Digital Commons Network^™

Clinical Factors That Influence Nurse Responsiveness In Activating Rapid Response Services, James Bernard Tormey

Walden Dissertations and Doctoral Studies

This study advances the understanding of essential clinical knowledge skillsets that nurses need to identify and respond to early signs of patient deterioration. The identification of critical thinking and assessment skills that nurses require may support professional practice through improved nursing education curriculum or additions of necessary critical care skillsets. The purpose of this study, which was framed by Benner’s novice-to-expert model, was to identify and measure critical thinking skills that influence a nurse’s ability to detect deterioration in patients and call the rapid response system (RRS). The research questions addressed the relationship between a nurse’s clinical or reasoning skill …

Amyotrophic Lateral Sclerosis Patients' Sociological Resilience, Self-Determination, And Decision-Making For Life-Sustaining Treatments, Jeremy Jon Van Tress

Walden Dissertations and Doctoral Studies

People with amyotrophic lateral sclerosis (ALS) suffer from a rare, progressive, untreatable, and fatal neuromuscular disease. Their decision-making for life-sustaining treatments may not be fully self-deterministic. While researchers have examined resilience and self-determination in people with mental health problems and chronic illness, none have researched these variables in ALS patients from a socioecological framework. The purpose of this study was to explore the relationships between people with ALS socioecological resilience, self-determination, and decision-making for life-sustaining treatments. A cross-sectional concurrent mixed-methods design was used, with online surveys completed by 197 people with ALS who were solicited through the National ALS Registry. …

Regime Gender Policies And Women's Political Participation In Post Conflict Liberia, Brima Sylla

Walden Dissertations and Doctoral Studies

Abstract Patriarchy has dominated political powers in many areas of the world. Until 2006, men overwhelmingly held the highest political positions in Liberia. Female political participation started to emerge in 2006 when women began to hold top political positions. The main purpose of this research was to examine the relationship between the gender policies of the administrations of Liberian Presidents Charles Taylor and Ellen Johnson Sirleaf and the political participation of women in Liberian politics, measured by the holding of political offices. The research question guiding this study examined the impact of the gender policies of the Charles Taylor and …

Success Stories: Community College Teachers Using Technology To Engage Online Students, Alice Louise Dieli

Walden Dissertations and Doctoral Studies

For online students to be engaged in learning process, best practices include teachers using appropriate technology. However, it is unclear how some teachers who initially face challenges to adopting new teaching technology have overcome those challenges, adjusted their instructional practices, and adopted innovative technology to successfully engage students online. The purpose of this case study was to describe how teachers overcame challenges of using instructional technology tools for online learning. Rogers’s diffusion of innovations theory and Kolb’s experiential learning model provided the framework for this study. The research questions explored why teachers initially resisted the use of technology tools in …

Hispanic Adult Learners’ Support Expectations In A Higher Education Hispanic Serving Institution, Jon Mchenry

Walden Dissertations and Doctoral Studies

Hispanic learners have lagged behind their White peers by about 7% in completing an associate degree within 3 years, a lag in completion that has closed to some degree over the decade of 2004 to 2014 but still persists. Since the percentage of Hispanic learners who are adults is increasing, the impact of the lag on this demographic could further increase. The purpose of this basic qualitative study was to examine the expectations Hispanic adult learners have regarding supports a community college provides, especially if it aspires to be designated as a Hispanic Serving Institution. The conceptual framework consisted of …

Examining Barriers Impacting Women’S Promotion Into C-Suite Positions In Higher Education, Lynette Johnson Nelson

Walden Dissertations and Doctoral Studies

The United States Department of Labor indicated that women represent 46.8% and men represent 53.2% of the United States’ 16 years and older civilian labor force. An estimated 52% of adult women compared to 48% of men participating in the civilian labor force held a bachelor’s degree or higher, and women represented 47% of the management and professional sector’s positions. Women occupy 25% of C-suite positions in the Standard & Poor 500 companies. In higher education, 30% of college presidents are women. Women continue to face several barriers as they try to move into senior executive leadership positions. The specific …

Religious Tolerance And Government Collaboration With Faith-Based Organizations, Sheree Rose Nelson

Walden Dissertations and Doctoral Studies

Collaboration between faith-based organizations and local governments provides an opportunity for projects to be fulfilled when budgets fall short of meeting all of a community's demands. Concerns arise, however, regarding the working relationships of government entities and faith-based organizations, when cosponsoring organizations include participants of various belief systems. The purpose of this case study was to explore participants' perceptions of toleration levels regarding their spiritual beliefs while working within a collaborative setting of mixed faiths. The conceptual framework consisted of Gajda's collaboration theory that states that collaboration is an imperative; is known by many names; is a journey, not a …

Readiness Of Stakeholders To Adopt Community Paramedicine Programs In Tennessee, Roger Lloyd Ritchie

Walden Dissertations and Doctoral Studies

Abstract

Community paramedicine is an emerging model of care that promulgates EMS in a more community-based and integrated role within the broader health care system. A hallmark characteristic of community paramedicine is that programs are designed to meet the specific needs of a given community, rendering programs unique but perplexing. A need for research aimed at exploring possible barriers that may impede the adoption and implementation of community paramedicine programs has been identified by the National EMS Advisory Board, the North Central EMS Institute, and the Joint Committee on Rural Emergency Care. The purpose of this study was to explore …

Predictors Of Lone Wolf Terrorism, Gwendolyn Shands

Walden Dissertations and Doctoral Studies

Lone wolf terrorism is political violence perpetrated by individuals who act alone, who do not belong to an organized terrorist group or network, and whose tactics and methods are conceived and directed by the individual without any direct outside commitments or directions. The increase of domestic lone wolf terrorism continues to impact the safety and security of the United States, yet little is known about the potential predictors of this type of behavior. Using McCauley and Moskalenko’s framework of lone wolf terrorism as the foundation, the purpose of this nonparametric study was to examine the statistical association between certain elements …

Offender Participation In Multiple Rehabilitation Programs To Reduce Recidivism, Jonathan Michael Yearwood

Walden Dissertations and Doctoral Studies

Rehabilitation programs are critical for reducing recidivism rates and reintegrating offenders into the community. Despite the recognition that offenders face many challenges, few scholars have investigated the relationship between prisoners who receive more than 1 rehabilitation program and recidivism. The purpose of this quantitative, correlational cross-sectional study using archival data from a correctional facility in Barbados was to assess the relationship between age, education, employment, and multiple rehabilitation programs on recidivism. The conceptual framework of this study was grounded in the lifecycle theory, the social learning theory, the social cognitive theory, and the social disintegration theory. The primary research question …

Skin Bleaching Among Female University Students, Adegboyega Abayomi Adewoyin

Walden Dissertations and Doctoral Studies

In Nigeria, skin bleaching, a practice that can create significant health problems, represents a persistent social issue. The behavior has become widespread due to unfettered access to various brands of bleaching creams. The purpose of this study was to gather data to (a) seek an understanding of the deeper motivations underlying the decision to engage in skin bleaching or skin whitening among female tertiary students and (b) examine the awareness among such students of public policy on skin bleaching creams. The case study qualitative research design was employed to enable skin bleaching cream users to share their motivations and experiences. …

Leaders And At-Risk Students' Perceptions Of Online Credit Recovery Opportunities And The Role Of Efficacy, Angelo Mitsuo Barcinas

Walden Dissertations and Doctoral Studies

Although online credit recovery opportunities are available to high school students enrolled in a United States of America territory credit recovery school, the inability of students to access these courses outside of the school is difficult because students do not have online access. This study examines the role self-efficacy plays on students successfully completing high school through taking advantage of online credit recovery opportunities. The purpose of this general qualitative interview study was to examine at-risk students’ perceptions of online credit recovery opportunities and the role of efficacy for students enrolled in online credit recovery school. Using the social cognitive …

Low-Income Household Adults Sustaining Affordable Housing In Affluent Neighborhoods, Edward Brian Flournoy

Walden Dissertations and Doctoral Studies

Public housing policy continues to exacerbate the concentration of poverty for low

income household adults (LIHA), preventing their mobility to achieve or sustain

affordable housing in low-poverty affluent neighborhoods. Successful design and

implementation of public housing policy for LIHA has been elusive for policymakers

seeking to address socioeconomic self-sufficiency problems in the United States.

Wilson’s spatial mismatch theory on social transformation of the inner city was the

theoretical framework for this study. This qualitative study utilized policy analysis and

key interviews to explore the importance of public policy design and implementation in

how the Moving to Opportunity (MTO) program influenced …

Department Of Defense Insider Threats: Sharing And Oversight To Protect U.S. Installations, Yokeitha Anita Ramey

Walden Dissertations and Doctoral Studies

The growing threat of Islamic State of Iraq and the Levant and other terrorist organizations increases the Department of Defense’s (DoD’s) chance of encountering an insider threat, which creates the need for the DoD to develop programs to address this concern and mitigate the risk to national security. The purpose of this quantitative, nonexperimental study was to understand the effectiveness of security education, training, and awareness programs designed to mitigate insider threats within the DoD. Research questions were focused on this purpose as well as understanding why there is an increase in insider threats within the DoD. The theoretical frameworks …

Principal Leadership For The Establishment Of Family-School Partnership, Mickelli Dunn

Walden Dissertations and Doctoral Studies

The area of family engagement and its benefits to the academic outcomes of students has been well researched. Educators, including practitioners and those who prepare them, and community members need to understand more about the leadership actions of principals, especially in urban, low-income predominantly African American schools, that lead to effective communication and learning at home partnerships. The purpose of this qualitative case study was to explore the leadership actions of principals that support teachers establishing productive communication and learning at-home family engagement practices. Epstein’s school, family, and community partnership model was the framework that guided this research. Research questions …

Adult Learners' And Instructors' Perceptions Of The Andragogical Instructional Method Used At A Northern Mississippi Community College, Renee Lajune Hall

Walden Dissertations and Doctoral Studies

The purpose of this study was to understand adult learners’ and instructors’ perceptions of the andragogical instructional method used at a Northern Mississippi Community College. In addition, this study explored how well the andragogical instructional method worked as a way to educate adult learners. A qualitative phenomenological design was used to examine the perceptions of six returning full-time adult learners and six full-time instructors regarding the use and impact of the andragogical instructional method via purposeful sampling. Data was collected by face-to-face interviews. Through the participants’ shared experiences and reviewing the interview transcripts, several themes emerged regarding their perceptions of …

Teachers’ Attitudes, Beliefs, And Confidence Levels And Technology Integration In Urban Schools, Renée Rousey

Walden Dissertations and Doctoral Studies

Many K–12 schools do not exploit the advantages of technology, despite the influx of equipment that can enhance pedagogy and student success. A gap exists in the literature about the extent to which urban teachers’ perceptions influence technology use in the classroom. The purpose of this qualitative study was to explore the ABCs of K–12 teachers regarding technology integration in their classrooms. Rogers’ diffusion of innovation theory and the technological pedagogical content knowledge model were the frameworks for this study. The research questions examined teachers’ intrinsic factors that impact the integration of technology in the urban classroom and the perceptions …

Experiences Of Long-Term Stay Among Homeless Millennials In New York City Shelters, Xellex Z. Rivera

Walden Dissertations and Doctoral Studies

The number of homeless millennials seeking shelter in New York City (NYC) increases

nightly. Aside from seeking shelter services, millennial adults are also staying in shelters longer than the time allotted by the city. Their extended stay places a burden on city resources and taxpayers. Although there is research on the millennial generation and homelessness in NYC, more research is needed on the experiences of single, millennial adults who stay in shelters for extended periods of time. The purpose of this qualitative, multiple case study was to explore the experiences of 4 long-term-stay millennials, 25 to 34 years of age, …

Strategies For Small Restaurant Owner Success Beyond 5 Years, Veda P. Allen-Barnes

Walden Dissertations and Doctoral Studies

Strategies for Small Restaurant Owner Success Beyond 5 Years

by

Veda P. Allen-Barnes

MBA, University of Phoenix, 2015

BS, Queens College of the City University of New York, 1995

AAS, Borough of Manhattan Community College the City University of New York, 1992

Doctoral Study Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Business Administration

Walden University

August 2020

Limited strategies in the restaurant industry may lead to the loss of competitive advantage. Restaurant owners who lack success strategies may experience business failure. Grounded in the resource-based view, the purpose of this qualitative multiple case study …

Hispanic Nursing Students’ Perspectives On Student-Clinical Instructor Relationships And Learning, Inela Brito

Walden Dissertations and Doctoral Studies

Non-Hispanic students are more likely to be successful in their nursing school studies than Hispanic students. Facilitators and barriers to classroom success for Hispanic students has been studied; however, few studies have addressed the academic clinical experience and the clinical instructor’s role in Hispanic students’ success. The purpose of this descriptive phenomenological study was to explore the perspectives of undergraduate senior Hispanic nursing students regarding how student-instructor interactions in the clinical setting influenced students’ ability to learn and succeed in completing their studies. The research questions were guided by an adapted institutional support model and were used to explore how …

Portrait Narratives Of Caring Teachers For African American High School Students, Larissa T. Mccormick

Walden Dissertations and Doctoral Studies

For African American high school students, caring relationships extend beyond peer

interaction to include supporting adults, most particularly teachers, who are pivotal to

their educational experience and success or lack of success. The research problem

centered on the lack of diversity and authentic voice when discussing caring teacher-student relationships. Markedly, the voices of African American high school students

were lacking from the current body of research literature. The purpose of this narrative

qualitative study was threefold: (a) to capture the voices of African American high school

students’ as they shared their experience(s) about a caring teacher; (b) to capture the …

Use Of Managerial Epidemiology By Healthcare Leaders In Ambulatory Settings, Chantelle Schenning

Walden Dissertations and Doctoral Studies

Despite many health reforms, the United States continues to struggle with limited healthcare access, exponential healthcare costs, and poor quality of care. Overcoming these challenges requires healthcare leaders’ effective navigation of industry transformation towards population health and a shift in patient volume to ambulatory healthcare settings. Research has demonstrated that the use of managerial epidemiology, an application of epidemiology tools and principles to management decision-making within healthcare organizations, can better serve the health of the population and could improve the triple aim of inadequate access, high costs, and poor quality. However, the adoption of this practice is weak and its …

Clinical Nurse Experts' Experience Of Transitioning To The Novice Nurse Educator Role, Crystal Toll

Walden Dissertations and Doctoral Studies

Clinical nurse experts are often recruited into educator roles based solely on clinical expertise. Without support and mentorship, clinical nurse experts struggled with transitioning into the educator role. The purpose of this study was to understand the experience of new nurse educators’ transition from a clinical nurse expert to novice nurse educator and to examine the perceptions of supports and barriers. Transitional theory provided the conceptual framework and informed the development of the interview protocol. The research questions focused on the experience of transitioning from expert to novice and on identifying supports and barriers that influenced transition. Using a case …

Examining Family Hierarchy Through The Eyes Of Former Mac Baller Gang Members, Jerome Lee Rice

Walden Dissertations and Doctoral Studies

Criminal gang membership is growing, which corresponds to a continued breakdown of the family unit in the United States. Most of the young people who form gangs come from broken families or single-parent-headed households. This study explored the role of family hierarchy on gang membership. A qualitative case study approach was used to gather information on what motivates young people to join criminal gangs. A random sampling technique was used to recruit former members of the Mac Baller Brim gang. Ethical concerns were addressed to minimize the risks to the participants. The collected data from interviews were analyzed using an …

Assessing Contributing Factors Of Relationship Satisfaction In Polyamorous And Monogamous Relationships, Irene Kushnir

Walden Dissertations and Doctoral Studies

The purpose of this study was to analyze and compare factors contributing to relationship satisfaction in polyamorous and monogamous relationships, as measured by the Characteristics of Marriage Inventory (CHARISMA). A total of 372 participants over the age of 18 who identified as being involved in either a long-term monogamous or polyamorous relationship completed the CHARISMA questionnaire. Two multivariate analyses of variance revealed 10 out of 18 importance ratings, and 4 out of the 18 satisfactions ratings were statistically significant between relationship types. However, an analysis of variance suggested no overall difference in satisfaction between the two groups. Past research had …

Social Connectedness And Financial Independence Strategies Supporting Nonprofit Sustainability, Christopher Edmund Maylor

Walden Dissertations and Doctoral Studies

Leaders of nonprofit organizations (NPOs) often lack strategies to ensure the sustainability of their organizations beyond initial funding, resulting in significant risk to program continuity. Grounded in social entrepreneurship theory, the purpose of this qualitative single-case study was to explore strategies used by 3 leaders of a small NPO in the southwest region of the United States. Data were collected from semistructured interviews and a review of organizational documents. Through thematic analysis, 6 social themes emerged: optimization of business strategies, income and donor growth, program cost management, funding diversification, program licensing, and public awareness of NPO programs. The contributions to …

The Experience Of Adults With Attention-Deficit/Hyperactivity Disorder In The Workplace, Josephine Laverne Harris

Walden Dissertations and Doctoral Studies

Attention-deficit/hyperactivity disorder (ADHD) has been associated with children for many decades, but it can continue into adulthood. However, little research has focused on adults with ADHD or the specific processes through which such adults mitigate the challenges they face, especially in the workplace. The purpose of this qualitative, grounded theory study was to provide a better understanding of the strategies and support systems adults with ADHD use to overcome workplace challenges. Self-efficacy theory grounded the study, allowing for an understanding of the lived experiences of adults with ADHD in the workplace. The researcher conducted 12 semistructured interviews with adults with …

Community College Students' Perceptions Of Developmental Mathematics And Influences On Persistence, Sumithra S. Iyer

Walden Dissertations and Doctoral Studies

The increase in the dropout rates associated with developmental mathematics classes in 1 Texas community college provoked the need for this study. The purpose of this case study was to explore students' reasons for dropping out of developmental mathematics and what might have helped them be successful. Tinto's model of student attrition, which is characterized by students' social and academic integration affecting their retention in the college, provided the conceptual framework for the study. The research questions addressed the students' perceptions of both why they dropped out of developmental mathematics courses and what might have helped them to successfully complete …

Older Adults' Access To Medicaid's Home-And Community-Based Services, Joe Henry Horton

Walden Dissertations and Doctoral Studies

As the U.S. population ages, the need for public policies regarding long-term care increases, as the need is unequal to demand. The purpose of this qualitative study was to explore and describe the role of senior service providers (SSPs) who have dealt with health policies from being responsible for the decision-making processes of implementing federal and state guidelines in Michigan on access and wait-listing of older adults for home and community-based services (HCBS). The theoretical foundation for this study was the social construction and policy design theory. The central research question sought perceptions of SSPs as to their ability to …

Midwestern College Student Perceptions Of Police And The Power Of Names, Melessa Renee Henderson

Walden Dissertations and Doctoral Studies

The purpose of this study was to explore, understand, and describe college student perceptions of the police based on if they grew up in rural or urban communities. Three aspects of college student perception of the police covered in this study are effectiveness, fairness, and legitimacy. Effectiveness may include police responsiveness and empathy as well as crime prevention and resolution. As opposed to internal biases, fairness is more external and may include equal treatment regardless of demographic differences. Lastly, legitimacy is more philosophical and revolves around the lawfulness of state power via police over a people. Researchers acknowledge that due …