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Physician Assistants' Preventive Medicine Practices And Related Habits, Attitudes, And Beliefs, Judia Yael Malachi

Walden Dissertations and Doctoral Studies

Physician assistants play a pivotal role in expanding access to care, yet research on their preventive medicine practices is limited. Guided by Lewis's conceptual model for predicting counseling practices, this cross-sectional study examined the relationship between physician assistants' preventive medicine practices, personal health habits, prevention and counseling attitudes, and perceived barriers to the delivery of clinical preventive services. A 104-item self-administered survey was used to collect data from 314 physician assistants attending the American Academy of Physician Assistants' 42nd Annual Conference. Data were analyzed using descriptive statistics, Pearson's correlation, and stepwise multiple regression. Results indicated that physician assistants engaged in …

Military Enlistment: The Motivations Of Former Military Personnel Coming From Single-Parent Homes, Jada Amber Philips

Walden Dissertations and Doctoral Studies

The purpose of this study was to examine how the single-parent home environment, together with other demographic attributes like socioeconomic status, influenced young adults' decisions to enlist in the military. Adolescents transitioning into adulthood are often faced with the choices of what to do after high school, such as whether or not to join the military. Previous studies on youth enlistment in the military do not address in-depth the question of why they enlist or their motivating factors. Interviews via face-to-face, over the phone or via Skype, were conducted with 9 participants between the ages of 25-35 years who were …

Technological Change And Employee Motivation In A Telecom Operations Team, Samuel Ogbonnaya Ude

Walden Dissertations and Doctoral Studies

Some managers view innovative product development and convenient service delivery as necessary to business survival. However, unmotivated employees might negate any gains from the use of innovation. The purpose of this correlational study, grounded in diffusion of innovation theory, was to assess the relationship between creativity and support for innovation, resistance to change, and organizational commitment and employee motivation. A random sample of 81 information technology (IT) professionals from telecom service centers completed an online survey. Simultaneous multiple linear regression was the statistical technique used to analyze these data. The results indicated a poor model with low R2 to significantly …

Extralegal Factors Important To Judges' Decisions In Child Abuse Custody Cases, Marilyn Jeanette Nolan

Walden Dissertations and Doctoral Studies

Extralegal Factors Important to Judges' Decisions in Child Abuse Custody Cases

by

Marilyn J. Nolan

MS, Pittsburg (Kansas) State University, 1986

BS, Missouri Southern State University, 1982

Dissertation Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Philosophy

Human Services

Walden University

May 2015

Research has shown juvenile court judges are skeptical of mental health testimony; however there is a lack of research regarding what types of testimony by what kinds of experts are valued by judges. Using the theory of legal pragmatism, the purpose of this study was to assess how 83 Oklahoma District Court …

Psychosocial Determinants Of Elective Cesarean Section Deliveries In Selected Obstetric Facilities In Nairobi, Kenya, Tom Joseph Oguta

Walden Dissertations and Doctoral Studies

Cesarean section (CS) rates have generally increased across the world in the past decade. Reducing elective cesarean section (ECS) rates is imperative as many countries aim to maintain threshold CS rates at or below 15%, the level recommended by the United States' National Institutes of Health. Women are believed to consider ECS for various interconnected psychosocial reasons, but few quantitative studies have investigated these factors. This prospective cohort study was based on the social ecological model (SEM) and the theory of planned behavior (TPB) models, and identified the psychosocial predictors of ECS among 1,268 expectant women in 2 hospitals in …

Health Care Administration Faculty Perceptions On Competency Education, Graduate Preparedness, And Employer Competency Expectations, Wittney A. Jones

Walden Dissertations and Doctoral Studies

Health care administration programs have transitioned to using the competency approach to better prepare graduates for workplace success. The responsibility of preparing graduates lies with the program faculty, yet little is known about faculty perceptions of the competency approach. The purpose of this cross-sectional study was to assess the perceptions of graduate-level health care administration faculty about the competency approach, the approach's effect on graduate preparedness, and employer expectations. Adult learning theory and the theory of self-efficacy were used as the theoretical foundations for the study. Faculty demographics related to personal information, workplace/teaching experience, and program information served as the …

The Impact Of Leadership On The Governance Of Infrastructure Development In Nigeria, Michael Oziegbe Onolememen

Walden Dissertations and Doctoral Studies

Research literature has documented Nigeria's leadership crisis since its independence from Great Britain in 1960. This crisis corresponds with political instability and infrastructure weaknesses, which have resulted in crime, corruption, poverty, lack of social cohesion and personal freedoms, environmental degradation, gender inequities, and deteriorating conditions of public works. No literature was located that addressed the impact of leadership on the governance and development of infrastructure in Nigeria. The purpose of this qualitative case study was to investigate this phenomenon in Nigeria between 1960 and 2010. The theoretical framework comprised Burns' and Bass' theories of transformational leadership, and Davis' and Toikka's …

Laying The Foundation For New Approaches In Evidence-Based Sex Education Curriculum Programs: A Family Life Policy Change, Rina Marie Prosser

Walden Dissertations and Doctoral Studies

The teen pregnancy rate in Henry County, Tennessee has increased over the years. The purpose of this project was to develop an evidence-based family life education policy for possible adoption by the board of education to address the persistent high teen pregnancy rate for girls aged 15-17 in the county. This present study resulted in a revised policy that was based on a comprehensive policy termed Abstinence-Centered Plus Contraception. An 18-member collaborative, organizational, and community project team, made up of community leaders, nurses, counselors, teachers, and students, assisted in the development and adoption of the policy, practice guidelines, and the …

Marketplace Clinics Complementing Community-Based Diabetes Care For Urban Residing American Indians, Robert Steven Rick

Walden Dissertations and Doctoral Studies

The American Indians population in Minneapolis, Minnesota has experienced limited health care access and threefold diabetes health disparity. The purpose of this study was to measure the extent to which collaborating marketplace clinics and community-based support groups expanded diabetes care and provided self-management education for this largely urban Indian neighborhood. The marketplace clinics located in nearby CVS, Walmart, Target, and Supervalu stores committed financial support, certified educators, and pharmacy staff for the community-based support group. The study was conducted within the patient activation measure (PAM) analytical framework to assess the participants' acquired knowledge, skills, and confidence for diabetes self-management. A …

Sports Participation And Gpa For African-American Male Students, Demetrit Scott Rusin

Walden Dissertations and Doctoral Studies

Abstract

Improving the academic success and graduation rates of African-American males has been a major focus of both scholars and practitioners in the United States. Locally, African-American males at an urban Title 1 school were experiencing the lowest grade point averages, American College Test scores, and graduation rates in the district. In response to these academic declines, this study focused on the tenets of Bechtol's sports participation theory, which holds that students who play sports experience greater academic achievement and adult success in life. The purpose of this study was to examine the relationship between total hours of high school …

Countering Student Apathy To Increase Student Engagement, Rebecca Ann Schou

Walden Dissertations and Doctoral Studies

At a suburban elementary school in Maryland, 3 years of data revealed that the school is grappling with the problem of student apathy. While there is a growing body of research on apathy and its effects on student achievement, few researchers have examined the problem from the perspective of the apathetic student. The purpose of this qualitative case study, grounded in the social learning and cognitive development theories of Vygotsky and Piaget, was to explore student apathy and the learning environment at the target school through the perspectives of 8 former students and their parents. The research questions focused on …

Social Media Marketing Strategies To Engage Generation Y Consumers, Christopher Tingley

Walden Dissertations and Doctoral Studies

Consumers of the Generation Y cohort, also referred to as Millennials, include approximately 75 million Americans who have significant purchasing power. These consumers access social media on a daily basis, but they often ignore advertisements that are targeted to them. Previous studies on social media marketing to Generation Y consumers have focused on consumer input but lacked data from marketing professionals. The purpose of this phenomenological study of social media marketers in the United States was to determine successful strategies to engage Generation Y on social media. The study's conceptual framework was attitude toward the ad. The data were gathered …

Depression And Psychotherapy For Adults In Long-Term Care Facilities, Jasper Joseph Watts

Walden Dissertations and Doctoral Studies

The purpose of this study was to investigate depression and psychotherapy for adults who are in long-term care facilities. Depression is a serious problem for the elderly in general and for residents of nursing homes in particular. The current study drew on the dynamic stress vulnerability approach to explain how illness occurs in older people, using evidence obtained from the biological, social, and psychological domains with respect to depression. The research question addressed the difference in posttreatment depressive symptoms among 6 types of psychotherapy as measured by the Hamilton rating scale for depression (HRSD)? The 6 therapy techniques were (a) …

Self Efficacy Of African American Women In Leadership Roles, Varil Deloise Williams

Walden Dissertations and Doctoral Studies

Little research has focused on developing female African American leaders. A mixed methods study examined the influence of conservation of resources (COR) and locus of control (LOC) on the self-efficacy (SE) of 26 female African American leaders. It also explored the role of mentoring and spirituality in leadership development for a subset of 5 participants. Data were obtained using a demographic questionnaire, the General SE Scale, the COR Evaluation Gain scale, and the LOC Assessment, along with transcribed responses to mentoring and spirituality interview questions. Pearson correlations run between age, education, and income, as well as COR, LOC, and SE …

Varying Levels Of Morality Awareness In Corrections Officers, William L. Hanna

Walden Dissertations and Doctoral Studies

Morality has been a focus in criminal justice with recent events involving officers. This quantitative study offered research in the criminal justice field regarding the moral awareness of corrections officers. The main research question investigated the relationship between the security level of the prison unit in which a corrections officer works and his or her level of morality awareness. The study surveyed corrections officers of prison units in the Ohio Department of Rehabilitations and Corrections and focused on morality awareness of corrections officers. The independent variable was the security level of the prison unit worked in. The dependent variables were …

Vitamin D Deficiency And Immune Function In African American, Hiv-Infected Men, Rana H. Ismail

Walden Dissertations and Doctoral Studies

Vitamin D deficiency is common in individuals diagnosed with HIV and is known for its detrimental health effects. Its recognition as a potent immune-modulator with possible immune health implications in HIV disease progression was the main impetus for this study. The association between Vitamin D and CD4 count falls short of being consistent and is too weak to allow conclusions. Similarly, the literature is inconsistent with regard to the impact of Vitamin D supplementation on CD4. This observational, retrospective chart review study aimed to explore the relationship between Vitamin D deficiency and CD4 count/percent, and to evaluate whether changes in …

A Case Study Of Respect Among Young Urban African American Men, Morgan Zenobia London

Walden Dissertations and Doctoral Studies

Many young adult African American men living in urban areas adopt a style of self-presentation known as the gangsta image in an attempt to earn and maintain what they may perceive to be respect, self-esteem, and social status. While these young men succeed in earning the respect of their peers, they also may jeopardize their chances of succeeding in mainstream society by engaging in an alienating lifestyle related to their alternative form of status. The purpose of this case study was to explore the concepts of respect and self-esteem as defined by a culture-sharing group of young African American men …

Student Success And Reading Comprehension, Laura Theresa Lottes-Bishop

Walden Dissertations and Doctoral Studies

Nursing administrators are exploring interventions to increase student retention rates in order to decrease college costs, improve faculty effort and time developing courses, decrease administrative resources, and to continue their accreditation. The purpose of this study was to determine whether or not there was a correlation between the Test of Essential Academic Skills (TEAS) reading comprehension scores, American College Test (ACT) reading comprehension scores, Comprehensive Computer-Adaptive Testing (COMPASS) reading comprehension scores, and the cumulative college grade point average (GPA) of the first-year nursing student. The theoretical foundation for this study was Tinto's retention theory, which claims that students' past academic …

The Perceptions Of Managers Relating To Subordinate Productivity In Virtual Work Arrangements, Frank Melvin

Walden Dissertations and Doctoral Studies

Some managers tend to resist virtual work and find it challenging to manage the productivity of subordinates working virtually. This phenomenological study examined managers' perceptions of subordinate productivity in virtual work arrangements. Adaptive structuration theory and McGregor's X and Y theory guided this study. The primary research questions focused on the managers' perceptions of worker productivity in virtual work arrangements and the related challenges. Data collection included semistructured interviews with 40 business managers responsible for overseeing the productivity of virtual workers. The study was conducted in the Atlanta, Georgia metropolitan area. Utilizing the Stevick'Colaizzi'Keen method of data analysis, 3 primary …

Adhd And Multiple Intelligences: Does A Pattern Exist?, Kathleen Mettler

Walden Dissertations and Doctoral Studies

Attention Deficit Hyperactivity Disorder (ADHD) has typically been treated with a deficits-based response while most research has ignored any intelligence differences between the subtypes, despite differing symptomology. This quantitative study explored whether or not a distinct pattern of intelligences existed within each of the subtypes or presentations of ADHD: inattentive (IT), hyperactive (HT), and combined (CT). Using Gardner's multiple intelligences theory, data were collected via an online, self-administered survey from a sample of 132 participants, over 18 years of age, with IT, HT, and CT ADHD. The goal was to identify the most predominant of 8 different strengths or intelligences. …

Successful Informal Partnerships Between Nonprofit Organizations And Local Governments In A Metropolitan Area, Scott Pozil

Walden Dissertations and Doctoral Studies

Informal or non-contractual partnerships between nonprofit organizations (NPOs) and government entities are becoming more common in America, opening up new possibilities for NPOs to function as equal partners in the decision-making process and implementation of community services. The problem concerns the challenges that NPOs face in achieving equal partner status with their local government counterpart, a problem which has received limited attention in research. The purpose of this study was to explore the dynamics behind successful informal partnerships between NPOs and local governments, translating into effective and efficient service delivery. The theoretical framework was based on Davis's stewardship theory and …

Retrospective Study Of Trauma Programming And, Domonique La'toya Rice

Walden Dissertations and Doctoral Studies

In state psychiatric hospitals in the United States, many patients are admitted with a history of trauma. Although trauma-focused interventions are offered within these psychiatric facilities, there remain issues with the higher-than-average length of treatment and rehospitalization rates for patients with a diagnosis of posttraumatic stress disorder or for those who are suffering with a history of trauma. This study investigated between group differences for measured levels of attendance and type of group intervention (which included the men's trauma recovery empowerment model, dialectical behavior therapy, and art and healing) on the risk for violence as measured by scores on the …

The Role Of Local History In The Curriculum At A Rural, Southeastern Community College, Sandra Lee Walker

Walden Dissertations and Doctoral Studies

Local history knowledge informs citizens of the political, social, economic, and cultural aspects of their communities. Community colleges are uniquely situated to address citizens' educational needs because of their historic mission to serve local people. The problem at a rural college located in a southeastern region of the United States was the perception of a lack of local history in the curriculum. Dewey, Schon, Brookfield, and Mezirow's perspectives on reflection guided this case study. Two research questions focused on how faculty and staff at the college perceived the role of local history and its relationship to the curriculum and how …

Medical Academia Conflict Of Interest Policy And Potential Impact On Research Funding, Michael Keith Maahs

Walden Dissertations and Doctoral Studies

The partnership between medical academia and the pharmaceutical industry has been scrutinized for issues associated with research bias. As a result of this scrutiny, the Institute of Medicine (IOM) issued policy recommendations in 2009 directing academia to adopt comprehensive conflict of interest (COI) policies. During the same time, a slowdown of funded research into academia occurred, and it is not clear whether the IOM recommendations contributed to this problem. The purpose of this case study was to determine the extent to which compliance with the IOM policy resulted in a reduction in funded research. The Advocacy Coalition Framework (ACF) was …

Examining School Culture And Resources As Predictors Of The Implementation Of Evidence-Based Intervention, Cassandra L. Martinez

Walden Dissertations and Doctoral Studies

There is a lag in implementation of evidence-based interventions (EBI) in public schools in the United States. This lag creates a gap between what has been scientifically supported and what has also been implemented in school settings by special education teachers and school psychologists. The purpose of this quantitative study was to determine if consultation and professional development resources and 2 elements of school culture (school climate and school characteristics) predict the implementation of EBIs. The study tested 7 potential predictor variables: professional development, consultation, school climate, inclusive characteristic, exclusive characteristic, bureaucratic characteristic, and adhocratic characteristic. Survey data from 137 …

Perceptions Of Middle School Bystanders To Bullying Incidences, Elizabeth Walden Beasley

Walden Dissertations and Doctoral Studies

Bullying permeates all grade levels in schools. Despite antibullying initiatives implemented in a Midwest school district, bullying continued to occur. One aspect of bullying that is not often examined is the perceptions of bystanders, especially at the middle school level. The purposes of this quantitative survey design study were to examine (a) the frequency and level of bullying by grade level, (b) the relationship between middle school bystanders' willingness to intervene and grade level, and (c) perceptions of bullying interventions and grade level. Latané and Darley's bystander effect theory was the theoretical framework for this study. Descriptive statistics and chi-square …

Post Hysterectomy Discharge Destination And Risk Of Hospital Readmission In Elderly Women, Ruth Ann Churley-Strom

Walden Dissertations and Doctoral Studies

In elderly women, discharge after gynecologic surgery is often associated with increased morbidity. Little information exists about elderly women's discharge destination after gynecologic surgery and the outcome of early hospital readmission. The purpose of this study, conceptualized using the quality health outcomes model, was to examine whether post hysterectomy discharge destination is an independent predictor of 30-day hospital readmission in women age 65 and older. Examination of covariates included patient age, race, medical comorbidity and complications of care, as well as surgical anatomic approach and operative technique. This study involved use of a retrospective cohort design and data from 10,598 …

Barriers Encountered By African American Women Executives, Latasha Denise Cain

Walden Dissertations and Doctoral Studies

In 2014, less than 16% of executive leaders in U.S. corporations were women and less than 5.3% of executive leaders in U.S. corporations were African American women. The purpose of this phenomenological study was to explore the experiences of 20 African American women in senior executive positions in the Southeastern region of the United States. The goal of this study was to provide business leaders with information to recognize the value of diversity and equality in the workplace. Participants were recruited using snowball sampling. The conceptual framework incorporated general systems theory, which highlights the bidirectionality between an individual and his …

The Impact Of Federal Emergency Management Legislation On At-Risk And Vulnerable Populations For Disaster Preparedness And Response, Joseph Catalino

Walden Dissertations and Doctoral Studies

It is well documented that in the aftermath of a natural or human caused disaster, certain at-risk and vulnerable populations suffer significantly more than do other population groups. As a result, Congress enacted the Post-Katrina Emergency Management Reform Act (PKEMRA) in part to address deficiencies in providing aid to vulnerable populations, though little is known if the PKEMRA has resulted as it was intended. The purpose of this phenomenological study was to assess the impact of the PKEMRA on addressing emergency preparedness deficits related to at-risk and vulnerable populations. The theoretical framework followed Howard's conceptualization of game and drama theory. …

Challenges Of A Novice Nurse Educator's Transition From Practice To Classroom, Tori Brown

Walden Dissertations and Doctoral Studies

This project study addressed the lack of formal preparation encountered by novice nurse educators within a nursing program located in the southeastern region of North Carolina. This problem is significant at both the local and national levels because expert clinicians are needed to fill nurse educator vacancies that have led to qualified students being denied admission to nursing programs. A qualitative case study research design was employed to explore the perceptions of novice nurse educators in one nursing program transitioning from clinical nursing practice to the nurse educator role. The theoretical framework to guide this study was Benner's novice to …