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. …

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 …

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 …

User Perception Of The U.S. Open Government Data Success Factors, Joy Alatta

Walden Dissertations and Doctoral Studies

This quantitative correlational study used the information systems success model to examine the relationship between the U.S. federal departments' open data users' perception of the system quality, perception of information quality, perception of service quality, and the intent to use open data from U.S. federal departments. A pre-existing information system success model survey instrument was used to collect data from 122 open data users. The result of the standard multiple linear regression was statistically significant to predict the intent to use the U.S. open government data F(3,99) = 6479.916, p <0.01 and accounted for 99% of the variance in the intent to use the U.S. open government data (R²= .995), adjusted R²= .995. The interdependent nature of information quality, system quality, and service quality may have contributed to the value of the R². Cronbach's alpha for this study is α=.99, and the value could be attributed to the fact that users of open data are not necessarily technical oriented, and were not able to distinguish the differences between the meanings of the variables. The result of this study confirmed that there is a relationship between the user's perception of the system quality, perception of information quality, perception of service quality, and the intent to use open data from U.S. federal departments. The findings from this study might contribute to positive social change by enabling the solving of problems in the healthcare, education, energy sector, research community, digitization, and preservation of e-government activities. Using study, the results of this study, IT software engineers in the US federal departments, may be able to improve the gathering of user specifications and requirements in information system design.

Posttraumatic Stress Disorder Rates Among Children In Foster Versus Family Kinship Care, Rashanda Allen

Walden Dissertations and Doctoral Studies

Children in foster care represent a highly traumatized population. However, trauma researchers studying this population have focused primarily on maltreatment rather than the full spectrum of posttraumatic stress disorder (PTSD) attributes and symptoms for children living in nonkinship foster homes versus kinship foster homes. The purpose of this study was to address this gap in the literature, as well as examine the benefits and limitations of children placed in kinship and nonkinship foster homes. Attachment theory was the theoretical framework. The research questions centered on the prevalence of specific types of posttraumatic stress symptoms for a sample of children living …

An Exploration Of The Criminal Thinking Processes In Criminal Offenders, Mark V. Lemieux

Walden Dissertations and Doctoral Studies

This study sought to learn about Criminal Thinking patterns of thought in former criminal offenders. The discovery of this information is important to several fields in the formulation of treatment programs toward the elimination of criminal behavior. This research is based on the theory formulated by Yochelson and Samenow, and expanded on by Walters, that holds that Criminal Thinking patterns develop along a continuum and can lead to criminal behavior in some. Specifically, this study sought to learn whether criminal offenders were aware of their Criminal Thinking patterns and if that awareness impacted their criminal behavior. This qualitative phenomenological study …

Black American Adult Children Of Divorce, Aurielle C. Williams

Walden Dissertations and Doctoral Studies

While a plethora of studies have examined the effects of divorce on children, fewer have looked at young adults who have experienced parental divorce after they were 18 years of age, and even fewer have examined the experiences of Black American adult children. Using concepts from Social Identity Theory, the goal of this study was to understand the experiences of Black adult children whose parents have divorced and the phenomenon of their self-perception based on family identity. This was a phenomenological study conducted through guided face-to-face interviews and utilizing Photovoice with four Black adult children of divorce, whose parents divorced …

Oligarchic Cartelization In Post-Suharto Indonesia, Bonifasius -. Hargens

Walden Dissertations and Doctoral Studies

A few ruling individuals from party organizations overpowered Indonesia's post-authoritarian, representative democracy. The legislative process of the 2017 Election Act was the case study employed to examine this assumption. The underlying thinking was that there was a contest between “wealth power” (oligarchy) and “participation power” (democracy). The power of wealth controls the party and government institutions. Notwithstanding the presence of participation power, there was, however, no balance between wealth power and participation power, because the formal control of politics was in the hands of party oligarchs. The study purpose was to bridge the gap in knowledge by exploring how the …

Young African American Men's Conception Of Fatherhood Among Survivors Of Childhood Abuse, Ohan Patricia Carter

Walden Dissertations and Doctoral Studies

Male survivors of abuse who become fathers themselves face challenges different from female survivors, such as conceptualizing their roles as providers and heads of households after the traumatic and often belittling experiences of abuse. However, very few researchers have studied the connection between child abuse and fatherhood, and none specific to young African American fathers. An interpretative phenomenological approach enabled exploration of how African American fathers who were abused as children, conceptualized and perceived their own experiences with fatherhood. The theoretical framework for this study was identity theory, which indicates that how people conceptualize a social role influences their actions …

Faculty And First-Year Students' Perceptions Of Civility In College, Conni Eve Claflin

Walden Dissertations and Doctoral Studies

While researchers have identified student incivility as a problem in higher education in the United States, little is known about how students and faculty perceive the issue within the classroom environment at a private university in the northeast. Uncivil behavior can negatively impact the learning environment. The purpose of this mixed-methods case study was to compare students' and faculty's perceptions of civility in the classrooms and explore how civility is addressed in course syllabi and artifacts. The theoretical base was Clark's continuum of incivility, and the conceptual framework was Bandura's social cognitive theory. Types and frequency of uncivil behaviors were …

Exploring Strategies For Adapting Traditional Vehicle Design Frameworks To Autonomous Vehicle Design, Alex Munoz

Walden Dissertations and Doctoral Studies

Fully autonomous vehicles are expected to revolutionize transportation, reduce the cost of ownership, contribute to a cleaner environment, and prevent the majority of traffic accidents and related fatalities. Even though promising approaches for achieving full autonomy exist, developers and manufacturers have to overcome a multitude of challenged before these systems could find widespread adoption. This multiple case study explored the strategies some IT hardware and software developers of self-driving cars use to adapt traditional vehicle design frameworks to address consumer and regulatory requirements in autonomous vehicle designs. The population consisted of autonomous driving technology software and hardware developers who are …

Administrators' Experiences Implementing Veterans Housing Units In U.S. Correctional Institutions, Lori J. Riedel

Walden Dissertations and Doctoral Studies

There is a higher rate of recidivism for U.S. veterans compared to the general population of offenders. To address the unique needs of veterans, separate housing units for veterans (VSUs) are now operating within correctional facilities in 29 U.S. states. Despite reports that VSUs are having a positive impact on recidivism, little is known of the experiences of correctional administrators who have implemented a VSU. The purpose of this qualitative phenomenological study was to explore the lived experiences of several individuals who have implemented a VSU in their correctional facility. Guided by the quality implementation framework (QIF), data collected through …

Enhancing The Resilience Of Acute Care Psychiatric Nurses Through A Brief Gratitude Intervention, Patricia D. Sullivan

Walden Dissertations and Doctoral Studies

Stressors affecting healthcare providers have accelerated in recent years, causing increasing rates of burnout and emotional exhaustion. Evidence suggests that improving general mental well-being of nurses could enhance their resilience and ability to cope in stressful situations. Psychiatric nurses are at risk by caring for involuntary and manipulative patients who can be violent and abusive. The purpose of this project was to improve psychiatric nurses' mental well-being through the implementation of a gratitude practice and examined the effect of this brief gratitude intervention on their mental well-being. Models informing this project were human caring theory, resilience theory, and positive psychology …