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Nigerian Banking Governance, Leadership Style, And Performance During The 2008-2009 Financial Crisis, Adeola Oluwayemi Agbato
Nigerian Banking Governance, Leadership Style, And Performance During The 2008-2009 Financial Crisis, Adeola Oluwayemi Agbato
Walden Dissertations and Doctoral Studies
The 2008-2009 global financial crisis of financial systems negatively affected about 30% of Nigerian banks, leading to profitability issues. The profitability issues led to operational challenges, downsizing, and liquidation of some banks. The purpose of this correlational study was to examine the relationship between corporate governance structure, perception of leadership style, and bank performance. This study was grounded in agency theory and used survey and archival data. Survey data were collected from 11 participants employed by commercial banks located in Nigeria, using the Multifaceted Leadership Questionnaire. Corporate governance and bank performance data were collected from annual bank reports. The model …
An Effective Succession Planning Educational Program For Operating Room Nurses, Sherly Bejoy Alexander
An Effective Succession Planning Educational Program For Operating Room Nurses, Sherly Bejoy Alexander
Walden Dissertations and Doctoral Studies
The current nationwide shortage of registered nurses is a growing problem impacting patient care and hospital operations. The operating room is the area most affected by the nursing shortage. Reasons cited for this shortage include ineffective nursing orientation programs and a decline in job satisfaction. The purpose of this project was to develop a best practice succession planning educational program to provide novice operating room nurses with an introduction to the operating room. The Dreyfus model of skills acquisition and Benner's novice to expert theory guided this project. A 2-step process was used to assess and validate the content and …
Impact Of Medicare And Medicaid Beneficiaries With Selected Conditions On Emergency Department Utilization, John K. Amoh
Impact Of Medicare And Medicaid Beneficiaries With Selected Conditions On Emergency Department Utilization, John K. Amoh
Walden Dissertations and Doctoral Studies
Chronic Obstructive Pulmonary Disease (COPD) and Congestive Heart Failure (CHF) are conditions that represent significant and ongoing medical costs, including frequent emergency department (ED) visits, hospitalizations, work absences, and disability. This retrospective cross-sectional study, examined the effects of the frequent ED visits due to COPD and CHF on the beneficiaries of Medicare and Medicaid in Maryland. The goal was to identify the factors that led these patients to visit the ED, the impact of these visits on Medicare utilization and costs across Maryland, and preventative intervention strategies to control this population's costs of care. Secondary data were analyzed from 2010-2012 …
Effect Of Reduced-Fee Dental Hygiene Treatment And Oral Health Perceptions Among Socioeconomically Deprived Persons, Janeime Necole Asbury
Effect Of Reduced-Fee Dental Hygiene Treatment And Oral Health Perceptions Among Socioeconomically Deprived Persons, Janeime Necole Asbury
Walden Dissertations and Doctoral Studies
Access to oral health care remains problematic for millions of Americans. Factors such as socioeconomic status, age, race, and lack of dental insurance benefits inhibit the ability of many to obtain preventative oral health care. The aim of this study was to explore the effect of preventive oral health treatment and education at reduced-fee dental hygiene facilities on the oral health behaviors and perceptions of socioeconomically deprived persons within the state of Georgia. This study was based on the health belief model constructs. A convenience sample of 102 participants was recruited from the individuals who visited two dental hygiene colleges …
The Use Of The Illness Perception Questionnaire: Enhancing Clinical Staff Understanding, Typhanie Beasley
The Use Of The Illness Perception Questionnaire: Enhancing Clinical Staff Understanding, Typhanie Beasley
Walden Dissertations and Doctoral Studies
Women with Type II diabetes face unique challenges coping with the physiologic complications of the disease, which can be enhanced or hindered by their perception of their ability to effectively manage their diabetes. The Illness Perception Questionnaire (IPQ-R) is a tool that evaluates factors influencing patient-provider communication and assesses patient's perception of their health. Guided by the common sense model of self-regulation, this quality improvement project focused on familiarizing health care providers with the IPQ-R and evaluating their receptiveness to implement it with women with Type II diabetes. Seven Primary Care providers participated in an educational in-service that included information …
Factors For Success In Community College Online Gateway Math, Lisa Marie Borzewski
Factors For Success In Community College Online Gateway Math, Lisa Marie Borzewski
Walden Dissertations and Doctoral Studies
Researchers have found that student success rates in online classes are lower than in comparable face-to-face courses. Yet, the research is unclear as to whether student demographic and academic history variables are related to the lower success rates. At a large community college in Florida, low success rates for students in the online Intermediate Algebra course led to delays in the continuation of required coursework and graduation for many students and the factors associated with low success rates were largely unknown. The purpose of this quasi-experimental study was to examine the associations between several student variables and student success in …
The Lived Experiences Of South Asian Same-Sex Attracted Women Residing In The United States, Surinder Kaur Bal
The Lived Experiences Of South Asian Same-Sex Attracted Women Residing In The United States, Surinder Kaur Bal
Walden Dissertations and Doctoral Studies
South Asian same-sex attracted women in the United States experience discrimination and marginalization that puts them at an increased risk for mental health issues. Research shows their rates of counseling and psychotherapy use are low due to perceptions of stigma, lack of knowledge, and concerns about culturally insensitive treatment plans. Mental health providers lack the literature needed to inform culturally sensitive treatment plans to address these concerning gaps in services, and an extensive literature review found no studies on the lived experiences of this population. Guided by feminist theory, this research study examined how discrimination, oppression, and marginalization mold women's …
Interrelationships Of Colorism, Violence, And Sexual Behaviors Among Southern African American Women., Phaedra Christensen
Interrelationships Of Colorism, Violence, And Sexual Behaviors Among Southern African American Women., Phaedra Christensen
Walden Dissertations and Doctoral Studies
Two significant public health concerns that threaten both the physical and mental health of African-American women are Intimate Partner Violence (IPV) and Human Immunodeficiency Virus (HIV). African-American women (AAW) in the south carry the greatest burden of HIV and disproportionately represent the region with an incidence of 71% for new HIV infections, and elevated rates of morbidity and mortality. In 2013, the murder rate among AAW was 2.5 times higher than it was among Caucasian women. Most of the published studies that explored the association between IPV and HIV had mixed populations, did not explore topics unique to AAs, or …
Job Satisfaction In The National Geospatial Intelligence Agency, Calvin Colbert
Job Satisfaction In The National Geospatial Intelligence Agency, Calvin Colbert
Walden Dissertations and Doctoral Studies
Approximately every 20 years, a new generation is born and eventually dominates the workforce; although changes occur with each new generation, the importance of job satisfaction remains constant. Research within the U.S. Intelligence Community is lacking with regard to changing trends of job satisfaction levels. The purpose of this study was to explore job satisfaction levels between Generation X and Generation Y workforce employees at the National Geospatial-Intelligence Agency (NGA). The central research question addressed how job satisfaction differed by generational differences in the workforce. A quantitative method was used to assess survey data. A structural equation modeling technique was …
Young Adults Adherence To Cancer Treatment As Compared To Older Adults, Laurie Ann Cox
Young Adults Adherence To Cancer Treatment As Compared To Older Adults, Laurie Ann Cox
Walden Dissertations and Doctoral Studies
As compared to pediatric and older adult cancer patients, young adults are the only oncology group that has not demonstrated an increase in survival rates. Low treatment adherence rates have been one explanation for this discrepancy, although this hypothesis has not been explored specifically. Guided by the biopsychosocial model of health and wellness, this study compared the treatment adherence rates of 46 young adult cancer patients (ages 18-39 years) to 46 older adult cancer patients (ages 40 years and older). Adherence was measured by a dichotomized variable, as yes/no, adhering to radiation treatment and follow-up appointments recommended by the physician, …
The Effect Of Objectified Images In The Media On The Development Of Body Dissatisfaction And Depressive Symptoms In Filipino American Women, Nicole J. Dionisio
The Effect Of Objectified Images In The Media On The Development Of Body Dissatisfaction And Depressive Symptoms In Filipino American Women, Nicole J. Dionisio
Walden Dissertations and Doctoral Studies
Although Filipinos are becoming one of the largest Asian groups in the U.S there is limited research regarding mental health challenges Filipino women experience specifically regarding body satisfaction and self-image. The goal of this explorative qualitative study was to explore the relationship between objectified images of women in the media and the reported levels of body dissatisfaction in a sample of 8 American-born Filipino women and 8 Philippine-born Filipino women. Objectification theory was used to guide this research and levels of sociocultural influences, body satisfaction, and body consciousness were explored through a qualitative research design using statements from the Sociocultural …
Continuity Of Operations Planning At Historically Black Colleges And Universities In Alabama, Lewis Alvin Eakins
Continuity Of Operations Planning At Historically Black Colleges And Universities In Alabama, Lewis Alvin Eakins
Walden Dissertations and Doctoral Studies
Continuity of operations planning for Historically Black Colleges and Universities (HBCUs) is critical for institution sustainability. The absence of such planning can result in an HBCU closing for an extended period of time after a disaster resulting in loss of revenue, research projects, students, faculty, and staff. There is a void of information on the extent of continuity of operations planning at HBCUs and how these institutions would continue functioning after a disaster. Using resilience theory as the foundation, the purpose of this qualitative case study was to explore the extent of continuity of operations planning at HBCUs in Alabama …
Local Governmental Development Of Alternative Food Systems In Distressed Urban Areas, Jeremy Earle
Local Governmental Development Of Alternative Food Systems In Distressed Urban Areas, Jeremy Earle
Walden Dissertations and Doctoral Studies
Alternative food systems (AFS) projects are designed to address issues of environmental justice, food security and insecurity, community health disparities between the affluent and the poor, and access to healthful foods in distressed urban areas. Past research has questioned the efficacy and long-term viability of such interventions, particularly in distressed primarily Black urban areas. The purpose of this intrinsic case study (ICS) was to understand the ways in which local governmental entities collaborated with each other and with nongovernmental partners to help develop an AFS in South Florida through the creation of a market garden called the PATCH. Critical race …
Sexual Health Education Policy: Influences On Implementation Of Sexual Health Education Programs, Renata Denise Ellington
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 …
The Effect Of Federal Reporting Regulations On Hospital Investment In Community Building, Dorothy Magasis Escobar
The Effect Of Federal Reporting Regulations On Hospital Investment In Community Building, Dorothy Magasis Escobar
Walden Dissertations and Doctoral Studies
The role of hospitals as partners in community health improvement is changing, especially for nonprofit hospitals receiving tax exemptions in exchange for providing benefits to the community. There are examples of reported health improvement activities funded through hospitals' charitable donations, but there's a gap in the literature on the effect of policy and legislation on hospitals' investments in community building activities that address the social determinants of health. Grounded in eco-social theory, this quantitative, correlational study compared secondary data from CA's nonprofit hospitals' annual 2009 and 2012 reports to determine what, if any, changes have occurred in the hospitals' investments …
District-Funded Common Core Collaboration Grants Used For Teacher Professional Development, Stephanie Pratt Gregson
District-Funded Common Core Collaboration Grants Used For Teacher Professional Development, Stephanie Pratt Gregson
Walden Dissertations and Doctoral Studies
With the adoption of the Common Core State Standards (CCSS) in English language arts and mathematics by the State of California in 2010, a shift in instructional practices along with the level of rigor and expectations for students began. As a result of these changes, a local school district sought a way through district-funded Common Core Collaboration Grants (CCCG) to provide professional development that supported 4th-6th grade teachers in their implementation of the CCSS. The purpose of this qualitative program evaluation case study was to examine teachers' perceptions of the effectiveness of professional development funded by CCCG in supporting 4th-6th …
Educational Leadership Characteristics Of Rural High School Principals And Graduation Rates, Christopher Michael Groves
Educational Leadership Characteristics Of Rural High School Principals And Graduation Rates, Christopher Michael Groves
Walden Dissertations and Doctoral Studies
High school graduation rates and the leadership of principals are important measures of accountability within schools. Principal leadership has been investigated through qualitative and correlational studies in mostly urban areas. Limited research has focused on the educational leadership characteristics of the high school principals and graduation rates in rural areas. The purpose of this study was to identify, describe, and categorize the leadership characteristics of veteran and novice principals with respect to graduation rates in selected rural schools. Bolman and Deal's 4 frames of leadership informed this study and helped to create the broad leadership categories of interpersonal skills, leadership …
Teacher Strategies For Developing Historical Empathy, Billy Kenneth Harris
Teacher Strategies For Developing Historical Empathy, Billy Kenneth Harris
Walden Dissertations and Doctoral Studies
Research indicates that the application of historical empathy, defined as using historical evidence to reconstruct past perspectives, engenders critical thinking in students. There is lack of research on the level of comprehension and use of historical empathy as an instructional strategy by high school history instructors. The purpose of this qualitative study was to explore teachers' comprehension and application of historical empathy in 2 high schools. This study was grounded in Edmund Husserl's concept of intersubjectivity, which suggests that apperception facilitates the grasp of multiple perspectives. Research questions addressed history teacher comprehension and employment of historical empathy as a tool …
An Evaluation Of Mentoring, Self-Efficacy, And Teacher Retention In An Induction Program, Sherri Latonya Henry
An Evaluation Of Mentoring, Self-Efficacy, And Teacher Retention In An Induction Program, Sherri Latonya Henry
Walden Dissertations and Doctoral Studies
Several decades of research have shown that quality teacher induction programs are effective in providing support to beginning teachers, improving teachers' performance, and increasing teachers' self-efficacy. A large urban school district implemented a new teacher induction program and the purpose of this quantitative study was to examine the program using beginning teachers' perceptions of program effectiveness, the mentor-mentee relationship, intention to remain in teaching, and self-efficacy scores. Bandura's self-efficacy theory provided the framework for this study. Research questions examined the relationships among the 4 variables of interest as well as the differences in each by the number of years of …
Influences Of Nutritional Food Label Understanding In African-American Women With Obesity, Cynthia Jean Hickman
Influences Of Nutritional Food Label Understanding In African-American Women With Obesity, Cynthia Jean Hickman
Walden Dissertations and Doctoral Studies
Nutritional food label understanding (NFLU) in African American Women (AAW) is a philosophy that addresses obesity. Public health efforts have implemented nutritional and caloric information to packaged and restaurant foods to improve nutrient and calorie literacy. Research suggest NFLU might have a minimal effect on reducing obesity. However, it is not known how obese AAW born during the baby-boom era (51 to 64 years of age) perceive NFLU in relation to their dietary behaviors. The purpose of this phenomenological study was to understand the lived experience of obese AAW regarding NFLU from a cognitive and behavioral perspective. Twelve, AAW answered …
The Lived Experiences Of Hiv+ Community Health Workers Serving Hiv+ Clients, Phronie Lynn Jackson
The Lived Experiences Of Hiv+ Community Health Workers Serving Hiv+ Clients, Phronie Lynn Jackson
Walden Dissertations and Doctoral Studies
Numerous studies have focused on the effectiveness of community health worker (CHW) programs in producing positive health behaviors and health outcomes for the clients CHWs serve; however, there has been a gap in the literature regarding how the health of HIV + CHWs is impacted by their jobs. A phenomenological design was used to gain insight into the lived experiences of HIV+ CHWs (HIVCHW) who provided services to HIV positive clients. Fifteen HIVCHW were recruited using criteria and snowball techniques. Data were collected via audio recorded personal interviews regarding respondents' perceptions of their work and how it impacted their own …
Effects Of Education On Pressure Ulcer Prevention In Developmentally Disabled Individuals, Jasneth M. James
Effects Of Education On Pressure Ulcer Prevention In Developmentally Disabled Individuals, Jasneth M. James
Walden Dissertations and Doctoral Studies
Pressure ulcers were a continuing concern among the nonverbal developmentally disabled population of a state institution. The lengthy use of wheelchairs, the inability to body shift, and physical and mental impairment were attributes of the target population that have been cited in the literature as contributing to pressure ulcer. The purpose of this quasi-experimental pretest/posttest project was to evaluate the effectiveness of an education intervention for direct care staff on the prevention treatment, and eradication of pressure ulcers among patients with developmental disabilities. Orem's self-care deficit theory, particularly the emphasis on the need for nursing staff to perform self-care activities …
Generational Differences Among Social Security Administration Employees And Their Perception Of Value, Joyce Moses Jones
Generational Differences Among Social Security Administration Employees And Their Perception Of Value, Joyce Moses Jones
Walden Dissertations and Doctoral Studies
Social Security Administration (SSA) managers and leaders are facing an unprecedented challenge to understand 3 to 5 generations of employees, and value the diversity of each group (Glass, 2007). Perceived lack of recognition has resulted in low morale and job satisfaction, leaving employees not feeling valued. The purpose of this qualitative, phenomenological research study was to explore, identify, and examine the lived experiences and perceptions of SSA employees to determine how managers and leaders can contribute to employee valuation. The central question and subquestions were designed to determine whether generational theory accurately described the lived experiences and perceptions of the …
A Quantitative Examination Of The Relationship Between Cultural Competence And Patient Satisfaction Scores, Kelley Ann Lovati
A Quantitative Examination Of The Relationship Between Cultural Competence And Patient Satisfaction Scores, Kelley Ann Lovati
Walden Dissertations and Doctoral Studies
As the U.S. population continues to diversify, hospitals need to understand and care for patients of diverse backgrounds and provide quality service for positive patient satisfaction scores. The purpose of this nonexperimental quantitative retrospective survey design was to determine what relationship exists between cultural competence initiatives (CCI) and patient satisfaction scores as reported by the Hospital Consumer Assessment of Health Care Providers and Systems (HCAHPS) survey in U.S. hospitals. The theoretical framework for this study was based upon CCI and patient satisfaction through the lens of service quality. The research questions were created to understand the relationship between CCI and …
Grandparents Raising Grandchildren: The Lived Experience Of Extended Family Reconciliation, Sheryl Martin
Grandparents Raising Grandchildren: The Lived Experience Of Extended Family Reconciliation, Sheryl Martin
Walden Dissertations and Doctoral Studies
Researchers have documented the increasing role of grandparents who provide care for their grandchildren; however, few have studied extended family reconciliation after grandparents assumed their primary care. This study explored the reconciliation experiences of 12 grandparents who were primary caretakers of their grandchildren. Using Moustakas's phenomenological research approach, the participants were interviewed about their experiences of the relationship triad (grandparent-grandchild, grandparent-adult child, parent-child). Attachment theory and family systems theory were the conceptual frameworks to explore the central research question, which addressed the meaning of extended family reconciliation for grandparents who become primary caregivers of grandchildren. Using NVivo, the interview data …
Improving The Completion Rate Of Advance Directives In Home Health Agencies, Ndidiamaka Ezinne Mbakpuo
Improving The Completion Rate Of Advance Directives In Home Health Agencies, Ndidiamaka Ezinne Mbakpuo
Walden Dissertations and Doctoral Studies
The number of individuals aged more than 65 years in the United States and their life expectancy has been increasing in the past decades. In spite of the presence of federal and accreditation policies recommending completion of advance directive documents by patients admitted to health care settings, advance directive completion rates are low in most health care organizations. The purpose of this study was to determine the level of advance directive completion among home health patients. The health belief model provided the theoretical framework that guided this study. A retrospective chart review was carried out in a home health agency …
The Relationship Between Hospital Leadership Activities And Clinical Quality Outcomes In Iowa, Sarah Pavelka
The Relationship Between Hospital Leadership Activities And Clinical Quality Outcomes In Iowa, Sarah Pavelka
Walden Dissertations and Doctoral Studies
The Centers for Medicare and Medicaid Services have been working with hospital networks across the United States to improve health care through education and training on clinical best practices and leadership frameworks. Some organizations have failed to reach the high-quality standards of care expected and have adverse patient care outcomes. The purpose of the study was to determine the relationship between leadership actions, funding type, and clinical care outcomes in participating Partners for Patients hospital programs in Iowa. The secondary variable data were provided from a Partnership for Patients contractor, through the Centers for Medicare and Medicaid Services Organizational Assessment …
Heroes Or Victims: The Lived Experiences Of Women On Female Genital Mutilation/Cutting In Northwestern Nigeria, Sarah Kasham Philips
Heroes Or Victims: The Lived Experiences Of Women On Female Genital Mutilation/Cutting In Northwestern Nigeria, Sarah Kasham Philips
Walden Dissertations and Doctoral Studies
The custom of female genital mutilation/cutting (FGM/C) is a traditional practice inimical to women's health with profound implications. There is a gap in the literature on the lived experiences of women who have undergone FGM/C and their statuses within their communities. Guided by the social cognitive theory and the ecological model, this qualitative study aimed at explicating the attitudes and perceptions of women in the northwest region of Nigeria towards the practice of FGM/C, to illuminate how the women view themselves in their society and the inspiration for the continued practice of FGM/C. Interview and observation data were gathered from …
Dementia Caregive Module And Pamphlet, Shawen Denise Ransby
Dementia Caregive Module And Pamphlet, Shawen Denise Ransby
Walden Dissertations and Doctoral Studies
Dementia care is an immediate and growing issue that affects everyone. People are living longer increasing the likelihood that they may be diagnosed with dementia. Friends and family are become caregivers but are often unprepared for the role. The purpose of this project was to develop a 15-minute dementia care module to assist caregivers with the home care of dementia patients. A pamphlet was created to reinforce the module information and to provide a quick reference for dementia support. The self-efficacy theory, along with the review of best practice guidelines and evidence from literature, informed the development of the module. …
Strategies To Improve Project Management Maturity Processes, Walter H. Sargent
Strategies To Improve Project Management Maturity Processes, Walter H. Sargent
Walden Dissertations and Doctoral Studies
Information technology organizations lose significant competitive value when business leaders fail to use project management maturity (PMM) processes that enhance market delivery, reduce costs, and increase profitability. Using a multiple-case study, the researcher explored strategies that project leaders have used to improve PMM processes and expanded upon Kerzner's PMM model, which comprises 5 PMM levels essential for achieving repeatable project success. The researcher selected 20 project leader participants in the Southeastern region of the United States using a purposeful snowball sampling technique. In depth interviews were combined with archival and document exploration using a multiple-case study design where different types …