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Evaluating Retention Strategies For At-Risk Undergraduate Nursing Students, Joanna L. Ramsden-Meier Jan 2015

Evaluating Retention Strategies For At-Risk Undergraduate Nursing Students, Joanna L. Ramsden-Meier

Walden Dissertations and Doctoral Studies

As there continues to be a nursing shortage and a lack of diversity in the nursing profession, it is important to retain at-risk students who have been admitted to nursing programs. The purpose of this program evaluation was to compare at-risk students who had not received retention services to at-risk students who had received retention services at a Midwestern college. A formative evaluation was conducted using information from three sources: the college, the students, and the community. Guided by a constructivist theory defined by Ponticell, this study examined the effectiveness of the retention program in terms of its impact on …

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Borderline Personality Disorder: The Frequency Of Disclosure And The Choice To Disclose, Laci Marie Rumpza Jan 2015

Borderline Personality Disorder: The Frequency Of Disclosure And The Choice To Disclose, Laci Marie Rumpza

Walden Dissertations and Doctoral Studies

The goals of this study were threefold: (1) to identify what percentage of psychologists and clinical social workers disclose the diagnostic label BPD to their patients, (2) to identify factors that influence disclosure, and (3) to gather data about the choice to disclose or not to disclose. The MUM effect was used as the theoretical framework. A sequential explanatory mixed methods design including an online survey was used during the first phase. A total of 125 psychologists and 45 social workers participated in the Phase 1 of the study. The majority of participants stated that they either always or usually …

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Secure-Base Caregiving And Adult Attachment Development Within The Client-Psychotherapist Relationship, Dennis A. Weeks Jan 2015

Secure-Base Caregiving And Adult Attachment Development Within The Client-Psychotherapist Relationship, Dennis A. Weeks

Walden Dissertations and Doctoral Studies

Recent studies have shown significant improvements in the attachment security of adult therapy clients during therapy, supporting Bowlby's theory that such improvement can be influenced by secure-base caregiving provided by mentors such as therapists. However, because these studies did not measure the secure-base variable, its relationship to client attachment development remains unknown. The present study is the first to evaluate that relationship by measuring clients' pre and posttherapy attachment security using the Relationship Scales Questionnaire and therapists' secure-base caregiving using the Client Attachment to Therapist and Working Alliance Inventory, Short Form. Of 21 initially insecure client participants, 17 experienced high …

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Success Factors Of Small Business Owners, Susan Janet Turner Jan 2015

Success Factors Of Small Business Owners, Susan Janet Turner

Walden Dissertations and Doctoral Studies

Small business owners represent 99.7% of all U.S. employer firms, employ half of the private sector employees, and provide 43% of the total U.S. private payroll. However, 50% of new small business startups fail within the first 5 years of operation. The purpose for this multiple case study was to explore what skills, knowledge, and strategies small business coffee shop owners use to succeed in business beyond 5 years. Systems theory, chaos theory, and complexity theory provided the conceptual framework for exploring the research question of this multiple case study. To identify and explore the factors for maintaining small business-operations, …

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The Impact Of Supply Chain Logistics Performance Index On The Control Of Neglected Tropical Diseases In Low- And Middle-Income Countries, Farouk Adams Umaru Jan 2015

The Impact Of Supply Chain Logistics Performance Index On The Control Of Neglected Tropical Diseases In Low- And Middle-Income Countries, Farouk Adams Umaru

Walden Dissertations and Doctoral Studies

Neglected tropical diseases (NTD) in low- and middle-income countries are still not on target per the World Health Organization's (WHO) elimination goal of 2020. Mass drug administration (MDA) is one of the effective strategies supported by the WHO for the control and subsequent elimination of NTD. This quantitative study explored how supply chain logistic capacity may be hampering MDA coverage in countries in which the diseases are endemic. The study examined secondary data from WHO data bank for MDA coverage, to quantify the relationship between supply chain logistics capacity, as measured by the World Bank's logistics performance index (LPIs), and …

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Effect Of Social Support And Hiv-Related Stigma On Depression In Hiv/Aids Patients, Chinedu Anthony Umeadi Jan 2015

Effect Of Social Support And Hiv-Related Stigma On Depression In Hiv/Aids Patients, Chinedu Anthony Umeadi

Walden Dissertations and Doctoral Studies

HIV has remained a public health problem in Nigeria. The purpose of this cross-sectional study was to examine the effect of social support and HIV-related stigma on depression in people living with HIV/AIDS (PLWHA) and to examine the moderating effect of sociodemographic factors, Quality of Life (QOL), and time since HIV diagnosis on this relationship. This study was based on the social cognitive theory. Data were collected from 98 PLWHA attending the antiretroviral clinic of Federal Medical Center, Umuahia, Nigeria. Regression analyses were used to examine the relationships between the variables. Some 24.5% of the study participants were depressed. Significant …

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The Effect Of Breastfeeding Self-Efficacy On Breastfeeding Initiation, Exclusivity, And Duration, Adria Vincent Jan 2015

The Effect Of Breastfeeding Self-Efficacy On Breastfeeding Initiation, Exclusivity, And Duration, Adria Vincent

Walden Dissertations and Doctoral Studies

Breastfeeding self-efficacy is considered one of the key components of a successful breastfeeding experience. The benefits of breastfeeding are well established in the literature and have been widely communicated to the public, resulting in an increasing trend of breastfeeding initiation. However, the United States still falls short of Healthy People 2020 breastfeeding goals. The purpose of this project was to examine the effects of a standardized hospital-based prenatal breastfeeding class on breastfeeding self-efficacy. Dennis's breastfeeding self-efficacy theory was the foundation for the breastfeeding self-efficacy tool used in this project. A quasi-experimental design used a convenience sample of 30 breastfeeding class …

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Impact Of A California Community College's General Education Information Literacy Requirement, Phyllis Usina Jan 2015

Impact Of A California Community College's General Education Information Literacy Requirement, Phyllis Usina

Walden Dissertations and Doctoral Studies

Budget cuts at a California community college prompted stakeholders to consider dropping the college's general education information literacy (IL) requirement. Broad institutional outcomes data showed learning gains, but no targeted assessment existed regarding the IL requirement's impact on those gains. This quantitative study used Astin and Antonio's Inputs-Environment-Outcomes (I-E-O) assessment model to address relationships among student characteristics of demographic and prior preparation (Inputs), the IL requirement (Environment), and student reports of information critical analysis behavior and confidence (Outcomes). Study participants were 525 students aged 18 years and older who had completed the IL course with a grade of 2.0 or …

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Examining The Relationships Among Vicarious Trauma, Health Behaviors, And Maladaptive Coping, Stephanie Louise Waitt Jan 2015

Examining The Relationships Among Vicarious Trauma, Health Behaviors, And Maladaptive Coping, Stephanie Louise Waitt

Walden Dissertations and Doctoral Studies

Vicarious trauma can impact anyone working with a traumatized person. The constructivist self-development theory asserts that vicarious trauma can negatively distort how the helper thinks about the world and can cause increased stress. Researchers have explored stress and coping models and have studied how increased stress can negatively impact coping and health behaviors. However, researchers have not explored how vicarious trauma, coping, and health behaviors are related. The purpose of this correlational study was to examine the relationships among vicarious trauma, health behaviors (healthy eating, physical activity, cigarette smoking, and risky drinking), and maladaptive coping. The study sample consisted of …

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Strategies To Decrease Health-Related Employee Absenteeism, Devin Warnsley Jan 2015

Strategies To Decrease Health-Related Employee Absenteeism, Devin Warnsley

Walden Dissertations and Doctoral Studies

Health-related absenteeism could significantly affect organizational productivity because of the additional resources needed to compensate for the missing worker's absence. Work productivity is critical for business sustainability as companies continue to create a lean workforce and decrease operating cost. The purpose of this single case study was to explore strategies that organizational leaders at a university in the southeastern United States used to successfully decrease occurrences of health-related employee absenteeism. The conceptual framework for this study was the theory of planned behavior. A purposive sample of 10 management, 5 faculty, and 5 staff members participated in structured interviews. Secondary data …

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Screening And Intervention For Women With Hyperglycemia During Pregnancy, Ladonna Lynn Williams Jan 2015

Screening And Intervention For Women With Hyperglycemia During Pregnancy, Ladonna Lynn Williams

Walden Dissertations and Doctoral Studies

Gestational diabetes mellitus occurs in up to 10% of pregnancies and often leads to labor and delivery complications for both the mother and the baby. Early identification of gestational diabetes and educational intervention are needed to improve the self-management and knowledge among pregnant women. The purpose of the project was to implement newly established national guidelines to ensure that women with gestational diabetes are identified during the first trimester of pregnancy and begin diabetes education early in gestation. Lewin's planned change theory was selected as the theoretical framework, and the six sigma approach was used to facilitate the change process. …

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Reasons For Living And Self-Reported Suicidal Behavior Among A Sample Of U.S. Army Personnel, Deborah Elaine Willis Jan 2015

Reasons For Living And Self-Reported Suicidal Behavior Among A Sample Of U.S. Army Personnel, Deborah Elaine Willis

Walden Dissertations and Doctoral Studies

Suicidal Behavior in the U.S. Army is a problem that persists despite significant efforts to promote help-seeking behaviors and the investment of millions of dollars to develop resilience-building interventions. Evidence-based literature supports the use of reasons for living as a protective factor against suicidal behavior in clinical and nonclinical samples, yet it has rarely been studied in an active duty (AD) Army population. This study examined the relationship between self-reported reasons for living and self-reported suicidal behavior, to determine if high levels of reasons for living correlated with low risk of suicidal behavior, over and above demographics, depression, stressful life …

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A Phenomenological Study Of African American Males Who Drop Out, Adrianna Starr Davis Jan 2015

A Phenomenological Study Of African American Males Who Drop Out, Adrianna Starr Davis

Walden Dissertations and Doctoral Studies

Although school districts in Florida have reported a decrease in the overall dropout rate, the dropout rate among African American males remains higher than it does for any other ethnic group. Guided by Ogbu's oppositional culture theory, the purpose of this phenomenological study was to investigate the high dropout rate among African American males and determine some of the social, cultural, educational, and economic elements that may hinder African American males from completing high school. A purposive sample of 10 African American males who dropped out of high school and who were between the ages of 18 and 35 was …

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Determining Sustainable Strategies For Directors Of Microfinance Banks In Nigeria, Josephine Aruoriwo Diete-Spiff Jan 2015

Determining Sustainable Strategies For Directors Of Microfinance Banks In Nigeria, Josephine Aruoriwo Diete-Spiff

Walden Dissertations and Doctoral Studies

The Nigerian microfinance banks often close their offices abruptly, leading to the loss of shareholders' funds. The purpose of this phenomenological study was to explore strategies microfinance bank directors use to maintain business sustainability. The concepts of microfinance banking, sustainability value, and strategic management theory formed the conceptual framework for this study. Twenty managing directors from microfinance banks in the Anambra state of Nigeria participated in semistructured interviews. The data analysis process involved the use of Moussakas' modified van Kaam process, which resulted in the emergence of 3 themes: strategic management, fear of microlending, and maintaining sustainability. The emergent themes …

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Small And Medium Enterprises' Profitability Elements In Green Energy Transactions, Humphrey Edereka Great Jan 2015

Small And Medium Enterprises' Profitability Elements In Green Energy Transactions, Humphrey Edereka Great

Walden Dissertations and Doctoral Studies

As the primary drivers of Nigeria's economy, small and medium scale enterprise (SME) leaders rely on standby generators for sustainable business operation. Because of this reliance, over 56% of the SMEs operate far below capacity from the effects of power shortages. Guided by the strategic contingency theory, this study explored the profitability strategies of business leaders faced with electricity disruptions within Abuja Federal Capital Territory while adopting corporate social responsibility (CSR) and green practices. Data collection was through face-to-face semistructured interviews using open-ended questions. Participants consisted of 12 business leaders selected from 4 SME categories within Abuja that have imbibed …

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A Quantitative Study Of Multilayered Market Systems And Small And Medium-Sized Enterprises, Mukhail Hamza Jan 2015

A Quantitative Study Of Multilayered Market Systems And Small And Medium-Sized Enterprises, Mukhail Hamza

Walden Dissertations and Doctoral Studies

Small and medium-sized enterprises (SMEs) account for approximately 50% of the world's gross domestic product. However, these economic agents suffer from inadequate access to liquid funds to finance their operations. The liquidity gap has led to early bankruptcy and liquidation, stagnant growth and development, and fewer employment opportunities. The problem under study was the effect of funding limitations on SMEs' business operations and growth. The purpose was to examine the impact of multilayered capital systems as alternative funding for SME growth. This study was informed by Gilbrat's law and the theory of financial exclusion. The research questions addressed the use …

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Implications Of Maternal Perpetrated Interparent Violence For The Behavior Of Female Adolescents: A Phenomenological Study, Georgette Merlena Percy Hinds Jan 2015

Implications Of Maternal Perpetrated Interparent Violence For The Behavior Of Female Adolescents: A Phenomenological Study, Georgette Merlena Percy Hinds

Walden Dissertations and Doctoral Studies

Interparent violence (IPV) is a global family issue. Witnessing IPV confuses children and adolescents about the parental relationship. Adolescent females often perceived fathers as strong and depend on them for safety, security, and support. It is unclear how witnessing maternal perpetrated IPV (MPIPV) affects adolescent females' socialization and development, the perception they have of their fathers, and the meaning they ascribe to father abuse. The purpose of this phenomenological study was to contribute to the literature, provide an understanding of MPIPV implications for adolescent females' social development, and bring more awareness to the lived experiences of witnessing MPIPV. Social learning, …

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Predictors Of Cervical Cancer Screening Among Hispanic Women In The United States, Benedicta Ngozi Ilouno Jan 2015

Predictors Of Cervical Cancer Screening Among Hispanic Women In The United States, Benedicta Ngozi Ilouno

Walden Dissertations and Doctoral Studies

Minority women groups in the United States have the highest incidence and mortality rates of cervical cancer. Hispanic women have the highest incidence rate and the second highest mortality rate of the disease. Researchers have examined the lower rates of cervical cancer screening among Hispanic women, as compared to other groups of U.S. women, but researchers have not examined the extent to which socioeconomic status, acculturation, and sexual activity impact Hispanic women's compliance with screening. The purpose of this study was to examine the association between compliance with cervical cancer screening and acculturation, socioeconomic status, and sexual activity among U.S. …

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Factors That Motivate Millennial Public Servants In The Workplace, Lisa Maria Mallory Jan 2015

Factors That Motivate Millennial Public Servants In The Workplace, Lisa Maria Mallory

Walden Dissertations and Doctoral Studies

There is an abundance of scholarly literature examining the Millennial generation's characteristics and their uniqueness in the workforce, but few studies have examined the lived experiences of Millennials and what motivates them in the public sector workplace. Given the size of the Millennial cohort, the largest and most educated in history, this generation of public servants merits more research. This phenomenological study sought to determine what factors motivate Millennial public sector workers through a criterion sample of 20 District of Columbia government employees. Data obtained from interviews were analyzed through use of NVivo10 allowing for the identification of themes, findings …

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Psychosocial Factors And The Persistence Of Underprepared, African American Community College Students, Denise Michelle Mccory Jan 2015

Psychosocial Factors And The Persistence Of Underprepared, African American Community College Students, Denise Michelle Mccory

Walden Dissertations and Doctoral Studies

This study examined a problem at a large community college in the Midwest United States, where African American students experienced poor developmental education outcomes and low degree completion. Those outcomes had negative effects on the institution and the surrounding community. This qualitative case study was framed in Astin's theory of involvement, which attributes students' behaviors, whether productive or unproductive, to their levels of motivation. Purposeful sampling was used to select 20 African American students who successfully completed the developmental education sequence. The participants were interviewed to determine how psychosocial factors impacted their decisions to persist through their courses. The data …

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Early Childhood Mental Health Consultation: A Comparison Of Unlicensed And Licensed Professionals, Pamela A. Morrison Jan 2015

Early Childhood Mental Health Consultation: A Comparison Of Unlicensed And Licensed Professionals, Pamela A. Morrison

Walden Dissertations and Doctoral Studies

This study was conducted to comparatively examine child specific expulsion rates and parent satisfaction of children who received early childhood mental health consultation (ECMHC) services delivered in 2 states for the 2012 program year: Maryland (unlicensed) and Delaware (licensed) . This current study examined secondary data to determine whether unlicensed (Maryland) ECMHC professionals are equally or more effective than licensed (Delaware) ECMHC professionals. Of the total number of child specific consultations or cases referred for services in Maryland (unlicensed), N = 370, n = 266 children avoided expulsion and were able to remain at their childcare placements while n = …

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Perception Of Anal Hpv Infection By Hiv-Positive Men Practicing Male-Male-Sex, Philecia Simone Mullings Jan 2015

Perception Of Anal Hpv Infection By Hiv-Positive Men Practicing Male-Male-Sex, Philecia Simone Mullings

Walden Dissertations and Doctoral Studies

Human papillomavirus (HPV) is a preventable, sexually transmitted infection whose prevalence has been rising dramatically among men who have sex with men (MSM) in the United States since 2008. The HPV infection rate for MSM is rising even faster for MSM who are infected with the human immunodeficiency virus (HIV) and for those who have developed acquired immune deficiency syndrome (AIDS). It is not clear whether MSM in general and MSM with HIV have the knowledge necessary to prevent infection of themselves and their partners. This phenomenological study explored the knowledge, health perceptions, attitudes, and norms of the community of …

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Acculturation In Marital Satisfaction Among Mixed Caucasian And Asian American Heterosexual Couples, Lotes Nelson Jan 2015

Acculturation In Marital Satisfaction Among Mixed Caucasian And Asian American Heterosexual Couples, Lotes Nelson

Walden Dissertations and Doctoral Studies

The growing population of the United States is linked to the increasing migration of individuals from other countries. With migration comes the development of cross-cultural and interracial romantic relationships, many leading to marriages. This qualitative grounded theory study sought to understand how a migrant partner's adjustment process, acculturation, contributes to cross-cultural marriages. The main research question and purpose of this study was to investigate the role of acculturation in marital satisfaction among mixed Caucasian and Asian American heterosexual couples. This study utilized multiple data sources and a purposive sampling of 11 mixed Asian and Caucasian heterosexual married couples, with one …

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Coping Responses To Positive Genetic Suceptibility Test Results For Alzheimer's Disease, Diana Elaine Neverson Jan 2015

Coping Responses To Positive Genetic Suceptibility Test Results For Alzheimer's Disease, Diana Elaine Neverson

Walden Dissertations and Doctoral Studies

Genetic susceptibility test results have been found to cause differences in coping behavior following testing for the APOE-ε4 gene, associated with Alzheimer's disease. Coping behaviors differ within the first 12 months of testing. Currently, no studies have been conducted beyond the first 12 months comparing positive (P) and negative (N) groups or how sex relates to coping behavior based on positive test results. Based on the theory of primary and secondary control, and theory of stress, appraisal, and coping this study compared differences in coping strategies based on genetic test results and between sexes with positive test results beyond the …

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Exemplary Teachers' Perspectives On Effective Teaching Elements In Danielson's Framework For Teaching, Derek Jon Olson Jan 2015

Exemplary Teachers' Perspectives On Effective Teaching Elements In Danielson's Framework For Teaching, Derek Jon Olson

Walden Dissertations and Doctoral Studies

Reforms in teacher evaluation are enacted to increase student achievement. Although there is research on teacher evaluation and teacher quality, there is little that addresses effective teaching as conceptualized in Danielson's Framework for Teaching, a commonly used evaluation tool. The purpose of this quantitative study was to determine which of the 4 domains and 76 elements of Danielson's framework are viewed by award-winning teachers as having the greatest impact on effective teaching and learning. Constructivism formed the theoretical basis for this study. The research questions examined to what extent state and national teachers of the year perceive differences in the …

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The Association Between Dietary Patterns And Diabetes Status Among U.S. Adults, Latonia Richardson Jan 2015

The Association Between Dietary Patterns And Diabetes Status Among U.S. Adults, Latonia Richardson

Walden Dissertations and Doctoral Studies

Type 2 diabetes mellitus, or T2DM, is a leading cause of preventable death in the United States. Multiple studies have found that certain dietary patterns can significantly influence the risk of T2DM. The purpose of this study was to understand the dietary patterns associated with diabetes by comparing the relative adherence to these dietary patterns by individuals in 5 stages of diabetes: no diabetes, undiagnosed prediabetes, diagnosed prediabetes, undiagnosed diabetes, and diagnosed diabetes. Using the health belief model as the theoretical foundation, the primary research question examined whether adherence to specific dietary patterns significantly differed between individuals in different stages …

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The Effect Of Healing Touch Therapy For Youth Diagnosed With Reactive Attachment Disorder, Kelli Stiles Jan 2015

The Effect Of Healing Touch Therapy For Youth Diagnosed With Reactive Attachment Disorder, Kelli Stiles

Walden Dissertations and Doctoral Studies

Reactive attachment disorder (RAD), a disorder marked by a severe disruption in developmental attachment, is most often diagnosed in youth who have received substandard or negligent care from their primary caregiver. Such youth have increased risk of behavioral and emotional issues as well as future relationship problems; they generally do not respond to traditional evidence-based practices of therapy. The present study examined the use of the biofield energy practice of Healing Touch (HT) as a viable therapeutic option for improved quality of life for youth diagnosed with RAD. A quantitative, quasi-experimental research study using secondary data was conducted. Eligible participants …

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Impact Of An Urban High School Conflict Resolution Program On Peer Mediators:, Carolyn Joyce Waldon-Johnson Jan 2015

Impact Of An Urban High School Conflict Resolution Program On Peer Mediators:, Carolyn Joyce Waldon-Johnson

Walden Dissertations and Doctoral Studies

Urban high school students in the United States are often involved in conflicts related to bullying, physical fighting, and drug abuse. These conflicts create a hostile learning environment; interventions such as conflict resolution programs are implemented to reduce these disruptions to learning. The purpose of this qualitative case study was to explore how an urban high school conflict resolution program impacts trained peer mediators. The conceptual framework was based on Erikson's psychosocial theory of human development and Freire's critical theory about pedagogy of the oppressed. Participants included 4 high school students who participated as trained peer mediators in an urban …

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Adelphia: An Exploratory Case Study Of Corporate Culture And Ethical Judgment, Susan Bishop Jan 2015

Adelphia: An Exploratory Case Study Of Corporate Culture And Ethical Judgment, Susan Bishop

Walden Dissertations and Doctoral Studies

White collar corporate corruption continues to be prevalent in the United States, costing shareholders billions of dollars annually. This study of the collapse of Coudersport, PA firm, Adelphia Communications, explored how and why leadership of this prominent and successful company made unethical decisions, created an atmosphere of moral disengagement, and led to the downfall of the company. Taped interviews with 10 executives who were employed at the company during the years of its rise and demise (1996-2006) were transcribed, hand coded, and analyzed to explore the ethical culture and leadership practices at Adelphia. These insights offer a possible explanation for …

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Relationship Of Solar Energy Installation Permits To Renewable Portfolio Standards And Insolation, Kirt Gordon Butler Jan 2015

Relationship Of Solar Energy Installation Permits To Renewable Portfolio Standards And Insolation, Kirt Gordon Butler

Walden Dissertations and Doctoral Studies

Legislated renewable portfolio standards (RPSs) may not be the key to ensure forecast energy demands are met. States without a legislated RPS and with efficient permitting procedures were found to have approved and issued 28.57% more permits on average than those with a legislated RPS. Assessment models to make informed decisions about the need and effect of legislated RPSs do not exist. Decision makers and policy creators need to use empirical data and a viable model to resolve the debate over a nationally legislated RPS. The purpose of this cross-sectional study was to determine if relationships between the independent variables …

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