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The Effect Of Personal Beliefs And Perceptions On Influenza Vaccination Uptake Among Older Adults, Rani Sujatha Athota

Walden Dissertations and Doctoral Studies

Despite a 90% fatality rate and high risk of complications from influenza infection, vaccination coverage remains lower among African American (AA) and Hispanic American (HA) older adults. Health care professionals, families, and older adults are concerned with improving vaccination uptake. The purpose of this study was to examine differences among older adult AA and HA compared to European Americans (EA) on how their personal beliefs and perceptions affect vaccination uptake. The health belief model guided this study. The study research design was a quantitative cross-sectional analysis of the 2009 National H1N1 Flu Survey. Weighed prevalence of vaccine uptake indicated all …

Supervisory Working Alliance And Job Satisfaction In Community Mental Health Settings, Jennifer Weigelt

Walden Dissertations and Doctoral Studies

Researchers have written extensively on many facets of supervision in the counseling profession, including the supervisee benefits associated with a strong supervisory working alliance. While the majority of studies have focused on the working alliance in academic settings with student trainees, there has been a lack of research exploring the role of the supervisory working alliance in workplace settings, where supervision can be different from supervision offered in a university clinic or counseling center. Employee job dissatisfaction has been a problem identified within the mental health workforce. Researchers have identified effective supervision as a mediating factor. The purpose of this …

Staff Perceptions Of The Effect Of The Leader In Me On Student Motivation And Peer Relationships In Elementary School, Charlene Tidd

Walden Dissertations and Doctoral Studies

Staff and student surveys at Lane Elementary School (pseudonym) confirm that students lack motivation to complete class work and often struggle to interact appropriately with one another. Similar concerns are reported across the United States as indicated by national Gallup Poll results on student motivation, peer relationships, and feelings of connectedness in schools. The purpose of this qualitative case study was to determine if elementary school personnel believe than an initiative called The Leader In Me has had a positive impact on student motivation and peer relationships. Underpinning this study were Perrin's student motivation theory and research on social and …

Creating And Establishing Content Validity Of A Tool Kit To Educate Mothers Of Premature Babies, Lilian Chinyere Ofoegbu

Walden Dissertations and Doctoral Studies

Abstract

Delivering a preterm baby who is admitted to a neonatal intensive care unit can be an enormous hardship for parents and families, and especially for mothers. The consequences of prematurity alter the parental role, affect their confidence in caring for the baby, and subsequently may impact infant outcomes. Adequately educating mothers of premature babies using an evidence-based practice approach may help them gain the confidence and skills needed to care for their infants. The purpose of this project was to create a tool kit to educate mothers of premature babies about the essential components of caring for their babies, …

A Qualitative Examination Of The Perception Of Risk In Warnings For Severe Weather, Teresa Simmons

Walden Dissertations and Doctoral Studies

In the past decade, weather disasters have claimed thousands of lives and resulted in billions of dollars in damages. Awareness of a storm threats can occur hours or days in advance, but disaster assessments indicate many people do not heed storm warnings. This problem is old. Despite 50 years of research, and new technologies and training to improve responsiveness, the basic issue– understanding how people interpret and respond to weather warnings–persists. An exploratory study that incorporated human behavior theories and communication models not traditionally associated with severe weather analysis was conducted to learn how weather risks are perceived by nonscientists. …

Psychological Stress In Critical Care Nurses, Oladele Augustine Odunayo Akinwolere

Walden Dissertations and Doctoral Studies

Increased levels of stress in the workplace have led the American Psychological Association to predict a looming public health crisis. Critical care nurses (CCNs) are highly exposed to stressors in the workplace, more than other nurses. Tens of billion dollars were reported lost in productive work time yearly due to ill health from depression alone. An important gap remains in understanding the relationships of stressors with the amount of stress. Supported by the biopsychosocial stress theory, the purpose of this study was to determine the relationship between frequencies of perceived stressors (IVs) as a source of perceived levels of stress …

Using Early Alert Data To Increase Success Rates Among U.S., Donald Michael Ball

Walden Dissertations and Doctoral Studies

More U.S. students are attending college than at any time in history, but many of these students are poorly prepared for college coursework. Higher education institutions are challenged to increase the overall student success rate. The study community college implemented an early alert system to identify students with potential course performance concerns, but it is not known whether other student data might also predict academic performance at the study site. Guided by Tinto's and Astin's respective works on student persistence, the purpose of this correlational study was to investigate the relationships between students' demographic, background, and environmental variables and course …

Community And Patient-Centered Medical Home In The Care Of Chronically Ill Patients, Victor A. Carrillo

Walden Dissertations and Doctoral Studies

Large portions of the US population live in poor inner-city communities. Health needs assessment data have shown that these communities have disproportionately high rates of chronic illnesses. The patient-centered medical home (PCMH) model was developed to address the gaps that exist in the primary care system, and emphasizes a redesign of primary care that is patient centered, utilizes multiple levels of healthcare professionals, information technology, and care coordination. However, little evidence exists on the value of this model which may explain why it has not gained wide acceptance by primary care providers. Therefore, this study was designed to examine the …

Perceptions Of Immunizations As Health Prevention Among Female Mexican Immigrants In Oklahoma, Jennifer Doyle

Walden Dissertations and Doctoral Studies

Research on health prevention behaviors of Mexican immigrant mothers regarding immunizations has been limited. As of 2014, Hispanics or Latinos comprised 9.6% of the population of the state of Oklahoma and were the largest minority group within Oklahoma. This minority population has continued to grow at a rapid rate in Oklahoma. The purpose of this study was to explore the perceptions of immunizations held by Mexican immigrants who are mothers residing in Oklahoma. The aim of this study was to identify their perceived risk of contracting a vaccine-preventable disease if not immunized and knowledge of immunizations as a health prevention …

Examining Barriers That Inhibit Student Achievement From A Teacher's Perspective, Taryn Everett

Walden Dissertations and Doctoral Studies

Teachers at an urban high school in the Southeast have failed to see an increase in classroom achievement or standardized test scores despite efforts to increase passing rates. If achievement rates do not increase, school restructuring will occur. While the site has implemented programs to reduce academic failure, data exists that external barriers may be affecting student achievement. Guided by Bandura's (1986) theory of metacognitive beliefs and self-efficacy as the conceptual framework, this qualitative case study explored teachers' perceptions about the root causes of poor student achievement. This study examines how to identify those causes to help students improve academically, …

The Effect Of Media Literacy Training On The Self-Esteem And Body-Satisfaction Among Fifth Grade Girls, Holly Mathews

Walden Dissertations and Doctoral Studies

Repeated exposure to media images that portray women as sex objects can have negative long-term effects on self-esteem beginning in preadolescence. Negative effects include decreased feelings of competence, increased focus on appearance, increased body dissatisfaction, and limited achievement in domains not related to appearance. There is a gap in the literature examining if media literacy training can mitigate the negative effects of exposure to sexualized media content. Festinger's social comparison theory and Vygotsky's theory of cognitive development provided the framework for this study. A quasi-experimental pre-post-test design was used to examine the interaction of media literacy training and time of …

Penalty Enhancement Laws And The Reporting Of Patient Assaults On Emergency Department Nurses, Thomas Runkle

Walden Dissertations and Doctoral Studies

Assaults on emergency department nurses by patients are higher than any other occupation in the private sector. Professional nursing organizations have lobbied for penalty enhancement laws that increase the categorization of assaulting a nurse on duty from a misdemeanor to a felony. As of 2015, 32 states have implemented these laws. Yet, low assault reporting rates by nurses remains a problem, and little is known about whether penalty enhancements improved reporting rates. The purpose of this correlational study was to evaluate the impact of penalty enhancement laws on self-reporting of assault on emergency department nurses in 6 Mid-Atlantic cities. Constructs …

Mitigation Strategies Of Technostress On Supply Chain Management, Robert Lewis Penn

Walden Dissertations and Doctoral Studies

Logistics managers work to create practices that reduce technostress, which is associated with diminished productivity in supply chain management. The purpose of this multiple case study was to explore the mitigation strategies that logistics managers at distribution centers used to reduce technostress with their employees in the Los Angeles County, California area. The conceptual framework included in this study was the sociotechnical systems theory. Semistructured interviews were conducted with 6 logistics managers from large distribution centers who implemented mitigation strategies that demonstrably reduced technostress with their employees. Public documents and physical artifacts reviewed in this study included productivity assessment tools, …

The Associated Risk Factors That Lead To The Onset Of Sarcoidosis In Black American Women, Tiffany Mcintyre Simmons

Walden Dissertations and Doctoral Studies

Sarcoidosis is a disease characterized as noncaseation granulomas. Granulomas are clusters of cells that form a discrete nodule. This research was important because Black American women develop saroidosis at a higher rate than any other race. The purpose of this phenomenological qualitative study was to examine the impact of sarcoidosis in the lives of Black American women diagnosed with the disease and to consider how occupational experiences may have contributed to participants' development of sarcoidosis. Research states that domestic work such as cleaning, when performed on a daily basis or as an occupation, can contribute to adverse health effects. The …

The Impact Of Co-Teaching On The Graduation Test Scores Of Students With Disabilities, Jeannette Lynn Stach

Walden Dissertations and Doctoral Studies

According to the U.S Department of Education, co-teaching is an intervention used to give students with disabilities access to the general education curriculum while in the general education classroom. It's necessary to evaluate the effectiveness of co-teaching as it relates to academic performance. However, there has been a dearth of research on quantitative studies related to co-teaching and their results have been inconclusive. This quantitative study explored whether co-teaching has a positive effect on academic performance compared to collaborative teaching, and adds to the literature in this area that is considered current. On an annual basis from 2002 to 2011, …

Hospitality Students' Perceptions Regarding The Role Of Paid Employment In Academic Performance, Ruth Annette Smith

Walden Dissertations and Doctoral Studies

Between January and December 2014, 68% of full-time hospitality management students at a southeastern university in the United States worked for pay more than 15 hours each week. Fifty percent of these students had a GPA of 2.5 or below, reflecting poor academic performance as benchmarked by the institution. The purpose of this study was to achieve an understanding of how full-time undergraduate hospitality students perceived the role of paid employment in their academic performance. The study was grounded by Astin's student involvement theory that requires an investment of psychosocial and physical energy by students for a successful college experience. …

Health Care Leaders' Experiences Of Electronic Medical Record Adoption And Use, Joseph B. Weagraff

Walden Dissertations and Doctoral Studies

Adoption of electronic medical record (EMR) technology systems of meaningful use has been slow despite the mandate by the U.S. government. The purpose of this single case study was to explore strategies used by health care leaders to implement EMR technology systems of meaningful use to take advantage of federal incentive payments. Diffusion of innovation theory provided the conceptual framework for the study. Semistructured interviews were conducted with 6 health care leaders from a military installation in the Southeast United States. Data were analyzed using software, coding, and inductive analyses. The 3 prominent themes were patient, provider, and champion. Alerts …

Associative Relationship Among Mindfulness, Academic Grades, And Affective Outcomes In Adolescence, Elena Ksendzov

Walden Dissertations and Doctoral Studies

Adolescents navigate through escalating academic and social pressures while undergoing major physical and psychological changes. Concerned with behavioral, mental, and emotional challenges of youth, educators seek to expand approaches to promote learning success. Research founded in mindfulness theories has suggested that mindfulness positively and significantly correlates with psychological and physical health, work performance, decision-making ability, and emotional regulation, and may be a factor in learning. Two theoretical viewpoints on mindfulness, Western- and Eastern-based, formed the conceptual framework for this study, which aimed to examine associative relationships between mindfulness and academic achievement, and between mindfulness and affective outcomes for the general …

Effects Of Social Support On Cardiac Recurrence Among African Americans, Yolanda Phillips

Walden Dissertations and Doctoral Studies

Heart disease is the leading cause of death among African Americans. Despite advances in treatment modalities, based on better understanding of the disease's pathology and access to health care, African Americans continue to die from heart disease at rates significantly higher than other races. The available literature on cardiovascular disease among African Americans does not adequately explore how social support affects heart health in this group. The purpose of this study was to examine the effects of social support on cardiac recurrence among African American adults. Cohen's ISEL support system variables: tangible, appraisal, belonging, and self-esteem; and five demographic variables: …

Evaluation Of Intervention To Increase Exercise Among A Group Of Hispanic Patients In South Florida, Rene Beltran Rodriguez Elias

Walden Dissertations and Doctoral Studies

Despite knowledge regarding the need for regular physical exercise, little is known about the most effective ways to encourage and maintain regular physical activity among primary care patients. New approaches to education about and support of physical activity are needed for everyone, but especially for groups susceptible to diseases related to sedentary lifestyles. This project evaluated a web-based educational intervention guided by the health belief model to address the lack of regular physical activity among 25 Hispanic patients in a South Florida clinical practice. The physically inactive patients were identified through the clinic's electronic medical records and consented to participate. …

A Comparative Study Of Two Instructional Models In Developmental Education Writing Programs, Barbara Ann Roseborough

Walden Dissertations and Doctoral Studies

Low college readiness among high school graduates is a national problem. A significant percentage of graduates are referred to courses designed to remediate deficiencies in the basic skills of reading, writing, and mathematics. Initiatives designed to improve the student experience in remedial and developmental programs have focused on the use of technology. Although technology has been used in the teaching of writing, research has not shown that this method is an improvement when compared to the lecture-based approach to teaching writing. The purpose of this nonexperimental quantitative study was to examine the impact of a technology-based writing program on student …

Persistence, Major, Vocational Technical Preparation, And Provisional Acceptance At A Private For-Profit Hospitality College, Joshua Luke Seery

Walden Dissertations and Doctoral Studies

At a private for-profit hospitality college in Philadelphia, there are rising percentages of students not persisting to the sophomore year. The study was grounded by the theoretical framework of Tinto's model of student retention. The purpose of this causal comparative study was to examine the relationship between student persistence and the academic variables of major, vocational technical preparation, and provisional acceptance. The relationship was analyzed using a chi-square test of independence. The data collected for the study came from archival data based upon the sample of 162 full-time students enrolled during the August 2014 class start in the majors of …

Using Cultural Cognition For Learning English: A Mexican Immigrant Family's Perspective, Cherri Louise Brown

Walden Dissertations and Doctoral Studies

The research problem focused on the 11 million Mexican immigrant families in the United States who speak little or no English. Their stated needs for English literacy, socioeconomic and academic success, and the increasing calls for xenophobic legislation throughout the nation indicated a need to investigate alternative pedagogies to compel positive social change through language fluency. In this case study, Mexican immigrant second-language learners and their descendants were asked how they wanted to learn English and if using native culture as a learning tool would help in achieving their literacy goals. Prior researchers had not asked those questions. Three adults …

The Gender-Responsive Approach For The Female Delinquent, Jeanette Alexandria Martin

Walden Dissertations and Doctoral Studies

The number of females arrested for violent crimes has increased. The juvenile justice system continues to be challenged with developing gender-based treatment strategies to accommodate female delinquents. The purpose of this study was to examine probation officers' perceptions of the treatment provided for female delinquents and its ability to rehabilitate, reduce recidivism, and promote successful transition among female delinquents. The framework of this study encompassed the feminist theory from a criminology perspective. Data collection included interviews with 5 probation officers in El Paso County's Juvenile Justice Detention Center. Interviews were reviewed to generate a summary of relevancy. Themes and codes …

Teen Dating Violence: Co-Occurrence With Bullying Among African American Teens In South Florida, Rosemarie Hemmings

Walden Dissertations and Doctoral Studies

Teen dating violence and bullying are major public health concerns but are preventable. Both dating violence and bullying occur within similar social context and the prevalence of teen dating violence was highest for African American teens as reported on the 2011 Youth Risk Behavior Survey (YRBS). Social learning theory provides a foundation for understanding and changing behavior related to dating violence victimization and bully victimization. The research questions focused on relationships between bully and teen dating violence victimization when controlling for race/ethnicity, gender, substance abuse, age, and age of first sexual intercourse. Additionally, the potential mediating variable of spending time …

Case Study Of Stakeholders' Views On Retention And Self-Efficacy In Texas Nursing Programs, Durcilla Kay Williams

Walden Dissertations and Doctoral Studies

Retention of students through the completion of the nursing degree is a problem that exists at local Texas nursing programs, adding to the nursing shortage at local Texas hospitals. The purpose of this qualitative research study was to identify the best practices used by a local Texas college with graduation rates above the benchmark of 85% set by the Texas Higher Education Coordinating Board. The study framework was based on Bandura's theory of self-efficacy and Tinto's theory of student retention. The research questions for the study focused on reasons the college maintained a high retention rate, best practices currently used, …

A National Mixed Methods Research Study: Defining Reasonable Accommodations In Higher Education For Adult Students With Disabilities, Anita Schwartz

Walden Dissertations and Doctoral Studies

The purpose of this study was to examine the perceptions that differ among university personnel and students with disabilities regarding the vagueness in the legal definition of the term reasonable accommodations. The theoretical framework that guided this study was the social model of disability. Using a sequential mixed-method design, the first strand surveyed 98 students and 93 personnel; then 10% of each group participated in an interview or focus group. The main research questions explored the different accommodations offered by university personnel versus those that were used by students and the different perceptions of the term reasonable accommodations in accordance …

Exploring Factors Influencing Information Technology Portfolio Selection Process In Government-Funded Bioinformatics Projects, Braulio J. Cabral

Walden Dissertations and Doctoral Studies

In 2012, the National Cancer Institute's (NCI) Board of Scientific Advisors (BSA) conducted a review of the Center for Biomedical Informatics and Information Technology's (CBIIT) bioinformatics program. The BSA suggested that the lack of a formal project selection process made it difficult to determine the alignment of projects with the mission of the organization. The problem addressed by this study was that CBIIT did not have an in-depth understanding of the project selection process and the factors influencing the process. The purpose of this study was to understand the project selection process at CBIIT. The research methodology was an exploratory …

Differential Reinforcement In The Online Radicalization Of Western Muslim Women Converts, Heather Cone

Walden Dissertations and Doctoral Studies

The emerging phenomenon of Western women Islamic converts learning radicalized ideology through social media constitutes a challenge to cyber policy makers hampered by a lack of gender-nuanced radicalization research. The purpose of this exploratory qualitative case study was to develop a greater understanding of how the differential reinforcement tenet of social learning theory may help to explain the conversion and radicalization of Western women towards a fundamentalist Islamic ideology through their participation in the social media. Key research questions explored how participation in online social media may create vulnerability towards radicalization and exploitation. The blogs of 3 different Western women …

Sexual Health Education Policy: Influences On Implementation Of Sexual Health Education Programs, Renata Denise Ellington

Walden Dissertations and Doctoral Studies

High school youth in Grades 9-12 who are in public schools without comprehensive sexual health education (CSHED) are more likely to engage in high-risk sexual behaviors and have higher rates of HIV and sexually transmitted diseases than are their peers in schools with CSHED. The purpose of this correlational study was to explore the statistical relationship between the consistent implementation of CSHED, before and after the enactment of the Chicago Public Schools' (CPS) sexual health education policy, and the sexual risk behaviors of Chicago high school youth in Grades 9-12. The study was based on Antonovsky's salutogenic model of health …