribution of healthcare services. The widespread human papillomavirus (HPV) vaccination holds promise for helping to attenuate the disproportion in cervical cancer screening and prevention services. Literature from other countries including Cameroon suggests that barriers to the uptake of cervical cancer screening include: culture, religion, the psychological impact of embarrassment, the influence of husbands, cost, discomfort, and vulnerability. The purpose of this study was to gain an understanding …

Nigerian Educators' Attention-Deficit Hyperactivity Disorder Knowledge And Classroom Behavior Management Practices, Arthur N. Ojionuka

Walden Dissertations and Doctoral Studies

This correlational study assessed Nigerian educators' knowledge about attention deficit/hyperactivity disorder (ADHD) and inclusive classroom management practices when serving students with ADHD. Specifically, the study examined the predictive correlation between teachers' demographic characteristics, including years of teaching experience, level of education, and knowledge about ADHD, as well as how their knowledge informed their choice of behavior management interventions. Teachers are accountable for pedagogical responsibilities including maintenance and management of a learning environment that promotes learning and inclusion. Further, they play a significant role in identifying and supporting students with learning impairments including ADHD. Thus, it is critical for teachers to …

Examining U.S. Middle School Students' Achievement In A Blended Learning Environment, Bernadette Ortiz-Brewster

Walden Dissertations and Doctoral Studies

Abstract

U.S. middle schools are increasing offering blended learning curricula that integrates virtual and face-to-face instruction, but the effectiveness of this mode of instruction at the middle school level has not been adequately explored. This investigation provides additional data to the current body of knowledge related to blended learning as a viable option for middle school students. The theoretical framework for this investigation derives from Lev Vygotsky's social development theory and Jean Piaget's constructivist theory of knowledge. The central research question focused on the difference in achievement scores between 6th grade students participating in a virtual course as compared to …

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

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 …

Adoption Of Electronic Health Record Systems Within Primary Care Practices, Marvin Leon Reid, Jr.

Walden Dissertations and Doctoral Studies

Primary care physicians (PCPPs) have been slow to implement electronic health records (EHRs), even though there is a U.S. federal requirement to implement EHRs. The purpose of this phenomenological study was to determine why PCPPs have been slow to adopt electronic health record (EHR) systems despite the potential to increase efficiency and quality of health care. The complex adaptive systems theory (CAS) served as the conceptual framework for this study. Twenty-six PCPPs were interviewed from primary care practices (PCPs) based in southwestern Ohio. The data were collected through a semistructured interview format and analyzed using a modified van Kaam method. …

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

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 …

Factors Impacting Older Adults' Adoption Of Mobile Technology In Emergency Communications, William A. Scerra

Walden Dissertations and Doctoral Studies

An increasing number of older adults must continue working, which requires that they maintain their competencies and work skills, including use of mobile technology (MT). However, little is known about older adult adoption of MT in relation to work. This study used Rogers's diffusion of innovation theory and Davis's technology acceptance model as a framework. The purpose of this exploratory sequential mixed methods study was to examine the experiences of older adults' who adopted MT in the emergency communications (EC) field. Participants came from an emergency services LinkedIn group. Data sources included surveys completed by 85 respondents and interviews of …

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

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 …

Budgets As A Primary Control In New Hampshire Governmental Units, Dennis C. Shea

Walden Dissertations and Doctoral Studies

The annual budget process is a primary financial control mechanism over community resources. However, in New Hampshire, some business school leaders do not have effective strategies for proper budget creation and execution. Using agency theory to frame this study, the purpose of this explanatory case study was to explore strategies for proper budget creation and execution in local school administrative units (SAUs) in New Hampshire. The targeted population was comprised of New Hampshire SAU business administrators who had operational responsibility for the administration of the yearly public budgets in each school district. Data were collected from SAU document review and …

Effects Of Management Cultural Integration On Merger And Acquisition Failures, Horacio Shettlewood

Walden Dissertations and Doctoral Studies

Fifty percent of mergers and acquisitions (M&A) in the United States fail, often resulting in a loss of stakeholder value. A questionnaire study design was used to explore managers' strategies for cultural integration during an M&A. Data were gathered from 94 managers and business leaders in M&A organizations in Texas. Managers' cultural integration strategies, communication, and leadership during M&As were investigated using transformational leadership as the conceptual framework. The study data were gathered from an online questionnaire, formatted into matrices using computer software, and then coded to identify themes. Themes that emerged from the study were that managers used effective …

The Impact Of A New Teacher Support System On Teacher Efficacy, Tonja Denise Simpson

Walden Dissertations and Doctoral Studies

Retaining novice teachers is a major concern for school districts across the United States. At an urban high school in a Southeastern state, over 30% of novice teachers hired over a 3-year period did not return after their first year of teaching. The purpose of the study was to examine novice teachers' perceptions of support received during their first year to determine how school-based support could increase novice teacher retention. The theoretical framework was Bandura's theory of self-efficacy and the concept of teacher efficacy espoused by Tschannen-Moran, Woolfolk-Hoy, and Hoy. The research questions focused on the perceptions of novice teachers …

Development Of A Bedside Shift Report Policy And Guidelines To Assist Nurses With Patient Care, Cynthia Snedecor

Walden Dissertations and Doctoral Studies

In 2013, the Hospital Consumer Assessment of Healthcare Providers System (HCAHPS), a national, independent metric of patient satisfaction, revealed room for improvement at a teaching hospital in the southeastern section of the United States. This project reports the development and validation of a Bedside Shift Report (BSR) policy, practice guidelines, and associated documentation. Several initiatives, models, and theories informed thinking about this project. The work of Kurt Lewin and the Institute for Healthcare Improvement- Robert Wood Johnson Foundation's joint initiative, Transforming Care at the Bedside, both guided the project in terms of the process of institutional change. SBAR (Situation Background …

Preparing Early Learners For Kindergarten Success, Deidre Stewart

Walden Dissertations and Doctoral Studies

Many early childhood learners enter kindergarten not academically and social-emotionally prepared. This qualitative study explored teachers' perceptions of what constitutes high-quality learning concerning kindergarten readiness and parents' understanding and support of kindergarten readiness. The conceptual framework is based on recent studies by early childhood researchers on how and what early learners should experience during their pre-k years. The research questions focused on teachers' understanding of structural quality and process quality, kindergarten readiness, and age- appropriate curriculum. In addition, parents' understanding of kindergarten readiness and what types of learning opportunities they offer their children were examined. Through purposeful sampling, 16 teachers …

Teachers' Perceptions Of Differentiated Instruction In Elementary Reading, Olwen Suzette Stewart

Walden Dissertations and Doctoral Studies

Many teachers in a low socioeconomic school district in Florida struggle with differentiating instruction for the large at-risk population; however, one school has been identified as a high functioning school. The purpose of this qualitative case study was to investigate how classroom teachers at the high functioning school are differentiating instruction and how their reading coaches are supporting the teachers in designing instructional interventions. Guided by the concepts of Vygotsky's zone of proximal development and Tomlinson's differentiated instruction, this study examined the connection between these 2 concepts and explored approaches to the creation of an instructional model to support at-risk …

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

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 …