Digital Commons Network^™

Patient Safety Culture And High Reliability Organizations, Jared D. Padgett

Walden Dissertations and Doctoral Studies

A 1999 evaluation of case studies performed by staff from the Institute of Medicine found that between 40,000 and 98,000 patients died from preventable errors, while 43,598 individuals died in car accidents that year. A 2011 report increased that estimate nearly 10 times. Widespread preventable patient harm still occurs despite an increase in healthcare regulations. High-reliability organization theory has contributed to improved safety and may potentially reverse this trend. This explorative single case study explored how the perceptions and experiences of nursing and respiratory staff affected the successful transition of a healthcare organization into a reliability-seeking organization. Fourteen participants from …

A Resilient Warrior: Coping Positively With Combat Stress Exposure, William Stallard

Walden Dissertations and Doctoral Studies

The purpose of this study was to explore and examine coping with combat stress exposure in a homogeneous group of 132 U.S. Marines who served in Operations Enduring Freedom or Iraqi Freedom, and who self-reported that they were coping positively. A mixed methods concurrent triangulation strategy was employed with positive psychology as the quantitative theoretical base and Husserlian transcendental phenomenology as the qualitative conceptual framework. Quantitatively, hardiness, hope, social support, personality, and coping strategies were assessed in the participants to examine how these variables may moderate or mediate the relationship between combat stress exposure and subjective well-being. Five hypotheses were …

A Case Study Of Curriculum-Based Organizational Change In An Elementary Teacher Preparation Program, Grace Elizabeth Cook

Walden Dissertations and Doctoral Studies

The implementation of the Common Core State Standards in English/Language Arts and Mathematics into the kindergarten through 12th grade curriculum in the United States presents a unique opportunity for teacher preparation programs to realign their curriculum with the curriculum of the primary and secondary schools. However, it is unknown how teacher preparation programs are approaching this possible change. This qualitative descriptive case study examined the organizational change process that was employed by one teacher preparation program to incorporate the Common Core State Standards for Mathematics (CCSSM) into their curriculum. The change was examined through the organizational development lenses of Kotter …

Does The Perception Of Psychosocial Factors Increase The Risk Of Pesticide Exposure Among Seasonal Hispanic Farmworkers?, Donna L. Levesque, Ahmed A. Arif

Walden Faculty and Staff Publications

BACKGROUND:

Migrant farmworkers are prone to several psychosocial stressors.

OBJECTIVE:

To investigate the effect of perceived psychosocial factors on pesticide exposure among seasonal migrant Hispanic farmworkers in North Carolina, USA.

METHODS:

A cross-sectional interview survey of 187 seasonal migrant farmworkers of Mexican descent, identified from labor camps located in rural counties in North Carolina, was conducted using nonprobability purposive sampling approach. Multivariable ordinal logistic regression analysis was used to determine the relationship between perceived control over the harmful effects of pesticide exposure, lack of social support, and the impact of anxiety on perception of pesticide exposure.

RESULTS:

More than 20% …

The Virtual Research Lab: Research Outcomes Expectations, Lee Stadtlander, Martha Giles, Amy Sickel

Journal of Educational Research and Practice

This paper examines the complexities of working with student researchers in a virtual lab setting, logistics, and methods to resolve issues. To demonstrate the feasibility of a virtual lab, a mixed method study consisting of quantitative surveys and qualitative data, examined changes in doctoral students’ confidence as measured by research outcome expectations and changes in a self-assessment of research knowledge and skills test in a three quarter virtual psychology research lab. In the lab, 10 doctoral students conducted a faculty-designed project, analyzed data, and co-wrote a literature review. Findings indicate lab students’ research knowledge and research outcome expectations improved significantly …

The Online Faculty Work Environment: An Exploratory Study, Lee Stadtlander, Amy Sickel, Martha Giles

2010-2016 Archived Posters

There is a considerable literature on college faculty working at in-person institutions and their work. However, there is little research on the online faculty home work environment. The present study, consisting of 236 survey respondents from 38 online institutions, examines how online faculty structure their home work environment.

The Fatigue Experience Of African American Women With Breast Cancer, Phyllis D. Morgan Dr.

2010-2016 Archived Posters

Little is known about fatigue related to breast cancer among African American women. This qualitative study explored the fatigue experience of 10 African American women with breast cancer. The study was conducted in the southeastern United States. African American women provided vivid accounts of cancer related fatigue. The women discussed how they worked together with their physicians to manage fatigue related to breast cancer treatment. Strategies used by women included pharmacologic (i.e., vitamins and supplements) and non-pharmacologic (i.e., prayer and exercise) interventions. This information can be used to assist breast health advocates to understand how to support African American women …

Reliability/Validity Of The Self-Stigma Of Mental Illness Scale (Ssmis), Amy Sickel, Jason D. Seacat Ph.D., Nina A. Nabors Ph.D.

2010-2016 Archived Posters

Most individuals diagnosed with mental illness are mild-moderate in severity. Research on the Self- Stigma of Mental Illness Scale (SSMIS) has traditionally focused on stigma associated with severely mentally ill individuals using clinical samples, leaving the psychometric properties of the SSMIS questionable when used with less severely ill individuals. Data from a non-clinical sample of 423 adults indicates the SSMIS scales are reliable. Correlations between the SSMIS scales and mental health scales provide convergent validity for the SSMIS. Findings suggest the SSMIS scales are reliable and valid when used within this population and suggest future directions for mental health stigma …

Second-Parent Adoption: North Carolina Same-Sex Couples And Foster Care Adoptions, Mark Maxwell

2010-2016 Archived Posters

A qualitative phenomenological study about the experiences of same-sex couples with children adopted from foster care in a southeastern U.S. state. Interview data from 8 couples were coded and analyzed. Emerging themes included legal, social, and financial struggles and the couple􀀂s trailblazing experiences to become their children􀀂s legal parents. Implications for positive social change included informing same-sex parents, policy makers and social workers about the families􀀂 experiences and needs.

Effect Of Aerobic Activities On Promoting Healthy Fitness Standards Of Freshman Students, Monica N. Hudson

2010-2016 Archived Posters

Obesity is one of the greatest threats to child and adult health in the United States. Adolescents are engaging in sedentary behaviors, and their body fat composition is directly affected by a lack of exercise. Direct instruction was used as the framework to compare the results.

Anxiety And The Imposter Phenomenon Among Graduate Students In Online Versus Traditional Programs, Christy B. Fraenza

2010-2016 Archived Posters

This study compared online and traditional students on measures of imposter phenomenon (IP), anxiety, and perfectionism. Traditional students had significantly higher IP scores. Perfectionism was the strongest predictor of IP scores. Because the scale for perfectionism explored socially prescribed perfectionism, it seems to suggest an underlying social component to IP.

Understanding Violent Adolescent Males: Implications For Post Release Recidivism, Michael O. Johnston Ph.D.

2010-2016 Archived Posters

Simple assault is common among mid-adolescent males in Iowa and throughout the United States. The barriers and supports that exist for mid-adolescents when choosing nonviolence is well-documented in past research. Little is known about the choice of nonviolence for mid-adolescent males who have been labeled delinquent by juvenile courts.

Self-Regulation Efforts And Cognitive Load Concerns Within A Developmental Learning Environment, Caroline M. Crawford, Richard A. Smith

2010-2016 Archived Posters

People new to the higher education learning environment, and without posessing the abilities sometimes described as ”learning how to learn”, delve into either gateway courses or developmental courses. In this case study, a developmental course instructor integrates self-regulation tools and cognitive load sensitivity into her developmental course, with positive outcomes.

Stress: The Development And Influence On Self-Identity, Earl Grey

2010-2016 Archived Posters

Using a grounded theory methodology and constantcomparative analysis, the investigator sought to develop an empirical understanding of the experience of stress and its influence on identity development. The 23 participants, who did not meet criteria for a DSM-IV-TR diagnoses, received 10 - 60 minutes sessions of eye movement desensitization and reprocessing treatment (EMDR). EMDR treatment targets stressful memories and elicits recall of thoughts, imagery, emotions, and physical body sensations related to the stressful experience. The data from video recorded sessions provided holistic information regarding each participant’s experience and recall of stressful events. The results yielded thematic developmental patterns of thoughts, …

How Robotics Programs Influence Young Women’S Career Choices: A Grounded Theory Model, Cecilia D. Craig

2010-2016 Archived Posters

Women in college, alumnae of a well-known high school robotics program, shared how it influenced their career choices and who they have become in this qualitative study. A general system theory model was developed using grounded theory practices, after conducting online focus groups and interviews.

The Human-Animal Bond And Combat-Related Posttraumatic Stress, Melissa White

2010-2016 Archived Posters

This study explored the lived experiences of Operational Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) service members with combatrelated posttraumatic stress disorder (PTSD) symptoms who had a companion animal postdeployment. Twelve OEF and OIF veterans participated in semi-structured interviews analyzed using Moustakas’ phenomenological approach. Four themes emerged: (a) rich descriptions of deployment events, (b) the experiences of returning from a deployment, (c) participants’ perceptions on their pets’ influence on posttraumatic stress symptoms, and (d) other comments and opinions related to participants’ experiences. These findings illuminate the experience of combat-related posttraumatic stress and the importance of animals in the therapeutic …

Cybersecurity Strategy In Developing Nations: A Jamaica Case Study, Kevin Patrick Newmeyer

2010-2016 Archived Posters

Developing nations have been slow to develop and implement cybersecurity strategies despite a growing threat to governance and public security. This qualitative case study examined how the government and private sector in Jamaica viewed the state of cybersecurity in the country, and how the country was developing policy to respond to cyber threats.

2014 Walden University Research Symposium, Walden University

2010-2016 Archived Programs

Welcome to the 2014 Walden University Research Symposium. National Harbor may be a new location for the research symposium this year, but we are still excited to be able to showcase research projects from our academic community, including work by our recent graduates. The presentations at this symposium appear in two different formats. Poster presentations provide an opportunity for researchers to engage with all individuals attending the symposium and potentially to network with other interested researchers. Within the roundtable presentation format, a select group of researchers will be available for interactive discussions of their work, with handouts and visual materials …

A Narrative Inquiry Of Successful Black Male College Students, Malou Chantal Harrison

Walden Dissertations and Doctoral Studies

Despite a growing enrollment of Black males in colleges and universities in the U.S., the nationwide college degree completion rate for Black males remains at disproportionately low numbers as compared to other ethnicities and to that of Black females. The purpose of this narrative inquiry study was to evoke and promote the voices of successful Black male students and to understand their perspectives on factors that contributed to their college success. Findings from this research provide insight into college experiences and interventions that have positive implications for Black male college student success. Valencia's (2010) work on educational attainment served as …

Gestational And Pregestational Diabetes In The Eastern Mediterranean Region: A Meta-Analysis Of Maternal And Fetal Outcomes, Saulat Jahan

Harold L. Hodgkinson Award for Outstanding Dissertation

Pregestational diabetes mellitus (PGDM) and gestational diabetes mellitus (GDM) are associated with adverse pregnancy outcomes including increased caesarean section rates, macrosomia, and perinatal mortality. Despite the high prevalence of GDM and PGDM in the Eastern Mediterranean Region (EMR), most of the published studies examining the association between GDM/PGDM and adverse pregnancy outcomes have small sample sizes, low statistical power, and few adverse outcomes with conflicting results. The purpose of this study was to determine the association of GDM/PGDM with adverse pregnancy outcomes among women in the EMR, by using a meta-analysis research design. Following the conceptual model of the epidemiologic …

Direct-To-Consumer Advertising Of Drugs And Patients' Health Care Seeking Behaviors, Patricia Elaine Kennedy-Tucker

Walden Dissertations and Doctoral Studies

Known as direct-to-consumer advertising (DTCA), pharmaceutical companies in the United States are permitted to advertise prescription drugs directly to consumers. The purpose of this quantitative study was to determine if an association exists between DTCA and health care-seeking behaviors. The theoretical framework for this study involved social learning theory, information integration theory, and prospect theory. The research questions identified if exposure to DTCA (a) is associated with physician office visits, (b) influences a patient/physician conversation regarding a prescription, (c) influences requesting a prescription, and (d) has an impact on patients' ratings of the overall interaction with the physician. Data were …

The Effects Of Holistic Coping Strategies On Perceived Stress And Absenteeism In Hospital Nurses, Mary Alice Ayon

Walden Dissertations and Doctoral Studies

The demanding work environments of professional nurses often contribute to high levels of stress that impact their professional practice and well-being. Although there is a significant amount of research regarding stress and absenteeism, a gap in the literature exists about the effects of holistic coping strategies on nurses' perceived stress and absenteeism. Based on the biopsychosocial model, the purpose of this quantitative study was to investigate effects of holistic coping strategies on perceived stress and absenteeism in 128 hospital nurses. An online cross-sectional survey design used the Perceived Stress Scale-10 to measure nurses' perceptions of stress. The independent grouping variable …

The Impact Of Prostate Cancer On Survivors' Sense Of Meaning In Life, Carol Lynn Brady

Walden Dissertations and Doctoral Studies

Research has shown that meaning in life is a universal human need, regardless of cultural identity or education. This research study investigated how the encounter with prostate cancer impacted men's sense of well-being and what they considered meaningful in life. An interpretative phenomenological research design was used because of its descriptive nature and its focus on the individual's perspective. The sample included 6 men between the ages of 18 and 65 who had been out of treatment for 1 year. Participants completed essays about their perceptions and experiences over 3 periods of time: before diagnosis, during treatment, and as survivors. …

Adolescent And Community Adult Perceptions Of Adolescent Tobacco Use, Susan M. Franko

Walden Dissertations and Doctoral Studies

In 1964, the Surgeon General issued the first report that linked smoking cigarettes as a direct cause of emphysema, heart disease, and lung cancer. Despite this landmark publication, the primary cause of preventable deaths each year in the United States continues to be related to the use of tobacco. Regardless of decades of health education and resources available to inform society that the use of tobacco products can have deleterious effects on health, adolescents continue to experiment with them. The purpose of this study was to gain a better understanding of the influences of adolescent tobacco use. Based on the …

Teachers' Perceptions Of Becoming A Professional Learning Community, Kathleen Theresa Kohl

Walden Dissertations and Doctoral Studies

Professional learning communities (PLCs) have become popular in schools to help improve student achievement. One local middle school implemented a PLC community, yet experienced problems with sustaining the concept and moving forward. The purpose of this quantitative study was to examine the current state of the PLC at the middle school under study, how it functioned, and possible areas for improvement. The theoretical framework revolved around constructivist learning and the dimensions of a quality PLC: collaboration, shared mission, values, vision, and goals. Research questions addressed teachers' perceptions of PLC progress and differences in levels of development scores among the 5 …

The Innovation Of Simulation Laboratories And The Novice Nurses In The Clinical Setting, Brenda Washington Moore

Walden Dissertations and Doctoral Studies

The push to generate professional nurses has raised questions about the competency level of the novice nurses that are entering the workforce. Utilization of simulation laboratories is being viewed as an option for bridging the gap for the shortage of nurses, nurse educators, and clinical sites. The theory of goal attainment was used to guide this project, which aimed to develop and validate an ER simulation scenario that mimics a clinical setting as a tool for measuring nursing skills. An additional purpose, to be accomplished after graduation, will be to implement a pilot project to determine the impact of the …

Collaborative And Creative Thinking Skill Development Through The Design Of Wearable Technologies, Laurie E. Korte

Walden Dissertations and Doctoral Studies

Skills inherent in the creative thinking process such as reflecting and collaborating are needed for success in many careers. However, a focus on standardized testing in K-12 schools in the United States has resulted in the restructuring, reduction, and in some cases, elimination of arts in the curriculum to the detriment of students' creative thinking process. The purpose of this study was to discover whether creative thinking and collaborative skills were positive unintended consequences of a curriculum that includes the design of wearable technologies. Jonassen's modeling using Mindtools for conceptual change and Rosen's culture of collaboration provided the conceptual framework. …

Oral Health Knowledge, Attitudes, And Practices Among Secondary School Students In Nigeria, Johnson John Omale

Walden Dissertations and Doctoral Studies

Bold

Experiences And Perceptions Of Pregnant Unmarried Adolescents In Nigeria, Priscilla Ndidi Asonye

Walden Dissertations and Doctoral Studies

Sexual activity among unmarried adolescents is a major public health problem in Nigeria, because unmarried pregnant girls are more likely to have multiple sex partners and are less likely to use contraceptives, putting them at greater risk for sexually transmitted diseases (STD), unplanned pregnancy, abortion, social isolation, and poverty. Teen pregnancy and STD rates are on the rise in Nigeria, yet few data exist on the experience of the adolescents themselves. This phenomenological study was designed to explore the in-depth experiences of 10 pregnant, unmarried adolescent girls aged 16-19, including the factors contributing to their sexual activity. An ecological model …

High School Student Athletes And Nonathletes' Disciplinary Referrals And Grade Point Averages, Jack Willard Calhoun

Walden Dissertations and Doctoral Studies

High School Student Athletes and Nonathletes'

Disciplinary Referrals and Grade Point Averages

by

Jack Calhoun

MEd, Georgia Southwestern State University, 1998

BS, Georgia Southwestern State University, 1997

Doctoral Study Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Education

Walden University

December 2014

This quantitative study investigated how athletic participation in public high schools influenced students' academic achievement and positive social behavior. Disciplinary referrals are on the rise in American schools and are a cause of concern for teachers, administrators, parents, and community members. School personnel currently implement programs designed to curb discipline problems in the …