Digital Commons Network^™

Promoting Shared Decision Making Through Patient Education Of Labor Inductions, Lenora W.Y. Low

Walden Dissertations and Doctoral Studies

The induction of labor is medically indicated for many conditions in which delivering the baby outweighs the risk of continuing the pregnancy. Patients admitted for the induction of labor require adequate information to actively participate in decision making that affects their plan of care. The purpose of this quality improvement project was to improve the quality of healthcare delivery and promote patient engagement by providing consistent education using a teaching tool. The project question addressed the impact of a labor-induction teaching tool on improving patient education, participation, and overall satisfaction. The Plan-Do-Study-Act (PDSA) model was used to plan, implement, and …

Perceptions Of Inclusion Factors By General Education Teachers And Administrators, Rashelle Janine Mckenzie

Walden Dissertations and Doctoral Studies

Special needs learners (SNL) under-perform on state benchmark measurements despite the efforts of general education teachers to implement inclusion effectively. Using Bandura's theory of self-efficacy as a framework, the purpose of this study was to explore perceptions toward factors for implementing successful inclusion in a high performing school. Research questions explored the perceptions regarding methodology used to implement inclusion, barriers or facilitators of the implementation process, and how inclusion affects the attitude and self-efficacy of general education teachers when teaching SNL. A qualitative case study design was applied within a purposeful sample of 5 general education teachers participating in a …

Teacher Perceptions And Attitudes Of Classroom Technology Integration Related To Ipad Training, Theresa Marie Pepe

Walden Dissertations and Doctoral Studies

While professional development on the use of technology in the classroom aids educators to implement new teaching strategies, little is known about teachers' concerns with professional development specifically for adopting mobile technologies like iPads in their classrooms. The purpose of this study was to discover teachers' attitudes and perceptions toward teacher training for integration of the iPad into their classroom instruction. Using a case study approach and the concerns-based adoption model as a framework, this study examined teachers' concerns about their training for using the iPads in the classroom. Participants were 7 teachers from a small, suburban, Catholic K-8 school …

Emotional Intelligence, Job Satisfaction, And Burnout For Dietitians, Cara Perdue

Walden Dissertations and Doctoral Studies

There are low retention rates of dietitians and this impacts quality of care. Emotional intelligence (EI) may be the missing component to improve retention, due to EI increasing job satisfaction and decreasing burnout for other health providers. The purpose of this study was to examine the relationship between EI, job satisfaction, and burnout for dietitians. The theoretical framework utilized was the 4-branch model of EI. Method of inquiry was convenience, quantitative non-experimental design. Registered dietitians (N = 84,173) living in the United States were contacted via e-mail. Approximately 9.5% of dietitians (n = 8,038) completed the Wong and Law EI …

A Plan For The Implementation And Evaluation Of Diet Education In Type 2 Diabetes, Soy Ramsumeer

Walden Dissertations and Doctoral Studies

Abstract

Type 2 Diabetes Mellitus (T2DM) is the seventh leading cause of death in the United States with a projected increase of 552 million people worldwide who will be affected with this illness by 2030. The need to address this issue is vital to prevent complications and reduce healthcare spending. The DNP project is aimed at planning and designing a nutritional education program tailored toward specific ethnic groups in order to increase knowledge in making healthy food choices. This project is intended to educate Registered Nurses (RNs) on nutrition so that they can offer dietary knowledge to T2DM patients. Additional …

Excess Corporate Cash And Mutual Fund Performance, Shay E. Richardson

Walden Dissertations and Doctoral Studies

Corporations may experience lower earnings on assets due to the underinvestment of excess cash. Specifically, leaders of nonfinancial firms hold small amounts of cash in mutual fund investments. The primary benefit to understanding mutual funds is the potential to use them to manage excess corporate cash. Using the efficient market hypothesis as a framework for the study, the purpose of this correlational study was to examine the relationship among mutual fund expenses including 12b-1 fees, sales load at purchase, management fees, total capitalization, and performance. Secondary research databases were used, including the Steele Mutual Fund Expert and the U.S. Securities …

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 …

Identifying Barriers To Graduation For Nontraditional Students, Abena Salvant

Walden Dissertations and Doctoral Studies

Increased enrollments of nontraditional students in U.S. higher education institutions have prompted many college and university administrators to consider student service programs. These programs ensure that support services are available to nontraditional students to cultivate healthy graduation rates among that student population. The purpose of this study was to discover factors that influence nontraditional students to become disengaged or be retained. The study was a qualitative case study with data collected from individual interviews with 10 nontraditional students participating in online and traditional onsite delivery systems at a private, nontraditional higher education institution in the western United States. The theoretical …

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 …

Improving Patient Care Delivery In A Small Alaska Native Health Care Organization, Annette Cecile Siemens

Walden Dissertations and Doctoral Studies

Chronic diseases impose heavy burdens on the United States health care system, particularly among some ethnic/racial groups such as American Indian and Alaska Natives who experience higher incidence of these diseases than non-Native population. In an effort to improve the health status of its patients, the Ukudigaunal Wellness Center (UWC) partnered with the Improving Patient Care (IPC) Collaborative to implement changes designed to improve chronic disease care for Native Alaskans through intensive monitoring of screening for chronic disease and selected chronic disease outcomes. For this program evaluation, the units of analysis were the changes in health service delivery and the …

The Relationship Between Knowledge Management Tools And Interprofessional Healthcare Team Decision Making, Lisa Simon

Walden Dissertations and Doctoral Studies

Rising costs and continued risks in patient care indicate that knowledge management (KM) tools have not been fully recognized in healthcare. A case study was conducted to determine how KM tools might support the decision-making process of interprofessional teams. The study was predominately qualitative with a quantitative supplemental component. A questionnaire was used to collect data; this questionnaire contained open-ended questions along with Baggs' Collaboration and Satisfaction about Care Decisions and Anderson & West's Team Climate Inventory instruments. Responses to open-ended questions were reviewed, categorized, and coded as part of the qualitative analysis. Descriptive statistics were completed from Likert scale …

The Role Of Religiosity In The Development Of Obesity From Adolescence To Adulthood, Trini Gene Rangel

Walden Dissertations and Doctoral Studies

The development of obesity from adolescence to adulthood is not well understood, nor does the research support a multidimensional approach for this understanding. Studies have described primarily cross-sectional bivariate relationships between combinations of obesity, religiosity, depression, and social support, but it is still not known whether there is a relationship between adolescent religiosity, depression, and social support in the development of adult obesity or whether depression and social support mediate the religiosity-obesity relationship. The dynamic, multidimensional, functional model of wellness presented by Hawks was the basis for the spiritual, social, emotional, and physical interactions proposed in this study. The research …

Predictive Factors Of Compassion Fatigue Among Firefighters, Teresa Michelle Robinson

Walden Dissertations and Doctoral Studies

Few existing studies have examined compassion fatigue among emergency responders even though firefighters and emergency medical service (EMS) professionals have repetitive direct exposure to traumatic events. This study focused on identifying predictor variables for the development of compassion fatigue in firefighters. Karasek's demand-control model, a commonly used work stress model, was the study's theoretical framework as it focuses on specific construct interactions that predict employee well-being. Accordingly, this correlational study examined the predictive nature of EMS license level, years of service, and personality type on the development of compassion fatigue in career firefighters. Data collection occurred with surveys incorporating the …

Factors Involved In Successful Second-Generation Legacy Perpetuation In Independent Insurance Agencies, Christina Marie Rosensteel

Walden Dissertations and Doctoral Studies

The purpose of this study was to examine the factors involved in successful second-generation legacy perpetuation in independent insurance agencies. This study examined the role of parent and child throughout the process in an effort to thwart the current high failure rates. This research aims to promote healthy business activity, improve success and sustainability, and add positive social stewardship in communities. Education and preparation of successor, timing of transition, financial considerations, and processes of succession were addressed. Two frameworks guided this study: Bertalanffy's systems theory and Bandura's theory of self-efficacy. Nonrandom, purposeful samples of 3 profitable, second-generation agency owners of …

The Impact Of Free Healthcare On Hospital Deliveries In Sierra Leone, Salifu Salito Samura

Walden Dissertations and Doctoral Studies

Improving maternal health has been a challenge for developing nations with very high rates of maternal mortality. Sub-Saharan Africa, particularly Sierra Leone, has some of the highest maternal mortality rates in the world. In an attempt to improve on this, the Sierra Leonean government enacted free maternal healthcare services in 2010. The Sierra Leone Free Healthcare Initiative (SLFHCI) provides free healthcare for pregnant women, lactating mothers, and children under 5 years old. This research explored the impact of the free healthcare on hospital deliveries. The determinant of health model was used to evaluate the effectiveness of the SLFHCI program, and …

Hearing Parents Of Children With Hearing Loss: Perceptions Of The Iep Process, Robin Fern Stegman

Walden Dissertations and Doctoral Studies

This phenomenological study investigated the nature and extent of the support parents received during IEP development. The study was informed by Bronfenbrenner's ecological systems theory. Participants, located in a Northeastern state, were 10 hearing parents of children who had been diagnosed with hearing loss at birth and were between ages 5 and 12. Data were in-depth interviews that were analyzed, coded, and organized into themes using an inductive approach to analysis informed by Hatch. Results indicated that parents believed they needed more guidance on what to expect during the first IEP meeting, that advocating for appropriate accommodations for their child …

A Collaborative Approach To Budgeting And The Impact On The Budgeting Process: A Case Study, Michael Van Roestel

Walden Dissertations and Doctoral Studies

Corporations budget and strategize to set targets for planning purposes. Review of the literature indicated that methods of budget creation, including input from operational employees, are not fully understood by corporate budget officers. The problem addressed in this study was whether a collaborative approach to budgeting would improve implementation of the Generally Accepted Accounting Principles of relevance and reliability within the budgeting process. The purpose of this qualitative study was to explore the benefits of a collaborative approach to budgeting since non-inclusive budget preparation could alienate members of the operations team. Participative leadership was the conceptual framework guiding this study …

Investing In Least Developed Countries: The Aynak Copper Mine Project, Roosevelt Barfield

Walden Dissertations and Doctoral Studies

The rise of market globalization creates challenges for business executives seeking to pursue foreign direct investment (FDI) in least developed countries (LDC), such as Afghanistan. Multinational corporate (MNC) executives need strategies that will improve the timely delivery of minerals for mining projects in LDCs. Guided by the force field analysis theory, the purpose of this holistic, single-case study was to explore the strategy that 5 MNC executives in Beijing, China, used to improve the timely delivery of minerals associated with the Aynak copper mine project in Afghanistan. Semistructured interviews were used to elicit detailed narratives from MNC executives about their …

The Relationship Between Stress, Coping Strategies, And Social Support Among Single Mothers, Nikitra Yvette Williams

Walden Dissertations and Doctoral Studies

Researchers have neglected to focus on understanding the relationships between stress, coping, and social support among single mothers versus mothers who are not single. Knowledge regarding how single mothers' lives are affected by stress, social support, and coping is important, and such information can help readers better understand how effectively single mothers raise children compared with mothers who are not single. A convenience sample of 173 mothers completed this study. Participants in this study consisted of mothers who were (a) raising at least one child ages 18 and under who lives in the home and (b) who were between the …

Empathy In Detained Male Juvenile Offenders, Cloyce Joe Barton

Walden Dissertations and Doctoral Studies

In Texas and across the United States, minority male juvenile offenders are overrepresented in juvenile detention facilities. Researchers have demonstrated an inverse relationship between levels of empathy and antisocial beliefs and delinquent behaviors in juveniles. Understanding this relationship is an important step in designing and implementing rehabilitative interventions for juvenile detainees. Grounded in social learning theory and the social empathy model, the current study addressed whether significant differences in empathy existed between nonminority and minority male juvenile offenders with felony and nonfelony offenses within a juvenile detention facility in rural Texas. A de-identified data set of 357 Interpersonal Reactivity Index …

An Integrative Review Focusing On Accuracy And Reliability Of Clinical Thermometers, Julie Black Black

Walden Dissertations and Doctoral Studies

Technological advances in clinical thermometers have resulted in a variety of minimally invasive devices that give rapid results but may not have the accuracy necessary for use in acutely ill adults. Inaccurate temperatures can result in missed opportunities for the early identification and treatment of infection and sepsis. Following the methodology outlined by Whittemore and Knafl, the purpose of this project was to conduct an integrative review of the research on the accuracy of clinical thermometers used for acutely ill adults. The evidence was categorized using the Hierarchy of Evidence for Interventional Studies, and the quality of the studies was …

Practice Preparedness In New Graduates: Exploring The Education-Practice Gap, Wendy L. Batch-Wilson

Walden Dissertations and Doctoral Studies

As newly licensed registered nurses enter their first nursing role, their perceived preparation for practice may vary. This descriptive study addressed the education-practice gap that exists as nurses transition into nursing practice. The use of Benner's skill acquisition model offers a structure for connecting theory to practice. New graduate nurses responded to the Casey-Fink Graduate Nurse Experience Survey-© to identify gaps in preparedness for novice practice. A convenience sample of nurses within the first 12 months of hire (n = 35) was sent the survey link by educators from the chosen sites. Anonymity was maintained with 18 total responses and …

Best Practices In Literacy Achievement To Address Reading Failure For Elementary Schools In One School District, Roxanne Boyd-Williams

Walden Dissertations and Doctoral Studies

The local district in this study has not made adequate yearly progress in the past several years in language arts literacy on state assessments. Particularly problematic were poor reading skills among district students. Poor literacy skills negatively affect student learning across the curriculum. The purpose of this case study was to identify teachers' and administrators' perceptions of best literacy practices, professional development, and administrative decisions regarding literacy learning for primary students in reading at a strong performing elementary school in the district. The target school was selected to help address reading failure for the low-performing schools in this district. Bloom's …

An Obesity Needs Assessment With African American Adults In Central Virginia, Nicole Michelle Brown

Walden Dissertations and Doctoral Studies

The risk for obesity is especially prevalent among African American adults in Central Virginia, who have one of the highest rates of obesity in the nation. Efforts to address obesity in African American adults through diet, weight reduction, and increased physical activity in settings such as schools, worksites, healthcare organizations, churches, and communities, are among the initiatives of Healthy People 2020. The objective of this project, conducted with 91 African American adults (33 females and 58 males) in central Virginia, was to complete a community needs assessment that related to obesity among members of an African American church. The needs …

A Community's Perception Of Pregnancy And Sexually Transmitted Infections And Prevention Programs, Felecity Nicole Burns

Walden Dissertations and Doctoral Studies

The United States has the highest rates of teenage pregnancies, births, abortions, and sexually transmitted infections in the industrialized world. African American teen pregnancies and sexually transmitted infections are on the rise in many rural southwest school districts in the State of Georgia where the sex education curriculum is nonexistent or solely focuses on abstinence. Georgia ranked 4th in cases of primary and secondary syphilis, 6th in AIDS, 12th in gonorrhea, 14th in teen pregnancies, and 17th in chlamydia in the United States in 2012. The purpose of this qualitative study was to evaluate the perceptions of residents of a …

Perception Of Job Satisfaction And Over Qualification Among African Immigrants In Alberta, Canada, Benard Chi Njeundam Chuba

Walden Dissertations and Doctoral Studies

African-trained landed immigrants in the Alberta labor market are faced with employment over qualification and professional devaluation. Researchers have documented the precarious labor market position of this cohort and efforts undertaken by federal and provincial Canadian governments to address it. Little is known, however, about how these African immigrants perceive job satisfaction and over qualification. Guided by human capital theory, this phenomenological study focused on the perceptions of job satisfaction and over qualification among 11 landed immigrants of African origin in Alberta, Canada. Data were collected using semi structured interviews. Hatch's 9-step technique was used to analyze data, resulting in …

Family Continuity And Multiple Incarcerations Among African American Women, Dorenda Karen Dixon

Walden Dissertations and Doctoral Studies

Scholars have studied incarceration among women in the United States of America for more than a decade, but few studies have explored the influence of repeated incarcerations among African American women and their family relationships. The research question for this study examined how African American women describe the effects of multiple incarcerations on family trust relationships and their ability to reintegrate into the family system and society. This multiple case study was conducted in Chicago, Illinois, and drew a sample of 4 African American women released from prison with histories of multiple incarcerations. The study explored their perspectives through a …

Providing Optimal Nutrition In Critical Care, Jo Anne Foley

Walden Dissertations and Doctoral Studies

Malnutrition among hospitalized patients is prevalent and associated with adverse outcomes. At the health care facility for which this quality improvement (QI) initiative was developed, patients were not consistently fed within the nationally recommended 48 hours. The purpose of this project was to facilitate the early initiation of enteral feedings to prevent malnutrition in a vulnerable patient group by development of an evidence-based enteral feeding policy, algorithm, and nursing education module. The find, organize, clarify, understand, select, plan, do, check, and act model provided a systematic approach for development of the project. Validation of the QI initiative was through the …

Social Demography Of Health Seeking Experiences Among Transgender African Americans, Alicia Cutrice Fritz

Walden Dissertations and Doctoral Studies

Access to and receipt of health care is an essential human right; however, transgender people often have negative health seeking experiences that give way to the many health disparities seen in the transgender community. Using the social ecological model, this study determined, through multiple logistic regressions, that correlations existed between socioeconomic, health behaviors, and sociocultural variables and 6 measures of health seeking experiences among transgender African Americans. Secondary data from the 2010 National Transgender Discrimination Survey were used, yielding a sample size of 253 transgender African Americans. Those in the African American transgender community at most risk for negative health …

Community College Basic Skills Math Instructors" Experiences With Universal Design For Learning, Sunny Greene

Walden Dissertations and Doctoral Studies

Multiple approaches have been used in U.S. community colleges to address the learning needs of postsecondary students who are underprepared in basic skills math. The purpose of this exploratory interview study was to gain a deeper understanding of community college basic skills math learning through instructors' lived experiences using the Universal Design for Learning (UDL) approach and its technology tool, a computerized pen. The conceptual framework for this study used Knowles's adult learning and Kolb's experiential learning theories with UDL principles. The central research questions investigated the professional development and teaching experiences of community college basic skills math instructors in …