Digital Commons Network^™

The Environmental Health Of The Autistic Student In The Public School Classroom, Antonia Klein

Walden Dissertations and Doctoral Studies

Professionals have found autism to be an enigmatic condition. While necessary

biomedical research continues, a gap exists in the inclusion of parental opinions,

knowledge, and experiences in educational planning for their autistic children. The

purpose of this mixed methods study was to identify the factors that the parents felt

contributed to the academic success of their autistic child in the public school classroom

environment and ways in which their ideas might contribute to overall educational

planning and classroom design in structure, curriculum development, and intervention

strategies which might lead to reduced stress. Parental input was explored through

semistructured personal interviews …

Job Expectations Of Employees In The Millennial Generation, Samantha Jean Linden

Walden Dissertations and Doctoral Studies

Understanding Millennials' job expectations is critical for employee retention because of the number of Generation X workers who are unable to fill the job openings that Baby Boomers leave vacant when retiring from the workforce. The purpose of this phenomenological study was to explore Millennial employees' job expectations. Interviews were conducted with a purposeful sample of 20 Millennials who had at least a bachelor's degree, had at least 1 year of employment experience, and worked in the Baltimore-Washington metropolitan area. The inclusion criteria established work experience as a foundation for determining Millennials' job expectations. The conceptual frameworks of this study …

Barriers To Help Seeking For Lesbian Victims Of Intimate Partner Violence, Maria Joanne Lovett

Walden Dissertations and Doctoral Studies

Lesbian intimate partner violence (IPV) is an understudied social and psychological problem in the United States. The purpose of this qualitative, comparative study was to understand any barriers of help-seeking behaviors for victims of lesbian IPV. The literature on lesbian IPV has not included the perspectives of both service provider and support person on why these barriers persist. Normative resource theory and the barriers model informed the study. Interviews were conducted with a sample of 8 providers and 5 support persons. Interviews were then transcribed and coded. The 7 themes that emerged among these 13 participants were an unawareness on …

Barriers To Receiving The Influenza Vaccine In Adults 65 Years And Older, Melissa Madalone

Walden Dissertations and Doctoral Studies

Vaccination is regarded by many as the most effective means of reducing influenza infection and disease; however, many people in the United States are hospitalized from flu-related illness each year. Adults 65 years and older account for more than half of these hospitalizations and almost all flu-related deaths. This project aimed to identify barriers to receiving the influenza vaccine among the adult population (> 65 years of age) in a community setting. The goal was to develop a teaching tool that would assist practitioners towards improving influenza vaccination rates among this population. The Health Belief Model was the theoretical framework …

Nursing Staff Participation In Chart Audits Increases Documentation Compliance, Susan Elaine Nelson

Walden Dissertations and Doctoral Studies

Clinical documentation is an essential quality element that is often not adequately completed. Current data demonstrate that 32% of home health claims do not meet the requirements for federal reimbursement. Rogers's diffusion of innovation was used as a conceptual framework to guide this quality improvement project which determined whether home health nurses with education and chart audit experience demonstrate increased documentation compliance relative to nurses with education only. After completing a 1-hour education program on documentation, a convenience sample of home health nurses (n = 8) was divided between a chart-audit group (n = 4) and a no-chart-audit group (n …

County Demographic Influence On Toxic Chemical Activities Of Chemical-Related Industry In Michigan, Lisa Helen Perricane

Walden Dissertations and Doctoral Studies

There are a large number of chemical facilities that emit toxic chemicals in Michigan, and there is a concern regarding toxic chemical exposure to the residents of Michigan counties. However, it is uncertain whether chemical companies that emit toxic chemicals in Michigan are influenced by county demographic factors in deciding whether to engage in voluntary pollution prevention (P2) activities and whether this decision influences U.S. Environmental Protection Agency's (U.S. EPA) Risk-Screening Environmental Indicators (RSEI) scores. Using Bullard's theory of environmental justice, the purpose of this quantitative study was to determine if there was a correlation between chemical-related industry's voluntary P2 …

Peer Support Education For Uncontrolled Hypertension Among African Americans Adults, Melvina Juliana Semper

Walden Dissertations and Doctoral Studies

Hypertension is a major chronic health problem that can lead to heart attack, stroke, and kidney failure. African Americans disproportionately suffer from the morbidity and mortality of hypertension-related illnesses. The purpose of this comparative project was to determine the impact of peer support educational workshops as an avenue for lifestyle modification, using changes in blood pressure (BP) before and after participation. The target population consisted of 64 African Americans with hypertension in Brooklyn NY, aged 20 to 65 years old. BP measurements were taken within 1 month before and after participating in a weekly peer support educational workshop facilitated by …

Using Sustainable Development As A Competitive Strategy, Pat Spearman

Walden Dissertations and Doctoral Studies

Sustainable development reduces construction waste by 43%, generating 50% cost savings. Residential construction executives lacking adequate knowledge regarding the benefits of sustainable development practices are at a competitive disadvantage. Drawing from the diffusion of innovation theory, the purpose of this qualitative case study was to explore knowledge acquisition within the bounds of sustainable residential construction. The purposive sample size of 11 executive decision makers fulfilled the sample size requirements and enabled the extraction of meaningful data. Participants were members of the National Home Builders Association and had experience of a minimum of 5 years in residential construction. The research question …

Soft Skills Perceived By Students And Employers As Relevant Employability Skills, Ann-Marie Claudia Williams

Walden Dissertations and Doctoral Studies

Local employers believe the lack of prerequisite soft skills is inhibiting the graduates from a local community college from securing employment. The rationale of this phenomenological study was to investigate the perceptions of students and employers related to the soft skills needed to be successful in future employment. The theoretical framework was based on Mezirow's transformational and Daloz's mentorship theories. Individual face-to-face, semistructured interviews were used to gather data from 12 business and computer students and 7 employers (N=19) who were selected using purposeful random sampling. The typewritten transcripts of participants' responses were imported in MAXQDA 11, then were open …

Student Perceptions Of Connectedness In Online Courses, Cynthia Dawn Worley

Walden Dissertations and Doctoral Studies

Students who obtain college degrees have a higher earning potential and greater likelihood of employment. Although researchers have found that student enrollment and performance in online college courses has increased, attrition has also risen at a higher rate than in face-to-face courses. The problem of declining persistence in online courses at a rural community college in the Southeastern United States was addressed in this study. The community of inquiry framework was used in this qualitative case study to explore perceptions of 10 experienced online learners. The research questions were focused on students' perceptions of the roles of connectedness and student …

Identifying Successful Online Adult Learners, Lester Wright

Walden Dissertations and Doctoral Studies

This qualitative case study examined the lack of success by and high attrition rates of adult learners enrolled in online higher education courses at a public research university in the southeastern United States. The conceptual framework integrated Knowles' theory of andragogy with a composited model that combined elements of Tinto's persistence model with Bean and Metzner's student attrition model. The research questions examined factors and characteristics contributing to the unsuccessful completion of online courses for adult learners. The data were collected in 2 separate phases using a purposeful sample comprised of 152 adult learners who volunteered to participate in the …

Building Resilience And Coping Effectiveness (Brace): A Program For Military Families, Linda Pauline Zarrett

Walden Dissertations and Doctoral Studies

Building Resiliency and Coping Effectiveness (BRACE): A Program for Military Families

by

Linda Zarrett

MSN, University of Cincinnati, 2012

BSN, Minnesota State University, Moorhead, 1985

Project Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Nursing Practice

Walden University

August 2015

Veterans returning from combat report significant family strain and Post Traumatic Stress Symptoms (PTSS) yet have limited access to care resources. Family members, including children, report very similar symptoms to those of veterans and have yet fewer health care resources. The purpose of this project was to apply principles from existing research on post-traumatic stress …

Impact Of Child Abuse Education On Parent's Self-Efficacy: An Experimental Study, Sabina Balkaran

Walden Dissertations and Doctoral Studies

Each year, approximately 1 million children are found to have been abused, with an average of 4.5 children dying each day at the hands of parents, caretakers, relatives, and friends. Child abuse recognition and parental self-efficacy is understood to decrease the prevalence of child abuse. The literature documents the importance of educating mandatory reporters and suggests inconclusive findings about sex differences in child abuse recognition parental self-efficacy. The current research examines the impact of child abuse education on parental child abuse detection self-efficacy, child abuse recognition knowledge, and sex differences in parental child abuse detection self-efficacy. Bandura's self-efficacy theory states …

Inflammatory Markers Associated With Disease Progression Of Cardiorenal Syndrome, Srikanta Banerjee

Walden Dissertations and Doctoral Studies

An increase in cellular inflammatory biomarkers directly increases the risk of cardiovascular disease (CVD). Using the social ecological and biomedical theories, the study examined quantitatively how specific inflammatory biomarkers are associated with cardiorenal syndrome (CRS), a potential complication of hypertension and diabetes, and how sociodemographic factors modify this association in the U.S. adult population. A retrospective secondary data analysis of the data collected from National Health and Nutrition Examination Survey (NHANES) 1999-2010 was utilized to evaluate these hypotheses. High sensitivity C-reactive protein, homocysteine (hcy), and fibrinogen had a modifying effect on Type 4 (chronic reno-cardiac etiology), Type 2 CRS (chronic …

Exploring The Impact Of Wyoming's Pathways To Professional Development Program On Childcare Providers And Quality Early Childcare, Colleen Kay Bartlett

Walden Dissertations and Doctoral Studies

Childcare programs that provide high quality care can strengthen children's early development. One component of a quality program is having providers who are knowledgeable in child development; however, despite the understanding of these known predictors of child development, Wyoming does not require childcare providers to complete any training before beginning to work with children. Guided by the constructivist theories of Piaget, Vygotsky, Dewey, and Bruner, this objectives-based program evaluation investigated the Pathways to Professional Development program to determine participants' perceptions of the strengths and weaknesses of the program. A researcher-produced survey was created based on the objectives of the program …

Exploring Critical Success Factors For Managing Complex Information Technology Projects In Federal Agencies, Kyle Dean Boyles

Walden Dissertations and Doctoral Studies

The problem addressed in this study was the lack of understanding about failures of government leadership in accomplishing complex information technology (IT) projects and the ways such failures can negatively affect organizational performance. The purpose was to query subject matter experts and leaders with the intent to identify methods to reduce complex IT project failure rates in government organizations. This qualitative study drew on the technology acceptance model and the capability maturity model integration framework to evaluate organizations' abilities to manage complex IT projects. The research questions focused on exploring senior managers' experiences, the tacit knowledge of project management methodologies, …

A Policy Guide To Decrease The Use Of Continuous Passive Motion Machines, Rosa M. Cooper

Walden Dissertations and Doctoral Studies

A Policy Guide to Decrease the Use of Continuous Passive Motion Machines

by

Rosa M. Cooper

MSN, Walden University, 2009

BSN, Immaculata University, 2007

Project Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Nursing Practice

Walden University

August 2015

This project was conducted at a post-acute rehabilitation hospital that served post-acute orthopedic, stroke, brain injury, cardiac, and skilled nursing patients. On the orthopedic unit, there were 5 practicing physicians, 3 of whom consistently used continuous passive motion (CPM) therapy on total knee arthroplasty (TKA) and 2 of whom did not. As a result of discussions …

Academic Coaching, Student Engagement, And Instructor Best Practices, Jainie Denisse Miranda Martinez

Walden Dissertations and Doctoral Studies

Academic coaching has demonstrated positive relationships with college students' academic engagement and performance. A university campus in Puerto Rico implemented academic coaching for at-risk students, but the program has not been studied for its impact on student engagement. Guided by self-regulation theory and constructivism, this quasi-experimental study examined differences in engagement and identification of best teaching behaviors between students who experienced academic coaching (n = 115) and those who did not (n = 55). Students completed the Classroom Survey of Student Engagement (CLASSE) before and after the 4-week instructional unit and the Instructor Behavior Checklist (IBC) after the instructional unit. …

Alcohol Use Disorder And The Sibling Relationship: A Phenomenological Enquiry, Christine Rhodes

Walden Dissertations and Doctoral Studies

Previous researchers have indicated that alcohol use disorder affects relationships between family members. Exposure to parental alcohol use disorder disrupts important relationship skill-building development between the children of the family, and may impact conflict resolution in later life relationships. The sibling relationship provides a learning opportunity on how to manage conflict, yet little is known about the effects of parental alcohol use disorder on the sibling-to-sibling relationship from the perspective of adult siblings. The purpose of this descriptive phenomenological enquiry was to explore the lived experiences of adult siblings who experienced parental alcohol use disorder in their family of origin. …

Massage Therapy Effects On Pain And Distress/Anxiety In Breast Cancer Patients, Tanya Brigitte Buchrieser

Walden Dissertations and Doctoral Studies

Pain and distress/anxiety are likely to result from breast cancer and/or the medical treatment associated with this illness. Breast cancer researchers have focused on massage therapy and its influence on pain and distress in breast cancer patients; however, these research efforts were limited by small sample sizes, homogeneous populations, and small to medium effect sizes. This study explores the effectiveness of massage therapy for decreasing pain and distress in a larger, heterogeneous population of breast cancer patients and across all durations and frequencies of treatment by pooling the findings of former studies. The gate control theory which relates to the …

Evaluation Of Post-Deployment Ptsd Screening Of Marines Returning From A Combat Deployment, Erika L. Hall

Walden Dissertations and Doctoral Studies

The purpose of this quantitative study was to examine whether the post-deployment screening instrument currently utilized to assess active-duty Marines for symptoms of PTSD upon their return from a combat deployment can be solely relied upon to accurately assess for PTSD. Additionally, this study sought to compare the number of Marines who have sought trauma-related mental health treatment based on their answers on the Post-Deployment Health Assessment (PDHA) to the number who have sought trauma-related mental health treatment based on their answers on their PTSD Checklist - Military Version (PCL-M). The participants in this study were comprised of a sample …

Factors Relating To Underrepresentation Of Black American Women In Health Care Administration, Alquietta Lavayle Brown

Walden Dissertations and Doctoral Studies

There is a low representation of Black American women (BAW) in health care senior leadership. With the high level of health problems found among the Black community, diversifying the executive leadership with BAW may be instrumental in increasing provider trust and reducing discriminatory action. Using critical race theory as the conceptual framework, this study examined the experiences, perceptions, and influential or deterrent factors inhibiting advancement of BAW in the health care field. Inquiry centered on factors related to lack of advancement, experiences at different stages of career progression, and strategies impacting career advancement. A qualitative research design using a transcendental …

Effect Of Burnout And Organizational Commitment On The Turnover Intention Of Clinical Laboratory Employees In Florida, Tasia Lawnetta Hilton

Walden Dissertations and Doctoral Studies

The field of clinical laboratory science is experiencing a critical shortage of qualified professionals. Because health care practitioners depend on the results of laboratory tests to help diagnosis and treat patients, it is important to address the current and future shortage in the laboratory workforce. There is limited research on factors affecting the turnover intentions of clinical laboratory employees. Accordingly, the research questions for this study examined the effect of burnout (BO) and organizational commitment (OC) on the turnover intention of laboratory employees in Florida. A cross-sectional survey design was used to examine the relationship between BO and OC on …

The Relationship Between Self-Efficacy And Employee Commitment Among Perfusionists, Gilbert F. Garcia

Walden Dissertations and Doctoral Studies

Certified clinical perfusionists (CCPs) operate a variety of complex, invasive devices to provide heart-lung support. Job-related stress has been identified as having unfavorable influences on self-efficacy and commitment of employees in many domains, but this relationship has not been examined among CCPs. Guided by self-efficacy theory and organizational commitment model, the purpose of this study was to investigate whether a relationship exists between self-efficacy and commitment among CCPs and the extent to which age, gender, workload, experience, or education impacted CCPs' commitment. Data were collected from 264 respondents via 2 established survey instruments: the organizational commitment questionnaire and the work …

The Role Of Childhood Trauma And Methamphetamine-Induced Violence In Women, Ashley Kennedy Ibbotson

Walden Dissertations and Doctoral Studies

Victims of childhood trauma are vulnerable to substance abuse due to their inability to develop coping skills following trauma, which can lead to criminal and violent behavior. Guided by the ecodevelopmental theory, this phenomenological study attempted to relate the perceived experiences of violent behaviors as a result of methamphetamine use in women to the types of childhood trauma the women experienced. Fourteen women were recruited using purposive sampling in collaboration with the South Brunswick Counseling Center, based on inclusion criteria that included being over the age of 18; having abstained from methamphetamine use for at least a year; having experienced …

Teachers' Perceptions Of The Reading Achievement Gap Between High-Achieving Students And Below-Basic Students, Helen Anne Iaconelli

Walden Dissertations and Doctoral Studies

Atlantic Avenue Elementary School (AAES) experienced reading achievement gaps between high-performing students and below-basic students within the school reading curriculum and balanced literacy framework. Vygotsky's theories of scaffolding and zone of proximal development served as the framework guiding this project, which used a qualitative case study design to explore reading teachers' perceptions of the ways in which they were addressing this reading achievement gap. Individual interviews, classroom observations, and lesson plans were the sources of the qualitative data collected from 6 reading teachers. The data were coded manually using emerging and constant-comparative strategies to identify common themes. The themes that …

Sustainability Of Enterprise Resource Planning (Erp) Benefits Postimplementation: An Individual User Perspective, Mohamed Abdalla Mohamed Badreldin Lotfy

Walden Dissertations and Doctoral Studies

Although there is research about the use of enterprise resource planning (ERP) from a management perspective, the research is not clear as to whether the ERP benefits justify the costs, not only in dollars, but also in effort, from the end user's perspective. Using the theory of diffusion of innovation (DOI), the purpose of this quantitative research was to identify the set of postimplementation sustainability factors that maximized ERP user value, which are major issues for management, and measured their relative significance. The study's structural model incorporated the technology-organization-environment (TOE) framework, which is a conceptualization of the theory of diffusion …

Relationship Between Leadership, Organizational Commitment, And Intent To Stay Among Junior Executives, Lorraine Elizabeth Anderson

Walden Dissertations and Doctoral Studies

Executive-level attrition rates from retiring baby boomers may result in a shortage of qualified junior executives to replace the retirees. The purpose of this correlational study was to examine the efficacy of leadership style and organizational commitment in predicting intent to stay among junior executives. The Multifaceted Leadership Questionnaire, Three-Component Model (TCM) Employee Commitment Survey, and Intent to Stay Scale were administered to 147 junior executives employed in the southern region of the United States. Motivation theory served as the theoretical foundation in this study. The results of the bivariate regression were significant, F(1, 105) = 27.82, p < .001, R2 = .21, suggesting that leadership style significantly predicted intent to stay. The results of the multiple linear regression were significant, F(2, 104) = 19.42, p < .001, R2 = .27, suggesting that the model as a whole was able to significantly predict intent to stay. Affective commitment, B = 0.64, p < .001, was the only significant contributor to the model. The implications for positive social change include the potential to provide senior management with a better understanding of factors that relate to junior executive retention. The potential exists to provide senior executives with the necessary tools to increase retention. The social change implications include the potential for senior management to create a more desirable workplace, higher job satisfaction, and overall organization environment, making it more desirable to stay with the organization.

Depression And Hiv Risk Among African American Men Who Have Sex With Men, Sonya Anyaka

Walden Dissertations and Doctoral Studies

African American men who have sex with men (AAMSM) are at a greater risk of contracting HIV than any other ethnic group, subpopulation, or race. Personal, environmental, and social variables can affect risk behavior. Driven by Beck's cognitive theory of depression, this quantitative study examined the relationship between depression and HIV risk behaviors in a sample of AAMSM (n = 108). Data was gathered via the Beck Depression Inventory and the HIV Risk Behavior Questionnaire. Simple and multiple linear regression analysis were conducted to analyze the data to determine the correlation between HIV risk behavior and depression. According to study …

Social Inequality: Cultural Racism As A Predictor Of Collegiate Academic Success, Natasha L. Ball

Walden Dissertations and Doctoral Studies

The economic sustainability of an area is largely dependent on the education level of its population, yet little is known about the role cultural racism may play in academic success. The purpose of this correlational study was to evaluate the theory of cultural racism, defined as, the establishment of cultural institutions by whites/Europeans to the detriment of non-white people, as it relates to academic success at the college level. Data were collected from 100 participants from 3 predominately African American high schools in the Atlanta, Georgia area to explore whether the presence of cultural racism existed from the perspective of …