Digital Commons Network^™

Training For Advanced Practice Providers In A Heart Failure Unit, Merlyn Chua

Walden Dissertations and Doctoral Studies

Information from anecdotal interviews at a practicum site indicated a lack of training for advanced practice providers (APPs) in core competencies critical for effective practice in a heart failure (HF) unit. The goal of this project was to assess the APPs' verbal reports and develop HF unit-specific training for APPs. The practice-focused question examined whether unit-specific training for HF APPs improved knowledge and skills in HF management. The Johns Hopkins nursing evidence-based practice model and Knowles's adult learning theory were used to create a survey, a focus group, and a pre/posttest assessment of knowledge and skills gap. Descriptive and inferential …

Strategies To Improve The Youth Programs Of Nonprofit Organizations, Joseph Conteh

Walden Dissertations and Doctoral Studies

Leaders of nonprofit organizations and researchers who focus on organizational performance affirm that improved youth programs are a crucial component of performance excellence and organizational sustainability. As seen through the lens of transformational leadership theory, the purpose of this single-case study was to explore the strategies used by 3 executive-level leaders/managers of a nonprofit organization in the southwestern region of the United States to equip families to overcome poverty, conquer homelessness, and achieve self-sufficiency. Data collected from semistructured interviews, organizational documents, and publicly available resources were manually coded and then analyzed. The 2 key themes that emerged were effective collaboration …

Physical And Psychological Health Outcomes Of Pregnancy-Related Intimate Partner Violence, Darrlyn Waynette Cornelius-Averhart

Walden Dissertations and Doctoral Studies

Intimate partner violence (IPV) is a public health issue that transcends cultures and nationalities. Women and men have been impacted by sexual violence through rape and other types of IPV. Each year, women experience IPV before and during pregnancies and are impacted by physical and psychological outcomes as a result. The purpose of the study was to examine the impact of IPV on the health outcomes of diabetes (Types 1, 2, and gestational), high blood pressure before pregnancy, and depression/anxiety among adult women before and during pregnancy. The social ecological model provided the framework for this quantitative cross-sectional study that …

Women's Perceptions Of Flourishing Through Quilting As A Leisure Activity, Cathy Lynn Ferrarese

Walden Dissertations and Doctoral Studies

Quilting is a self-chosen leisure activity for millions of women in the United States. Previous research on quilting suggested that quilting is influenced by the emotional state of the quilter. However, the emotional experiences generated during quilting have not been fully explored. The purpose of this qualitative narrative study was to explore quilters' perceptions of what quilting as a leisure activity does to enhance their well-being and increase flourishing. Positive psychology well-being theory was the theoretical foundation for the study. Semistructured interviews with 12 adult women who quilt as a leisure activity were the basis of the narrative inquiry. Data …

Queueing Variables And Leave-Without-Treatment Rates In The Emergency Room, Joy Jaylene Gibbs

Walden Dissertations and Doctoral Studies

Hospitals stand to lose millions of dollars in revenue due to patients who leave without treatment (LWT). Grounded in queueing theory, the purpose of this correlational study was to examine the relationship between daily arrivals, daily staffing, triage time, emergency severity index (ESI), rooming time, door-to-provider time (DTPT), and LWT rates. The target population comprised patients who visited a Connecticut emergency room between October 1, 2017, and May 31, 2018. Archival records (N = 154) were analyzed using multiple linear regression analysis. The results of the multiple linear regression were statistically significant, with F(9,144) = 2902.49, p < .001, and R2 = 0.99, indicating 99% of the variation in LWT was accounted for by the predictor variables. ESI levels were the only variables making a significant contribution to the regression model. The implications for positive social change include the potential for patients to experience increased satisfaction due to the high quality of care and overall improvement in public health outcomes. Hospital leaders might use the information from this study to mitigate LWT rates and modify or manage staffing levels, time that patients must wait for triage, room placement, and DTPT to decrease the rate of LWT in the emergency room.

Perceptions Of Faculty Using Mymathlab In Traditional, In-Seat Math Classes, Kathleen Gromilovitz

Walden Dissertations and Doctoral Studies

MyMathLab, an online interactive and educational system by Pearson Publisher, was implemented in 2 lower-level, traditional in-seat algebra courses to provide supplemental, instructional support to students in the fall of 2015 at the college under study. After the first year of use, no significant change in student success was reported, although more students passed intermediate algebra without first taking elementary algebra. The problem addressed in this study was that student results suggested there might be benefits to using MyMathLab that should be investigated. Knowles' theory of andragogy was used in this qualitative case study to gather perceptions of 7 2016-2017 …

The Role Of Parents In Literacy Development During Kindergarten, Jason Eugene Harris

Walden Dissertations and Doctoral Studies

Parental involvement contributes to the improvement of student achievement. Although children entered kindergarten with varying levels of literacy development, parents might perceive kindergarten literacy instruction as a panacea for any lacking skills, therefore lessening their involvement in their children's literacy development. Thus, there was a need to understand parents' perceptions of the importance of (a) their involvement in the education of their children, (b) their role in their children's literacy development during kindergarten, and (c) their role in their children's early literacy development as influencing their children's overall literacy development. Bronfenbrenner's bioecological model of human development served as a guide …

An Autoethnographic Examination Of Personal And Organizational Transformation In The U.S. Military, Marjon K. John

Walden Dissertations and Doctoral Studies

Large-scale transformational change, such as the integration and acceptance of gays in the U.S. military, necessitates a long-term effort by management to mitigate unanticipated consequences. Suboptimal implementation may not account for damaging consequences among individuals expected to live the change. The purpose of this autoethnographic study was to examine the individual experiences of a closeted gay personnel member living through a transformational change in identity, which paralleled an organizational change in the U.S. Department of Defense (DoD). The conceptual framework included elements of general systems theory, Kotter's theory of change management, Ostroff's change management for government, and Maslow's self-actualization theory. …

The Need For De-Escalation Techniques In Civil Disturbances, George Raymond Mccord Jr

Walden Dissertations and Doctoral Studies

The response to civil disturbances has historically been the aggressive use of force or escalation with tactics such as the use of police dogs, armed federal troops during war protests, and police field forces. These types of tactics can escalate tensions between protestors and police and only add to the violence and destruction of the incident. To reduce the violence between protestors and the police and the destruction often associated with civil disturbances, it is necessary to examine the need to include de-escalation techniques in the responses. This study utilized 3 theoretical frameworks, the chaos theory, the behavioral decision theory …

Strategies That Small Business Leaders Use To Motivate Millennial Employees, James Alvaro Nilo

Walden Dissertations and Doctoral Studies

Millennial workers occupy the majority of employment positions worldwide, which is a concern to business leaders in the United States related to having knowledge and ability to train, motivate, and retain millennial employees. Using Gilbert's behavior engineering model as a conceptual framework, this multiple case study explored the strategies that business leaders used to motivate their millennial employees. The study population included 4 leaders of small restaurant businesses in eastern North Carolina. Data were collected from semistructured, face-to-face interviews using 7 open-ended questions and review of company documents, websites, and social media. Data were coded and analyzed following Morse's method …

Strategies To Mitigate Information Technology Discrepancies In Health Care Organizations, Oluwatosin Tolulope Oluokun

Walden Dissertations and Doctoral Studies

Medication errors increased 64.4% from 2015 to 2018 in the United States due to the use of computerized physician order entry (CPOE) systems and the inability to exchange information among health care facilities. Healthcare information exchange (HIE) and subsequent discrepancies resulted in significant medical errors due to the lack of exchangeable health care information using technology software. The purpose of this qualitative multiple case study was to explore the strategies health care business managers used to manage computerized physician order entry systems within health care facilities to reduce medication errors and increase profitability. The population of the study was 8 …

Strategies To Minimize The Bullwhip Effect In The Electronic Component Supply Chain, Augustina Tina Onuoha

Walden Dissertations and Doctoral Studies

Supply chain leaders in the information technology industry face challenges regarding their ability to mitigate amplified demand and supply variability in a supply chain network--the bullwhip effect--and reduce adverse implications on their component supply chain networks. The purpose of this multiple case study was to explore the strategies supply chain leaders in the United States used to reduce the bullwhip effect. Bullwhip effect theory served as the conceptual framework. Participants in the study were 5 purposefully selected supply chain leaders in the state of Texas who successfully implemented strategies to reduce the bullwhip effect on their networks. Data were collected …

Strategies For The Successful Management Of Human Resource Planning In It Projects, Michael Pierorazio

Walden Dissertations and Doctoral Studies

Information technology (IT) projects are often inadequately resourced with human talent. Researchers found that 70% of all IT projects worldwide fail. The purpose of this qualitative multiple-case study was to explore the strategies used for the successful management of the human resource planning of IT projects. Using purposeful sampling, 5 IT project managers and 5 IT directors from organizations located in the northeastern region of United States were selected for this study. The resource-based theory provided the conceptual framework. Data were collected using semistructured interviews conducted face-to-face and by telephone. For this study, data triangulation included project documents to strengthen …

Leadership Strategies For Implementing Quality Improvement Initiatives In Primary Care Facilities, Jose A. Poncevega

Walden Dissertations and Doctoral Studies

Health care spending accounts for 17.7% of the gross domestic product in the United States, and it is expected to continue rising at an annual rate of 5.3%. Despite high costs, health care quality lags behind other high-income countries; yet, over 70% of change initiatives fail. The purpose of this multiple case study was to explore strategies primary care leaders use for implementing quality improvement initiatives to improve patient outcomes and reduce waste in primary care facilities. The target population consisted of 3 health care leaders of 3 primary care facilities in southern California who successfully implemented quality improvement initiatives. …

High School Assessment Program Interventions And Graduation Rates, Karin Roberts

Walden Dissertations and Doctoral Studies

Graduating high school is a critical juncture for students to achieve. High School dropouts are more likely to have fewer job opportunities than high school graduates, increasing risk for poor health and incarceration. The target district used the academic learning class (ALC) as an intervention to support high school seniors classified as at risk due to failure on the High School Assessment Plan (HSAP). The purpose of this study was to determine the association between at-risk students who participated in the ALC and on-time graduation. Guided by action theory, an ex post facto design using secondary data, was employed to …

Using Succession Strategies To Increase Workplace Productivity, Dayton Dave Robinson

Walden Dissertations and Doctoral Studies

Approximately 70% of small and medium-sized enterprises fail due to a lack of effective leadership succession planning. The purpose of this qualitative single case study was to explore strategies that some business leaders in the manufacturing sector in Jamaica used to implement leadership succession plans. Data were collected from semistructured interviews conducted with 5 business leaders who participated in the succession strategies of a manufacturing organization in Jamaica. Data were analyzed according to Yin's 5-step process. Analysis of data collected from interview sessions and review of company documentation were used to conduct methodological triangulation to validate the findings. Five themes …

Relationship Between Software Development Team Structure, Ambiguity, Volatility, And Project Failure, Dominic Martinelli Saxton

Walden Dissertations and Doctoral Studies

Complex environments like the United States Air Force's advanced weapon systems are highly reliant on externally developed software, which is often delivered late, over budget, and with fewer benefits than expected. Grounded in Galbraith's organizational information processing theory, the purpose of this correlational study was to examine the relationship between software development team structure, ambiguity, volatility and software project failure. Participants included 23 members of the Armed Forces Communications and Electronics Association in the southeastern United States who completed 4 project management surveys. Results of multiple regression analysis indicated the model as a whole was able to predict software project …

Stress Reduction Strategies For Improving Private Security Officer Performance, Khalil Ibrahim Al-Mulla

Walden Dissertations and Doctoral Studies

The impact of occupational stress on employees' health and work performance costs U.S. companies $300 billion annually; work-related stress is an issue for private security organizations all over the world. The purpose of this single case study was to explore strategies private security organizational leaders used to mitigate private security officers' occupational stress. The study participants were 4 leaders of a private security organization in Bahrain who had a minimum of 5 years of experience in the private security field and had addressed occupational stress successfully. The human capital theory was the conceptual framework used for this study. Data were …

Implementation Of A Diabetic Resource Toolkit In A Veterans Administration Emergency Department, Caroline Hairston

Walden Dissertations and Doctoral Studies

Diabetes is the 7th leading cause of death in the United States. Uncontrolled diabetes and lack of self-care knowledge leads to increased emergency department (ED) visits, utilizing limited health care resources. The practice-focused question asked whether a patient-focused diabetic self-care toolkit could decrease the number of diabetes-related ED visits. The purpose of this project was to reduce the number of diabetes-related ED visits and was supported by the social cognitive theory. The sources of evidence included the facility's ED Information System (EDIS) data and a patient survey developed by the project lead. There were 149 participants (135 males and 14 …

The Experiences Of Sailors With Antiterrorism Force Protection Training At Off-Installation Sites, Jessica Harrison

Walden Dissertations and Doctoral Studies

Enhancing antiterrorism force protection (ATFP) training at off-installation sites to allow employees to survive a life threatening situation is a necessity after recent events at such military installations. However, little is known about how service members perceive their current ATFP training experiences and how those experiences impact their self-confidence for responding to a threat. The purpose of this qualitative study was to explore how current training experiences impact confidence levels in learning basic security fundamentals to respond to a threat, as well as possible training changes that might improve confidence levels. This study used social constructivism, andragogy theory, heutagogy, and …

Successful Project Management, Tomomi M. Horning

Walden Dissertations and Doctoral Studies

High project failure rates result in billions of wasted dollars each year. Project failure does not discriminate by type of project or the industry from which they originate. The purpose of this qualitative single case study was to explore strategies that leaders at a health care organization located in Pennsylvania use to manage projects successfully. This population was selected due to the health care organization's reputation for successful project completion. The conceptual framework for this study was Fiedler's contingency theory. Data were collected by conducting semistructured interviews with 9 project leaders and reviewing project documents provided by study participants. Interviews …

Staff Education Module For Bar Code Medication Administration, Francoise Juste

Walden Dissertations and Doctoral Studies

Bar Code Medication Administration (BCMA) is a technology-supported nursing tool that has become the standard of practice for medication administration. When used effectively and efficiently, this tool has the potential to reduce medication errors in acute care settings. In a pediatric unit at a major urban hospital in the northeast region of the United States, the absence of a BCMA nursing staff educational module affected the use of this safety tool leading to an increase of medication errors. The purpose of this DNP project was to develop a comprehensive educational module to promote BCMA in the pediatric unit of the …

Risk Management Strategies To Prevent And Mitigate Emerging Operational Security Threats, Nancy Page Larrimore

Walden Dissertations and Doctoral Studies

Dependence on technology brings security compromises that have become a global threat that costs businesses millions of dollars. More than 7.6 million South Carolinians incurred effects from the 162 security breaches reported in 2011-2015. The purpose of this multiple case study was to explore the risk management strategies small business leaders use to prevent and mitigate operational security threats that produce financial losses. The population for this study consisted of 6 business leaders in South Carolina who have demonstrated successful experience in preventing and mitigating operational security threats. Transformational leadership theory provided the conceptual framework for exploring the overreaching research …

Nonprofit Fundraising Strategies To Provide Quality Sustainable Services, Karen Cobb Love

Walden Dissertations and Doctoral Studies

Nonprofit organizations are essential in providing goods and services to the under-resourced in the community. Nonprofits have experienced a growth rate of 47% in 2014 and yet 53% of nonprofits reported less than 3 months cash on hand needed to meet the demands of their clients. This explorative and descriptive study analyzed nonprofit fundraising strategies for providing sustainable quality services. The purpose of this study was to determine what strategies successful nonprofits used to increase funding as it relates to the delivery of quality sustainable service and what conditions influenced fundraising effectiveness. The methodology consisted of a qualitative, thematic research …

Trauma And Juvenile Justice In Carson City, Nevada, Ali M

Walden Dissertations and Doctoral Studies

The Nevada State Juvenile Justice and School systems do not currently screen or treat juveniles for post-traumatic stress disorder (PTSD). Left untreated, PTSD may contribute to behaviors that can lead to engagement with the juvenile justice system and contribute to high rates of recidivism and possible future engagement with the adult justice system. Using Erickson's theory of psychological development as the foundation, the purpose of this case study was to explore whether, from the perspectives of key stakeholders whether interventions and prevention services for juvenile justice clients in Carson City met the needs of youthful offenders also diagnosed with PTSD. …

Productivity And Employee Behavior Change Strategies In Two Nigerian Manufacturing Organizations, Marvel Saturday Ogah

Walden Dissertations and Doctoral Studies

Some Nigerian manufacturing organizations suffer significant losses yearly due to a lack of employee commitment and engagement. The purpose of this qualitative multiple case study was to gain understanding of the strategies that leaders in the manufacturing industries in Lagos need to know in order to change employee behavior to achieve increased organizational productivity levels. The conceptual framework that grounded the study was the path-goal theory of leadership. Data were collected from semistructured interviews with a purposeful sample consisting of 24 managerial and non-managerial staff members of 2 manufacturing organizations in Nigeria who have had experience in, and training, and …

Neighborhood-Level Predictors And Obesity Among African-American Children, Uche Onyeka

Walden Dissertations and Doctoral Studies

The steady raise in childhood obesity is a major public health problem nationally and globally. Childhood obesity is primarily caused by an imbalance between caloric intake and caloric expenditure. The increase in childhood obesity rates over the past 3 decades suggested involvement of environmental and behavioral factors in the obesity epidemic. While childhood obesity is considered a public health crisis in the United States, only limited research is available about the potential impact of neighborhood-level factors such as access to healthy food, neighborhood safety, and risk-free outdoor playgrounds. The purpose of this study was to examine if any relationships existed …

Gulf War Era Ii Veterans' Cognitive Information Processing And The Civilian Employment Transition, Denita Monique Oyeka

Walden Dissertations and Doctoral Studies

Gulf-War-era-II combat veterans have made professional contributions to the civilian workforce since returning from Iraq and Afghanistan combat operations. Service members in California encounter transition issues related to employment and adjusting their self-identity in the civilian employment culture. These complexities have led to career problems. Using Peterson, Sampson, Reardon, and Lenz's theory of cognitive information processing and Mincer & Becker's theory of human capital, the purpose of this phenomenological study was designed to provide a holistic account of the lived experiences of 11 Gulf War era II veterans who have successfully integrated into civilian employment with a focus on mitigating …

Effect Of Gender On Attitudes Toward Female Sexual Offenders, Heidi Senethavilay

Walden Dissertations and Doctoral Studies

Mental health professionals may lack the necessary knowledge and competency to work with female sexual offenders. The purpose of this quasi-experimental study was to determine whether gender influences attitudes toward sexual offenders and their treatment outcomes among psychology and mental health graduate students. This study was grounded in a dual form of deductive theory; alpha and beta bias was the primary theory and constructivism was the secondary theory. Data were collected from 186 graduate students in mental health programs from multiple universities. The Community Attitudes Towards Sex Offenders and the Attitude Towards the Treatment of Sexual Offender assessments were used …

Ethical Decision-Making In Construction Engineering Projects, Monique Sidaross

Walden Dissertations and Doctoral Studies

Problems exist with ethical decision-making in U.S. construction engineering projects.

The purpose of this study was to explore factors that affect ethical decision-making in engineering construction in the United States. The general concepts of marketing ethics, Kohlberg's discussion of ethical and moral reasoning development, and Gillian's discussion of ethical care served as the basis of the conceptual framework. Factors that inhibit ethical decision making were addressed in the research questions. The resulting narrative framework included implementable initiatives based on these factors that could improve the quality of ethical decision-making and the impact of these initiatives on the cost and quality …