Digital Commons Network^™

The Effect Of Acculturative In The Psychological Adjustment Of Immigrant Hispanic Parents, Estela Garcia

Walden Dissertations and Doctoral Studies

Hispanic immigrant parents are a growing yet understudied population. Few studies have addressed the relationship between Hispanic immigrant parents and the acculturation process. The purpose of this study was to determine how acculturative stress, racism, language proficiency, poor coping style, and low levels of social support affect the psychological adjustment of Hispanic immigrant parents. Using the framework of acculturation theory, this quantitative study examined 92 immigrant Hispanic parents from an urban northeast school in the United States. Several established instruments that measured racism, coping style, language proficiency, social support, and psychological distress were used. The results of the multiple regression …

Pharmacy Stores Profitability And Sustainability In Bulawayo, Zimbabwe, Augustine Khoza

Walden Dissertations and Doctoral Studies

Zimbabwe's catastrophic economic decline resulted in a high unemployment rate (95%), declining socioeconomic indicators, pharmacy stores' unprofitability and lower sustainability. Profitable pharmacy stores play a fundamental role in ensuring public access to medication. Lack of pharmacy profitability leads to poor healthcare delivery, resulting in increased morbidity and mortality. A healthy population is panacea to economic growth and prosperity and enhances human dignity, social cohesion, and the quality of life. In this qualitative, descriptive multicase study design, using Porter's business strategies theory and the Deming process of quality assurance as conceptual frameworks, data from 11 pharmacy stores leaders in Bulawayo, Zimbabwe …

Improving Perinatal Team Communication To Decrease Patient Harm With Team Strategies And Tools To Enhance Performance And Patient Safety Training, Raquel Maria Walker

Walden Dissertations and Doctoral Studies

During childbirth, multiple providers deliver care at the bedside that requires optimal teamwork and communication to prevent patient harm. The complexity of caring for obstetrical patient demands a well-coordinated team to relay information and respond to conditions that can change quickly during childbirth. A patient safety strategy to prevent perinatal harm is Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) training. TeamSTEPPS is an evidence-based program based on crew resource management (CRM) principles developed in the aviation and military industries. This process improvement project used the Plan-Do-Study-Act framework and Kotter's change theory to implement TeamSTEPPS training after …

Engagement Behaviors' Impact On Course Success And Persistence Rates Of Community College Students, Van F. Whaley

Walden Dissertations and Doctoral Studies

As enrollment in U.S. community colleges increased, both the percentage of students successfully completing courses and the percentage of students persisting to their second year decreased. This study focused on the problem of low student course success and persistence rates at a community college. The purpose of the study was to determine whether students who demonstrated engagement behavior by visiting a Center for Academic Success (CAS) either passed more courses, persisted more often, or both, than students who did not visit a CAS. Tinto's engagement theory was the theoretical framework as it postulated that students who interacted with school support …

A Multisite Hospital's Transition To An Interoperable Electronic Health Records System, Valerie Gerene Drill

Walden Dissertations and Doctoral Studies

The health care industry is transforming into an industry that requires health information technology, yet many health care organizations are reluctant to implement new technology. The purpose of this case study was to explore strategies that led to a successful transition from an older electronic health record (EHR) system to a compliant EHR system at a multisite hospital system (MHS). The study included face-to-face and phone interviews with 12 managers who worked on the transition of an MHS's EHR system in the Pacific Northwest region of the United States. The technology acceptance model was used to frame the study. Audio …

Extending Two-Dimensional Knowledge Management System Theory With Organizational Activity Systems' Workflow Dynamics, Dana Forrest Ladd

Walden Dissertations and Doctoral Studies

Between 2005 and 2010 and across 48 countries, including the United States, an increasing positive correlation emerged between national intellectual capital and gross domestic product per capita. The problem remains organizations operating with increasingly complex knowledge networks often lose intellectual capital resulting from ineffective knowledge management practices. The purpose of this study was to provide management opportunities to reduce intellectual capital loss. The first research question addressed how an enhanced intelligent, complex, and adaptive system (ICAS) model could clarify management's understanding of organizational knowledge transfer. The second research question addressed how interdisciplinary theory could become more meaningfully infused to enhance …

An Educational Initiative To Prevent Unnecessary Hospitalization For Hospice Patients, Alkeisha Hill Mims

Walden Dissertations and Doctoral Studies

Avoidable hospitalizations of hospice patients cost Medicare $3 billion a year. When hospice nurses are able to identify early signs and symptoms of acute illness and provide appropriate interventions to prevent such admissions, 20-60% of the hospitalizations are preventable. The practice problem addressed in this quality improvement doctor of nursing project was the 30% hospital admission rate of hospice patients as evidenced by chart review, admission data, and revocation data. The first purpose of the project was to identify evidence-based nursing care paths in the literature for the top 5 medical diagnoses related to avoidable hospital admissions. The second purpose …

Influence Of Mothers-In-Law On Infant Feeding Practices Of Mothers Living With Hiv In Rural Cameroon, Kenneth Ngwambokong Muko

Walden Dissertations and Doctoral Studies

Mothers living with HIV (MLHIV) face complex challenges regarding infant feeding practices, which often restrict their ability to adhere to their chosen or medically recommended feeding behaviors. Mothers-in-law (MIL) enjoy significant influence and participate actively in the rearing of grandchildren in Cameroon. However, the extent to which MIL influence infant feeding behaviors of their daughters-in-law have not been studied. The theory of planned behavior (TPB) was used in this phenomenological study to explore how attitudes, subjective norms, and perceived behavioral control influenced infant feeding practices of 9 MLHIV in rural communities of the North West Region of Cameroon. The five …

Type 2 Diabetes Prevention And Management In A Primary Care Clinic Setting, Ada Nwachuku Nwachuku

Walden Dissertations and Doctoral Studies

Approximately 8.3% of the U. S. population has type 2 diabetes. Preventing the onset and improving the management type 2 diabetes are crucial for health care professionals. The purpose of this project was to develop and evaluate a type 2 diabetes prevention and management education program in a primary care setting using group medical appointments (GMAs). The chronic care model provided the framework for the study. The education program consisted of information from the Centers for Disease Control on the management of type 2 diabetes to be delivered by clinic staff using a GMA approach, a timeline for implementing the …

An Evaluation Of Robotics In Nursing Homes To Reduce Adverse Drug Events, Ozell Ueal Jr.

Walden Dissertations and Doctoral Studies

Adverse drug events (ADE) cause many deaths annually in addition to affecting the quality of life of many others. The descriptive mixed methods approach, specifically exploratory case study and experimental design that guided this research utilized the survey and focus group methods to evaluate perceptions about robotic technology (RT) to reduce the rate of ADEs in U.S. nursing homes (NH). There is a lack of scholarly research into whether a conceptual approach rooted in RT can be implemented to assist with drug administrations in NHs. The purpose of this study was twofold. The first purpose was to evaluate the causes …

A Modified Program Evaluation Of Training For Employer Compliance With Health Insurance Requirements, Joanneandi Davenport

Walden Dissertations and Doctoral Studies

A training program was established in the Midwestern United States to help employers understand compliance requirements of the health insurance industry. The purpose of this study was to conduct a modified program evaluation of the effectiveness of Pay or Play, a portion of a larger Benefit Compliance Program. The reason for the evaluation was the high percentage of remediation needed for administrators of employee health insurance following Pay or Play seminar sessions, which posed the question of program effectiveness in education of participants. This study is important because administrators of employee health insurance are responsible for understanding compliance regulations and …

Validation Of Parsons' Structural Functionalism Theory Within A Multicultural Human, Sandra Simone Minott

Walden Dissertations and Doctoral Studies

Shared values and norms are at the core for unifying different cultures socializing or working to fulfill the goals and mission of organizations. Researchers have not examined how employees representing different cultures socialize via shared norms and values in human service companies. The purpose of this ethnography study was to explore the process of 8 culturally different employees working together at a human service organization. Using purposeful sampling, multicultural employees were selected from 4 departments within the human service company. Face-to-face interviews, field notes, questionnaire, and participant observation were the tools for collecting the data. Descriptive coding, value coding, and …

Exploration Of Practice Managers' Decision-Making Strategies In A Managed-Care Paradigm, Lawrence Randolph Ford

Walden Dissertations and Doctoral Studies

Practice managers are facing challenging expectations when deploying a managed-care paradigm. The problem addressed in this study was a gap in knowledge regarding practice managers' decision-making strategies that affect, or could be perceived to affect, a climate of excellence with business and client relationships, primary health care, physicians, and patients in a managed-care paradigm. The purpose of the qualitative exploratory study was to explore practice managers' decision-making strategies affecting primary health care, physicians, and patients. Guided by Simon's ideology of decision-making strategies in a management environment, the overarching research question and 3 subquestions centered on how practice managers delineate their …

Personality And Promotion: An Analysis Of The Structured Rank Of Female Officers, Kelly S. Treece

Walden Dissertations and Doctoral Studies

Female law enforcement officers remain an underrepresented population in ranking positions within police organizations in the United States. Current research focuses on systemic factors that inhibit female law enforcement officers within the United States from achieving positions of rank. Grounded in Costa and McCrae's five factor model of personality, this study examined female law enforcement officers' personality traits and their relation to achieved rank. This quantitative study used multiple regression analysis of survey data to determine whether the personality traits of openness, conscientiousness, extraversion, agreeableness, and/or neuroticism alone or in combination predict rank. American female law enforcement officers in both …

A Nurse's Perception Of Hand-Off Communication Before And After Utilization Of The I-5 Verification Of Information Tool, Maryann Bowersox

Walden Dissertations and Doctoral Studies

Abstract

Miscommunication or omission of critical patient information contributes to preventable

medical errors that result in 98,000 patient deaths each year. The hand-off

communication process creates a critical time for the patient as necessary information for

the continuity of care must be communicated. The purpose of this practice project was to

evaluate the nurses' perception of the current hand-off communication process before and

after an educational intervention and implementation of the I-5 Verification of

Information Tool. Registered nurses were asked to complete a pre survey of their

perception of the current hand-off communication process, followed by an educational

power point …

Predictors Of Likeliness To Engage In Radical Animal Rights And Environmental Activism, Patsy Mckenzie

Walden Dissertations and Doctoral Studies

Radical animal rights and environmental activism is considered domestic terrorism under the Animal Enterprise Terrorism Act. Traditional models of terrorism purport that there is a path to radicalization that is influenced by an individual's sense of identity and ideological beliefs. Using collective identity theory and cognitive experiential self-theory as the framework, the purpose of this quantitative study was to examine whether social identity, cognitive processing mode, and ideological beliefs were predictors for engagement in radical animal rights and environmental activism. The Three Factor Model of Social Identity Scale, the Rational Experiential Inventory, and the Activism Orientation Scale were used to …

Risk Factors For Tuberculosis And Multidrug-Resistant Tuberculosis Complications Among Foreign-Born Persons In Houston, Texas, James N. Isaboke

Walden Dissertations and Doctoral Studies

Tuberculosis (TB) is a leading public health problem across the world. For various reasons, TB and multidrug-resistant tuberculosis (MDR-TB) have increased. Clarification on TB/HIV co-infection and homelessness as risk factors for TB and MDR-TB is required to inform policy interventions to reduce TB-related morbidity, mortality, and healthcare costs. In this quantitative study, data from the Houston Health Department (N = 341) were analyzed to explore the relationship between TB and MDR-TB outcomes and TB/HIV co-infection and type of housing/homelessness. Foreign-born persons are disproportionately affected in the United States. The socio-ecological model provided a theoretical framework for the investigation. Multiple and …

Faculty Perceptions On The Student Learning Accountability Movement, Tara Rose

Walden Dissertations and Doctoral Studies

Literature examining the impact of the student learning accountability movement on faculty perspectives is insufficient, as little is known about how faculty perceive the requirements related to federal, state, and institutional accountability initiatives. This case study investigated the threat posed by the accountability movement on the stability of faculty engagement, while exploring how faculty perceptions of the movement will impact institutional and state policy. Using Levin's system of accountability as the framework for this study, the central research question explored how understanding faculty perspectives on the student learning accountability movement could promote policy within an institution. Data were gathered via …

Succession Planning Strategies Of Faith-Based, Nonprofit Leaders Of The Boomer Generation, Leigh Byers

Walden Dissertations and Doctoral Studies

Formal succession planning strategies for retiring Baby Boomer generation of leaders in nonprofit organizations (NPOs) are nonexistent in many NPOs, including faith-based NPOs. Top NPO leaders possess vital organizational knowledge and experience. The lack of strategic succession planning adversely affects organizational sustainability and mission fulfillment. Guided by the conceptual framework of knowledge transfer, the current study supplies a description of succession planning strategies used in faith-based organizations that have Boomer leaders. This multiple case study included 3 faith-based NPOs in Miami-Dade and Broward Counties in Florida and their top-level leaders. They supplied descriptions of formal succession planning strategies through semistructured …

Promote Comprehension In The Reading Classroom, Antoine Kevin Flanigan

Walden Dissertations and Doctoral Studies

Students at 3 elementary schools in the southern region of the United States struggled with or failed to meet grade-level expectations in reading comprehension. School district leaders had little understanding regarding the perceptions of educators, care givers, and community supporters on the strategies to increase reading comprehension. To address that gap, the purpose of this study was to explore participants' perceptions regarding reading strategies and comprehension instruction practices in the local setting. The conceptual framework was based on the elements of Fisher's and Frey's work: (a) effective teaching in reading strategies, (b) reading instructional comprehension practices, (c) effective caregiver involvement, …

The Effects Of Downsizing On Organizational Culture In The Newspaper Industry, Marcella Sweeney

Walden Dissertations and Doctoral Studies

The purpose of this case study was to explore the effects of downsizing on organizational culture based on the perceptions of contractors who work for an independent distributor in a large metropolitan city in the southern United States. Organizational culture is important to a company's overall success. Organizational culture theory was the basis for the conceptual framework of this study. Using a purposeful sampling approach and methodological triangulation of sources, 3 newspaper delivery contractors who experienced downsizing described their lived experiences. Participants completed the Organizational Culture Assessment Instrument (OCAI) and a qualitative questionnaire. The OCAI survey results were scored and …

Revenue Losses: Exploring Strategies Required By Managers To Inhibit Movie Piracy, Nana Aishat Shaibu Akaeze

Walden Dissertations and Doctoral Studies

The piracy of movie products resulted in 72,000 lost jobs and $4.5 billion in lost wages to the United States economy in 2012. The purpose of this multiple case study was to explore what strategies movie corporation managers use to inhibit piracy of movie products to achieve profitability. The sample consisted of 6 movie industry managers who managed movie corporations for not less than 5 years in New York City. The conceptual framework for this study was based on the general systems theory. Data were collected through face-to-face semistructured interviews. Transcript review and member checking were used to ensure credibility …

Transformational Leadership In The Public Sector, Glenda Bumgarner

Walden Dissertations and Doctoral Studies

Senior leaders in state government public sector agencies must manage employee performance to ensure quality services to the citizens they serve. Limited academic research exists to study the barriers that these leaders acknowledge as deterrents to managing employee performance. The purpose of this qualitative study was to understand the reasons that public sector leaders at the Ohio Department of Transportation (ODOT) were challenged to manage employee performance and explore the role of transformational leadership. The ODOT was selected for this research because two prior worker surveys conducted by the agency revealed that employee performance accountability was an issue of concern. …

The Use Of Minors In Material Support Of Terrorist Organizations, Teresa Maria Feliciano

Walden Dissertations and Doctoral Studies

Adult criminals' use of minors to commit crimes associated with the support of terrorist organizations is a significant problem in the United States. Despite strict laws prohibiting adult offenders from exploiting youth, these individuals aggressively pursue minors to commit crimes associated with the support of terrorist organizations. This quasi-experimental, cross-sectional study used resource dependency theory to explore the likelihood that adult criminal offenders in the U.S. will use minors for crimes that are associated with the support of terrorist organizations, based on crime typology, country of origin, and location of crime. Data were collected from a crime database maintained by …

Relationship Of Institutional Characteristics To Cacrep Accreditation Of Doctoral Counselor Education Programs, Ronnie Louis Pace Jr

Walden Dissertations and Doctoral Studies

There is a lack of accredited doctoral-level counselor education and supervision (CES) programs available to meet the documented and growing need for more qualified and competent professional counselors. The problem addressed via this study is the shortage of trained doctoral-level counselors and counselor faculty to train other counselors due to the lack of accredited doctoral-level CES programs. The purpose of this study was to better understand the factors that may influence or predict an institution's decision to pursue Council for Accreditation of Counseling and Related Educational Programs (CACREP) accreditation in order to increase the number of programs that pursue specialized …

Stigma And Hiv Testing Among African American Women In New Jersey, Mirriam Limage-Pierre

Walden Dissertations and Doctoral Studies

African American women are 18 times more likely to contract HIV than are European American women, yet they are less likely to be tested for HIV. Lack of HIV testing leads to late diagnosis and increased mortality from HIV-related illnesses. Based on the health belief model, this correlational study analyzed the extent to which HIV stigma mediated the relationship between perceived benefits or perceived severity of HIV and the uptake of HIV testing among African American women in New Jersey. A total of 93 African American women aged 18 and older who resided in New Jersey completed online questionnaires. Data …

Communicating Periodontal Disease Risk To American Indian Patients With Diabetes, Jennifer Jordan

Walden Dissertations and Doctoral Studies

Type 2 diabetes is epidemic in the American Indian population. One problem health care providers face when working with the American Indian population is communicating about secondary complications, such as periodontal disease. From a public health standpoint, periodontal disease prevention is important not only to prevent unnecessary oral pain and tooth loss, but also to prevent other more serious systemic problems from occurring such as cardiovascular disease, strokes, and bacterial pneumonia. The purpose of this qualitative study was to examine the communication efforts of health care providers and understand if and how they discuss periodontal disease with their American Indian …

Facilitating The Acquisition Of Social Skills Through Service Learning, Becky J. Hendrickson

Walden Dissertations and Doctoral Studies

Deficits in communication affect individuals with autism regarding the ability to access a free and appropriate education as well as quality of life. This research study explored the effects of a service-learning project on acquisition of social skills and reduction of problem behaviors for students who have autism. The conceptual framework for this study was based on Maslow's theory of motivation and Erickson's 8 stages of personality development. A mixed-methods design with sequential transformative strategy was used to collect quantitative data from 5 elementary students who have autism during involvement in service learning; the Social Skills Improvement System was used …

An Exploration Of Exposure To Music In High School Males In Appalachian Ohio, Cassandra Mcdonald

Walden Dissertations and Doctoral Studies

Even with increasing availability of alternative educational systems, individual learning plans, and vocational schools, the high school dropout rate among males is still rising. High school dropouts have a negative effect on a community because their chances of being employed and contributing to the community are reduced. The theoretical frameworks of multiple intelligences, self-efficacy, and developmental constructivism were used to conduct a hermeneutical phenomenological study of the lived experiences of a specific population of male youth in rural Ohio who decided to return to school and complete the requirements for a high school diploma or GED after being exposed to …

Single Mothers Of Young Children And Continuing Education, Jackiethsha Lynette Fluellen

Walden Dissertations and Doctoral Studies

The number of households headed by single mothers living in poverty exceeds that of all other categories of poverty-stricken households, and poverty impacts the children negatively in various ways. When single mothers choose not to continue their education, they lessen their chances of finding higher paying jobs and raising their families out of poverty. The purpose of this phenomenological study was to better understand why some single mothers decided to continue into higher education. The study considered the decisions of 6 single mothers of young children in Montgomery County, Texas, and the obstacles they overcame while completing their education. The …