Digital Commons Network^™

Correlates Of Influenza Vaccination Uptake Among Older Adults, Cheryl Hilliman

Walden Dissertations and Doctoral Studies

Seasonal influenza is associated with signiï¬?cant morbidity and mortality among older adults, aged 65 and older. Since vaccination is the single most effective preventive measure against seasonal influenza, clinicians and senior citizen center administrators need a better understanding of the perceptions of older adults concerning the reason for poor influenza vaccine uptake. The purpose of this study was to identify perceived factors that may be associated with poor influenza vaccination uptake among older adults. The health belief model (HBM) guided the study. The research questions examined perceptions predicting the odds of influenza vaccination uptake among older adults. This quantitative cross-sectional …

A Case Study: Parents' Views Of The Program Everlasting Peace, Meshonda Moore

Walden Dissertations and Doctoral Studies

Juvenile crime among females is on the rise in the United States and is currently at an all-time high. Girls who are at risk for committing juvenile crime are at greater risk than boys for experiencing sexual trauma and exploitation as well as depression. Additionally, adolescent females have a higher rate of status-offense reoffending than do adolescent males. Using Kubeka's conceptualization of trauma theory, the purpose of this case study was to determine whether Everlasting Peace (EP), an evidence-based counseling program in Georgia, successfully provided gender-specific treatment for female juvenile offenders. Data were collected through interviews with 20 parent/guardian of …

Attitudes And Beliefs Towards Prostate Cancer Screenings And Diagnosis Among Zimbabwean Physicians, Adoniah Mavura Mukona

Walden Dissertations and Doctoral Studies

Zimbabwean men at risk of developing prostate cancer (PC) are diagnosed late or not at all. A cross sectional, quantitative study was done in Zimbabwe to establish physicians' attitudes and beliefs towards PC screening and diagnosis. Descriptive statistics were obtained to determine physicians' beliefs and attitudes using the Physician Attitudes and Beliefs Questionnaire Survey. The instrument incorporated validated instruments, the Burns' Cancer Belief Scale and Physician Survey on Prostate Cancer Screening, and demographic questions to measure specific independent variables, potentially influencing attitudes and beliefs. Means and standard deviations were conducted for continuous variables for beliefs and attitudes, and frequencies and …

An Evidence-Based Asthma Management Plan For The Pediatric Practice Setting, Foroogh Narmani-Mohammadi

Walden Dissertations and Doctoral Studies

Asthma is the most common chronic disease in childhood. Education directed toward asthma self-management is vital and emphasizes patient participation in symptom monitoring and control. The practice problem addressed in this quality improvement project was the lack of an asthma management plan in the pediatric setting for which the project was developed. The purpose of the project was to develop an evidence-based asthma initiative consisting of a staff education curriculum with a pretest/posttest and a patient self-management component. Using a team approach, Rosswurm and Larrabee's conceptual model served as the practice framework to guide the development of the project. Two …

Improving Colorectal Cancer Screening In Primary Care, Jenerie Reniedo Navarrete-Pak

Walden Dissertations and Doctoral Studies

Despite indications that colorectal cancer (CRC) screening strategies can decrease mortality and morbidity, screening rates among veterans remains to be low. In the Veterans Affairs (VA), the performance measure for CRC screening is lower than the national standard. This quality improvement (QI) project evaluated the effect of a team-based approach, effective electronic information structures, and the provision of education to nurses and patients in increasing CRC screening rate in primary care from 77% to 85%. CRC screening data were retrospectively collected prior to the start of the project and then compared to screening data 3 months after project implementation. The …

Electricity Sector Reform: Sourcing And Cost Management Of Electricity For Steel Manufacturing In Nigeria, Christopher Ndubuisi Okonkwo

Walden Dissertations and Doctoral Studies

In 2014, Lazard levelized cost of energy analysis model priced diesel powered systems at $0.225 – $0.404/KWh and a range of $0.165 – $0.242/KWh for gas-powered systems. The model gave a range of $0.28 – $0.33/kWh for diesel and a range of $0.14/kWh – $0.16/kW for gas fired. Nigeria has an abundance of gas reserves, but heavy gas flaring by oil companies perpetuates power failure across Nigeria. What has resulted is an unreliable electricity infrastructure and a high cost of alternative energy. The Electricity Power Sector Reform Act of 2005 started the reform process. Guided by decision theory, the purpose …

Work Breaks, Employee Morale, And Satisfaction In The Restaurant Industry, Laura A. Oliver

Walden Dissertations and Doctoral Studies

Work breaks during an individual's shift can be a powerful motivational tool for management; however, not all individuals receive breaks during their shifts. The purpose of this phenomenological, qualitative study was to explore how work breaks affect employee morale and satisfaction in the casual and fine dining restaurant industry. The questions explored in this study were related to the breaks effect employee satisfaction and morale in the casual and fine dining restaurant industry. Thirteen participants with a minimum of 5 years' experience as wait staff who worked more than 6 hours per day were interviewed using semi structured interviews. The …

The Perception Of Obesity Among African American Women 35 Years And Older In Houston, Texas, Bernadette Ebere Osuji

Walden Dissertations and Doctoral Studies

As obesity has reached an epidemic level, the female population age 35 years and older is struggling with increased risks of death from type 2 diabetes, hypertension, coronary heart disease, stroke, and certain cancers. The purpose of this study was to explore the perception of overweight and obesity among African American women 35 years and older in Houston, Texas. A phenomenological approach was adopted for this study to explore the perception of overweight and obesity among African American women 35 years and older in Houston, Texas. This study was also guided by the Health Belief Model as a conceptual framework …

Adolescent Peer-Related Computer-Mediated Communication And Its Relationship To Social Anxiety, Neil Matthew Parker

Walden Dissertations and Doctoral Studies

Adolescents are adopting computer-mediated communication (CMC) at a higher rate than any other age group, with CMC becoming integral to their social relationships. This is particularly significant given the role peer relationships play in adolescent mental health. The purpose of this quantitative, quasi-experimental study was to explore the relationship between adolescent CMC and social anxiety. The research was guided by Erikson's theory of psychosocial development and Kock's media naturalness theory. This multiwave panel study included a convenience sample of 58 adolescents ages 11 to 18. Surveys were completed on participant's social skills and introversion, and daily data were gathered on …

Understanding College Students' Readiness To Use Web 2.0 Technologies In Online Education, Sean Andrew Pradia

Walden Dissertations and Doctoral Studies

Web 2.0 technologies offer many educational benefits in higher education. Leaders of the U.S. community college examined in this study desired to explore students' familiarity with the educational benefits of Web 2.0 tools before investing in technology upgrades for the college. The purpose of this quantitative survey research was to explore community college student readiness to use Web 2.0 technologies as part of their distance learning experience. The research questions were designed to clarify students' attitudes and behavioral intentions towards using Web 2.0 applications. Data were collected from 253 randomly selected distance-learning students using a survey derived from the decomposed …

Strategies To Reduce Employee Turnover In Small Retail Businesses, Amelia Claudina Pryce

Walden Dissertations and Doctoral Studies

Employee turnover is high in small retail business, compelling business leaders to implement strategies that successfully reduce employee turnover. The conceptual framework guiding this study was the Herzberg 2-factor theory because the theory identifies factors that influence job satisfaction and employee turnover. The study population was retail owners and managers from small businesses in the retail industry in San Antonio, Texas who had demonstrated successful strategies to reduce employee turnover. A focus group was conducted with 4 retail managers, and semistructured interviews were conducted with 2 small retail owners, all of whom were recruited via purposeful criterion-based sampling. Yin's 5-step …

Attention Deficit Hyperactivity Disorder Treatment Impacts On Academic And Social Performance, Mark Allen Russell

Walden Dissertations and Doctoral Studies

This study was an investigation of the effectiveness of treatment approaches for attention-deficit hyperactivity disorder (ADHD) examined through social, behavioral, and academic performances. Guided by Barkley's unifying theory of ADHD, a static-group comparison design was used to compare students receiving pharmacological treatment, psychosocial therapy, cognitive behavioral therapy, and a pharmacological-therapy combination. Archival data was obtained on middle and high school students diagnosed with ADHD (ages 11-18, N = 103). Data included GPA; number of disciplinary referrals; and Behavior Assessment System for Children-Teacher Rating Scale (BASC-2 TRS) scores of externalizing behavior (e.g., defiance, aggression), internalizing behavior (e.g., anxiety, depression), general school …

Increasing Family Engagement In An Elementary School, Catherine Pearson Roy

Walden Dissertations and Doctoral Studies

Many students who receive Response to Intervention (RTI) Tier II support at an elementary school on the east coast of the United States seldom reach grade level expectations based on end of year assessments. Parents of students who receive RTI Tier II instruction often do not take advantage of the opportunities for involvement at the elementary school. The purpose of this qualitative research was to investigate the perceptions of 34 parents who receive RTI Tier II instructional services about what inspires them to become involved in their child's education at home and at school. This study investigated the opportunities for …

Perceived Effects Of The Affordable Care Act On Emergency Preparedness, Tanya Marie Scherr

Walden Dissertations and Doctoral Studies

National healthcare as executed through the Patient Protection and Affordable Care Act (ACA) was introduced in 2010, but was discussed for several decades prior to its enactment. Section 5210 of the ACA established funding for a Regular and Ready Reserve Corps (RRRC) to provide support to local healthcare entities with emergency preparedness. It is unknown what impact Section 5210 of the ACA has had on local emergency preparedness, as well as what obstacles are encountered with implementing this piece of legislation at the local level. The purpose of this case study was to understand the obstacles encountered at a local …

Development Of A Patient And Family Educational Document Following Cancer Treatment, Debbie Slipkovich

Walden Dissertations and Doctoral Studies

New pharmacological interventions for oncology patients have resulted in longer lifespans after treatment completion and a large population of cancer survivors in communities. When patients complete treatment regimens for cancer, they leave the oncology practice with minimal knowledge of community resources that may assist them during this time of transition. These patients may not interact with care providers again until they return for a surveillance appointment in the future. Guided by Bandura's social cognitive theory, this project's aim was to develop a community-specific brochure that described the variety of services available to oncology patients and their families. The practice-focused question …

Probationers' Quality Of Life Based On Their Perception Of Sibling Relationship, Katherine Sump

Walden Dissertations and Doctoral Studies

Abstract

The quality of life of probationers remains low when reestablishing life in society.

Research has been conducted on how siblings can provide support to juveniles, yet

minimal research supported how adult sibling relationships have affected probationers'

quality of life. The purpose of this study was to explore the phenomenon of the effect

sibling relationships may have on probationers' quality of life. Attachment theory was

used as a theoretical framework to support the factors relating to sibling relationship

types. This research study used a qualitative interview design in order to explore

probationers' perspective of their sibling relationship type and quality …

Rural Obese African American Women And Depression, Food Culture, And Binge Eating, Tracee Tamiko Smith

Walden Dissertations and Doctoral Studies

The rural African American population has a high incidence of severe psychosocial problems and a skewed perception of obesity, despite obesity's extremely high prevalence rate in this population. Despite the acknowledgements of these problems, there is a gap in literature relative to the effective treatments for obese African Americans diagnosed with depression. This study measured correlations between obesity and depression, binge eating, and food culture amongst African American women residing in Jefferson County, MS. The health belief model was used to guide an assessment of beliefs, perceptions, susceptibility, cues to action, and self-efficacy. A cross-sectional design was used based on …

Leadership Skills For Success Of Home Health Care Agencies, Andrina Yankah

Walden Dissertations and Doctoral Studies

Small business managers often lack the leadership skills necessary to sustain their businesses beyond 5 years. The United States Small Business Administration reported that more than 65% of small business owners, including home health care agency managers, fail within the first 5 years of operation. Guided by Burns and Bass's transformational leadership theory, this multiple case study explored leadership skills that managers in home health care agencies need to sustain their new businesses beyond 5 years. The purposeful sample comprised of 3 managers from 3 different home health care agencies within a 75-mile radius of Baltimore, Maryland, that had demonstrated …

Balancing Business Owners' Corporate Social Responsibility And Stakeholder Profitability, Andrew O. Arumemi

Walden Dissertations and Doctoral Studies

Some business owners lack experience balancing corporate social responsibility (CSR) and shareholder profitability. Grounded in stakeholder theory, the purpose of this phenomenological study was to explore business owners' experiences regarding balancing corporate social responsibility of hiring ex-inmates and shareholder profitability. The target population included 20 business owners in Newark, New Jersey who integrated CSR as part of their firms' formal business plans, were committed to hiring ex-inmates, and feared the consequential loss of profit such engagement might incur. Data were collected using in-depth semistructured interviews and analyzed using the modified van Kaam method. Three prominent themes included social perceptions of …

Factors That Cause Repeated Referral To The Disciplinary Alternative Education Program, Koury A. Avery

Walden Dissertations and Doctoral Studies

Students are referred to alternative schools such as the Disciplinary Alternative Education Program (DAEP) for violations against the student code of conduct. Students who are referred and attend DAEPs are more likely to make failing grades and drop out of school permanently. However, a lack of understanding existed about why some students repeatedly receive referrals to the DAEP.The purpose of this case study was to gain an understanding about why some students are repeatedly being sent to the DAEP in a school district in north central Texas. The conceptual framework was based on Catalano and Hawkins' social development theory which …

Exploring The Process Of Lean Training In The Healthcare Industry, Rose Bailey

Walden Dissertations and Doctoral Studies

Organizational leaders use lean training as a process improvement strategy to eliminate waste and inefficiencies in processes. Of the 91% of company leaders who believed lean training was important, 64% of those leaders expressed the perception that workers do not comprehend lean training and methodology. The purpose of this qualitative single case study was to explore how healthcare managers successfully implemented lean training strategies to combat escalating costs. The target population consisted of healthcare managers in a single rural care hospital located in Tennessee who had implemented lean training strategies to train staff in lean principles and lean tools. The …

Self-Efficacy, Perceived Skills, And Real Knowledge Of Speech-Language Pathologists, Meredith Lynn Baker-Rush

Walden Dissertations and Doctoral Studies

Although speech language pathologists' (SLPs) knowledge of communication and swallowing has been undisputed, their knowledge and skills related to tracheostomy and mechanical ventilation (MV) seem varied. The consequences associated with the presence of tracheostomy or MV demonstrate the necessity of training. Guided by Bandura's social cognitive theory, this study was designed to determine if SLPs' training influenced self-efficacy and real knowledge, and to evaluate trends associated with SLPs' pursuit of specialized training. A total of 236 SLPs practicing in the United States responded to a researcher-developed knowledge and confidence test for tracheostomy and mechanical ventilation (KCT-TMV). Data were analyzed via …

Risk Of Alzheimer's Disease Among Older Hispanic/Latinos With Diabetes, Kathy Bianco

Walden Dissertations and Doctoral Studies

Alzheimer's disease (AD) is the 6th leading cause of death in older Americans. Currently there is no cure for AD, and even though the specific cause is unknown, diabetes mellitus type 2 (DM2) is regarded as a risk factor. Hispanics have a higher incidence of DM2 and possibly AD. I chose a life course theoretical model for this quantitative cross-sectional study to illuminate the variables most pertinent to a pathway from good health to poor health. The variables chosen were hypertension (HTN), obesity, smoking, stroke, dyslipidemia, and lower educational attainment. The research questions were used to examine biologic, metabolic, sociologic, …

Strategies To Reduce Supply Chain Disruptions In Ghana, Carl Kwaku Dey

Walden Dissertations and Doctoral Studies

Supply chain disruptions are more prevalent in Ghana as businesses develop and become more complex. While business leaders recognize the importance of reducing the exposure to disruptions, 83 % of companies still suffer a form of disruption. Using the systems theory as the conceptual framework, the purpose of this qualitative case study was to explore strategies supply chain managers in Ghana use to reduce disruptions in the supply chain. The data collection was through face-to-face, semi-structured interviews from 12 supply chain managers who gave tape-recorded interview responses to 8 questions. Transcript evaluation, member checking, and methodological triangulation ensured reliability and …

Motivating Factors In Al-Shabaab Recruitment In Minneapolis, Minnesota, Lorrie Flores

Walden Dissertations and Doctoral Studies

Over the past 5 years, a number of U.S. citizens residing in Minneapolis have been reported to have been recruited and radicalized by Al-Shabaab, organization that has played a role in major international terrorist attacks. This, in turn, creates a significant concern related to national security in the United States. Using Hirsch's social bond theory and Merton's theory of relative depravation, the purpose of this hermeneutic phenomenological study was to explore the factors that motivate radicalization of young males aged 18 to 25 in Minneapolis. Data were collected through in-depth interviews with 6 Somali American adults between the ages of …

Awareness Of Clinical Laboratory Sciences And Shortage Of Clinical Laboratory Scientists In The 21st Century, Cynthia Funnye Doby

Walden Dissertations and Doctoral Studies

Retiring baby boomers and the lack of interest and awareness among college students to enroll in an accredited Clinical Laboratory Science (CLS) program have created a shortage of CLS professionals in the 21st century. The U.S. Bureau of Labor Statistics predicts 18,000 CLS vacancies by 2018. However, only about 5,000 students graduate from accredited CLS programs each year. The purpose of this study was to explore students' perceptions of allied health professions and factors that influenced students and CLS professionals to select CLS as a profession. Bandura's social cognitive career theory served as the theoretical framework for this phenomenological study. …

An Evaluation Of An American Sign Language Interpreting Internship Program, Colleen Avilla Geier

Walden Dissertations and Doctoral Studies

This study was a program evaluation of an American Sign Language internship program that was established in 2006 at a 4-year private college in the Midwestern United States but had never been evaluated. The purpose of the study was to evaluate the effectiveness of this internship program in preparing students for employment in the field of interpreting. An expertise-oriented program evaluation case study was conducted using the lens of experiential learning theory. Research questions were used to investigate the strengths and weaknesses of the program and the ways in which the policies, objectives, and assignments prepare students to work as …

Understanding A School's Response To Childhood Obesity, April Dawn Goins-Jones

Walden Dissertations and Doctoral Studies

Childhood obesity has become a national epidemic. Although many of the consequences of childhood obesity are known, such as physical, social, emotional, and academic effects on a student's development, there is a lack of literature on the topic of childhood obesity in Native American tribes. The purpose of this case study was to explore how school personnel address the effects of obesity on students' social, emotional, academic, and physical development in an elementary school in the southwest United States where 90% of the students are Native Americans. Bronfenbrenner's socioecological model served as the theoretical foundation. The research questions explored strategies …

Winning Banking Strategies To Identify Efficiency Changes During A Financial Crisis, Adeeb Seman Hattar

Walden Dissertations and Doctoral Studies

Between 2007 and 2009, taxpayers paid $700 billion to bail out failing U.S. banks. The purpose of this single case study was to explore strategies that leaders of a successful U.S. bank used to identify efficiency changes occurring during the financial crisis. The target population of this study included 6 bank leaders located in San Bernardino, California, who occupied a managerial role in a successful U.S. bank during a financial crisis, had experience with the efficiency changes that occurred during a financial crisis, and developed and implemented strategies to identify efficiency changes that took place during a financial crisis. The …

Predictors For Florida Nurse Practitioners' Characterization Of Organizational Climate, Eric F. Haupt

Walden Dissertations and Doctoral Studies

Healthcare managers are failing to meet the increasing demand for services while experiencing a growing shortage of healthcare workers. The restrictive scope of practice regulations and organizational barriers have a negative effect on the number and growth of nurse practitioners available to meet the required demand. Researchers have focused on the organizational climate of the nursing profession in general, yet there is an absence of research regarding the perceptions of the advanced registered nurse practitioners (ARNPs) in their local practice environment. The purpose of this study was to examine if ARNP role identification, autonomy, and collaboration were predictive of perceived …