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Development Of Patient-Centered Team-Based Care Certification, Stephanie Lynn Stewart
Development Of Patient-Centered Team-Based Care Certification, Stephanie Lynn Stewart
Walden Dissertations and Doctoral Studies
Accountable care units (ACU-?¢) provide a new model for integrated patient care. The ACU-?¢ promotes patient centeredness in nursing units as team members work collaboratively with physicians to improve patient outcomes and reduce unwarranted variations. A health system in the southeastern United States incorporated the ACU-?¢ as part of their care model. These units were held accountable for their clinical, service, and cost outcomes but lacked a validation process to demonstrate the effective utilization of their data. The purpose of this DNP project was to create a patient centered care (PCC) certification process, guided by the Donabedian model, that would …
Increasing The Career Longevity Of Teachers Of Students With Emotional And Behavioral Disorders, Leroy V. Smith
Increasing The Career Longevity Of Teachers Of Students With Emotional And Behavioral Disorders, Leroy V. Smith
Walden Dissertations and Doctoral Studies
Teachers of students with emotional and behavioral disorders (EBD) have among the highest attrition rates of any teaching discipline in the United States. High attrition rates affect EBD teachers, school districts, and students with EBD. Through the theoretical lenses of Maslow's hierarchy of needs theory and Eisenberger's organizational support theory (OST), this study sought to determine if there was a difference in college preparation, job support, and job benefit/amenity factors identified by EBD teachers who intended to leave the discipline (n = 6) and those who intended to stay (n = 9). This quantitative, survey-based study yielded data from 15 …
The Relationship Between Alabama's Prison Reentry And Rehabilitative Programs And Recidivism, Kenneth Whitman
The Relationship Between Alabama's Prison Reentry And Rehabilitative Programs And Recidivism, Kenneth Whitman
Walden Dissertations and Doctoral Studies
Recidivism is a vital concern to the Alabama Department of Corrections (ADOC), Alabama Board of Pardons and Parole (ABPP), taxpayers, and family members affected by the revolving door of inmates in and out of the Alabama prison system. Little, however, is understood about the relationship between the effectiveness of prison programs and rates of recidivism. Using social learning theory as a theoretical framework, the purpose of this study for the ADOC was to explore the nature of the relationship between prison program efficacy and improvements on recidivism. Data were collected through a convenience sample of 17 ADOC and 1 ABPP …
Educating Oncology Nurses On The Benefits Of Patient Exercise, Roberta Anderson
Educating Oncology Nurses On The Benefits Of Patient Exercise, Roberta Anderson
Walden Dissertations and Doctoral Studies
Exercise benefits patients with cancer during and after treatments. A formalized educational program is lacking at the project's site for oncology nurses on the benefits of exercise for their patients during and after treatment. The purpose of the project was to address the identified gap in practice at the project's site by providing education to oncology nurses on the benefits of exercise for their patients during and after treatment. The ARCS model of motivational design was used as a theoretical foundation to develop and guide the educational program presented to the oncology nurses. The question addressed in the project was: …
Investigating Relationships Among Counselors' Gender, Race, Multicultural Competency When Counseling Sexual Minorities, Laverne Marie' Boone
Investigating Relationships Among Counselors' Gender, Race, Multicultural Competency When Counseling Sexual Minorities, Laverne Marie' Boone
Walden Dissertations and Doctoral Studies
Gay and lesbian individuals are marginalized, stigmatized, and can face bias in the counseling environment. There is a gap in the literature regarding research on gender, race, and multicultural competency and negative racial attitudes towards sexual minorities. This study examined whether multicultural competency (measured by the Multicultural Counseling Knowledge and Awareness Scale) moderates any associations of gender and race with attitudes towards sexual minorities (measured by Attitudes Towards Lesbians and Gay Men Scale) to examine if the role of multicultural competency differs across groups. The sample consisted of 20 White and 14 Non-White participants who were between 30-40 years of …
Metacognitive Reading Strategy And Emerging Reading Comprehension In Students With Intellectual Disabilities, Natasha Cox-Magno
Metacognitive Reading Strategy And Emerging Reading Comprehension In Students With Intellectual Disabilities, Natasha Cox-Magno
Walden Dissertations and Doctoral Studies
Historically, students with intellectual disabilities (ID) have low reading comprehension skills that can impede their overall academic success. There is a gap in practice regarding the identification and effective use of evidence-based reading comprehension instructional strategies for students with ID. Guided by Piaget's and Vygotsky's constructivist theories, the purpose of this study was to test the effectiveness of a metacognitive reading strategy on the emerging reading comprehension (ERC) skills of kindergarten students with ID. A single-participant, multiple baseline design with graphical visual analysis was used across 4 kindergarten students with ID to illustrate the influence of the reading intervention. All …
Impact Of Individualized Learning Plans On Educational Completion Among Incarcerated Youth, Laura Lee D'Anna
Impact Of Individualized Learning Plans On Educational Completion Among Incarcerated Youth, Laura Lee D'Anna
Walden Dissertations and Doctoral Studies
Interruptions to juvenile detainees' education often delay their progress toward high school completion. Implementing an individualized learning plan (ILP) has been suggested as a solution to this problem. The purpose of this case study was to explore how ILPs facilitate attainment of graduation among incarcerated youth. The study was guided by the Washington State legislative framework for individualized learning plans and the efforts of the Office of Juvenile Justice and Delinquency to increase educational opportunities. Three research questions were formulated to explore perceptions of local juvenile detention center educators and administrators regarding their experiences in the development, implementation, and effectiveness …
Psychometric Properties Of The Modern Homonegativity Scale In The Southern United States, John T. Gavlas
Psychometric Properties Of The Modern Homonegativity Scale In The Southern United States, John T. Gavlas
Walden Dissertations and Doctoral Studies
The Modern Homonegativity Scale (MHS) is designed to measure a distinct modern form of prejudice against gay people. Based on the conceptual framework of old-fashioned and modern antigay prejudice advanced by Morrison and Morrison, the present study was conducted to assess the reliability and validity of the MHS as a measure of modern antigay prejudice in the southern United States a region where antigay prejudice appears to be particularly pervasive and damaging. This purpose was achieved by analyzing survey responses from 691 adult residents of 14 southern states. As hypothesized, MHS scores were correlated with political conservatism, contact with gay …
Small Business Restaurant Marketing Strategies For Sustainability, Lyle John Hubbard
Small Business Restaurant Marketing Strategies For Sustainability, Lyle John Hubbard
Walden Dissertations and Doctoral Studies
Approximately 52% of food and accommodation businesses survive 5 years or more. Small business restaurant owners face greater challenges in marketing and sustainability than larger and well-established chain restaurants. The purpose of this multiple case study was to explore the successful marketing strategies of small business restaurant owners who sustained their businesses 5 years or more. The population was small business restaurant owners in Eugene, Oregon. The conceptual framework for this study was Porter's 5 forces. Data collection included semistructured interviews with 4 business owners, and data analysis consisted of coding and thematically analyzing interview data and data collected from …
Job Satisfaction And The Effects And Influences On Nurse Retention, Burke N. Kline
Job Satisfaction And The Effects And Influences On Nurse Retention, Burke N. Kline
Walden Dissertations and Doctoral Studies
Researchers have predicted that by 2020 the United States will experience a severe shortage of registered nurses. The purpose of this correlation study, using the National Sample Survey of Registered Nurses 2008, was to investigate the relationship between nurse job satisfaction and its effect on nurse retention nationwide. Secondary data sets from the 2008 National Sample Survey of Registered Nurses and examining relationships between the variable of nurse retention and job satisfaction. Bivariate (correlation coefficient, chi squares, and simple linear regression) and multivariate (logistic regression) analyses identified and connected associations and examined measurement levels between the dependent and independent variables, …
Sport-Related Concussion And Lower Extremity Musculoskeletal Injuries In High School Athletes, Lisa Koperna
Sport-Related Concussion And Lower Extremity Musculoskeletal Injuries In High School Athletes, Lisa Koperna
Walden Dissertations and Doctoral Studies
Sport-related injuries (SRI) can be foreseen and averted when mechanisms and risk factors are completely understood. An appreciation of the relationship between sport-related concussion (SRC) and lower extremity musculoskeletal injuries (LEMI) is emerging amid professional and collegiate athletes. However, findings of such a relationship in adults may not be generalizable to younger populations, and the literature has not addressed this relationship in adolescents. The purpose of this cross-sectional quantitative study was to examine the relationship between SRC and LEMI in high school athletes. The dynamic model of etiology in sport injury provided the study's conceptual framework. A de-identified secondary dataset …
Problem Solving, Decision Making, And Kirton Adaption-Innovation Theory In High-Performance Organizations, Miriam Grace Michael
Problem Solving, Decision Making, And Kirton Adaption-Innovation Theory In High-Performance Organizations, Miriam Grace Michael
Walden Dissertations and Doctoral Studies
Research on high-performing nonprofit boards has indicated a positive relationship between a board's strength and an organization's effectiveness; however, how boards achieve success remains relatively unknown. The Kirton adaption-innovation (KAI) theory was used to examine board members' cognitive styles in relationship to facilitating problem solving and decision making. This nonexperimental, quantitative study included archived nonprofit board data from 2 American Society of Association Executives (ASAE) studies that had addressed the high performance of boards and factors associated with organizational success. A total of 102 randomly selected, high-performing nonprofit board members completed the KAI Inventory, which was used to measure cognitive …
A Comparison Of Social Disconnectedness And Perceived Isolation In Deaf/Hard Of Hearing Women And Hearing Women, Mellissa Perry
A Comparison Of Social Disconnectedness And Perceived Isolation In Deaf/Hard Of Hearing Women And Hearing Women, Mellissa Perry
Walden Dissertations and Doctoral Studies
Previous research has concluded that hearing loss is related to psychological risk factors in a person that could potentially increase feelings of disconnect or isolation. However, the gap in literature and lack of knowledge regarding social disconnectedness and perceived isolation specifically for deaf/hard of hearing women makes it difficult for clinicians to develop appropriate programs to assist this population. The purpose of this study was to contribute information regarding the effects of hearing loss on social disconnectedness and perceived isolation to help clinicians create proper treatment plans to better assist the deaf/hard of hearing with negative feelings (e.g., loneliness, depression) …
Relationships Between Transformational Leadership And Organizational Citizenship Behavior In Ghanaian Organizations, Adjoa Randy-Cofie
Relationships Between Transformational Leadership And Organizational Citizenship Behavior In Ghanaian Organizations, Adjoa Randy-Cofie
Walden Dissertations and Doctoral Studies
The recent global financial crisis prompted organizations to search for effective ways to minimize loss of revenue due to settlement of organizational scandals. Transformational leadership and organizational citizenship behavior (OCB) are known to affect employees and subsequently organizational productivity. However, little is known about the relationship between transformational leadership and the OCB of employees of multinational corporations (MNCs) in Ghana. The purpose of this quantitative study was to bridge the gap in knowledge by examining the relationships between transformational leadership and the OCB of employees of MNCs in Ghana. The theoretical frameworks for this study were Bass' transformational leadership theory …
Catheter-Associated Urinary Tract Infection In New York And North Carolina, Kehinde O. Abiodun
Catheter-Associated Urinary Tract Infection In New York And North Carolina, Kehinde O. Abiodun
Walden Dissertations and Doctoral Studies
In the United States, many hospitalized patients with indwelling urinary catheters acquire catheter-associated urinary tract infections (CAUTI) during their hospital stay. CAUTI negatively affects peoples' health and quality of life and causes a financial burden to individuals and the nation. The purpose of this quantitative cross-sectional study was to explore the relationship between gender, age, and hospital types and CAUTI incidence in New York and North Carolina over a 3-year period. The theoretical framework of choice was the Donabedian model. Simple logistic regression and hierarchical multivariable logistic regression analysis were performed on archival data that was requested from Healthcare Cost …
Cultural And Environmental Determinants Of Dental Discoloration Among School-Aged Children In Nigeria, Ogbudu Gabriel Ada
Cultural And Environmental Determinants Of Dental Discoloration Among School-Aged Children In Nigeria, Ogbudu Gabriel Ada
Walden Dissertations and Doctoral Studies
Dental discoloration from fluorosis is a global public health problem. In Nigeria, 11.4% of the population is impacted by this disorder. Dental discoloration is caused by successive exposures to high fluoride concentrations during tooth development in utero and it is linked to the development of a variety of psychological and physiological problems, from dental aesthetics to a reduction in intelligence and skeletal changes. The purpose of this quantitative, cross-sectional study was to examine the cultural and environmental determinants of dental fluorosis in children in a rural community in Nigeria. A multilevel theoretical model was used to develop possible fluoride exposure …
Intensive Outpatient Treatment Program For Patients With Depressive Disorder: A Parental Perspective, Emmanuel Akpan
Intensive Outpatient Treatment Program For Patients With Depressive Disorder: A Parental Perspective, Emmanuel Akpan
Walden Dissertations and Doctoral Studies
Psychosocial support from family is important in outpatient treatment programs for individuals with depressive disorder. The purpose of this phenomenological study was to explore the lived experiences and perceptions of parents of patients with depressive disorder regarding intensive outpatient treatment. The research question was what are the experiences and perceptions of parents of patients with depression regarding their role as caretakers in intensive outpatient treatment? The conceptual framework was a biopsychosocial framework and family systems theory. Content analysis was used to analyze data provided from interviews with parent participants (n = 8). Many participants reported high levels of involvement with …
Church-Based Intervention On Prostate Cancer Screening For African American Men, Sherly Marie Boulay
Church-Based Intervention On Prostate Cancer Screening For African American Men, Sherly Marie Boulay
Walden Dissertations and Doctoral Studies
African American men have a significantly higher incidence of prostate cancer, they are diagnosed at a later age, have more advanced stages of cancer at diagnosis, and higher mortality rates than other ethnic group. The purpose of this project, guided by the Ottawa decision support framework and the health belief model, was to investigate whether church leaders could be trained to deliver an educational program about the value of prostate cancer screening to African American males in a church setting. The 2 participants were church leaders in a predominantly African American church. The participants were taught about prostate cancer and …
Medical Identity Theft And Palm Vein Authentication: The Healthcare Manager's Perspective, Cruz Cerda Iii
Medical Identity Theft And Palm Vein Authentication: The Healthcare Manager's Perspective, Cruz Cerda Iii
Walden Dissertations and Doctoral Studies
The Federal Bureau of Investigation reported that cyber actors will likely increase cyber intrusions against healthcare systems and their concomitant medical devices because of the mandatory transition from paper to electronic health records, lax cyber security standards, and a higher financial payout for medical records in the deep web. The problem addressed in this quantitative correlational study was uncertainty surrounding the benefits of palm vein authentication adoption relative to the growing crime of medical identity theft. The purpose of this quantitative correlational study was to understand healthcare managers' and doctors' perceptions of the effectiveness of palm vein authentication technology. The …
Education Models For Teaching Adults About Modifying Dietary Carbohydrate And Controlling Weight, Vincient Cleamons
Education Models For Teaching Adults About Modifying Dietary Carbohydrate And Controlling Weight, Vincient Cleamons
Walden Dissertations and Doctoral Studies
The prevalence of diabetes and other pathophysiological conditions has been correlated with the incidence of obesity. A large portion of an adult community in the northwestern United States suffers from excessive weight that has been linked to premature mortality rates and certain forms of diabetes. Excess calories from carbohydrate have been shown to increase weight. Therefore, diets that are modified in carbohydrate and calories may help mitigate weight and obesity comorbidities. This qualitative, single case study's purpose was to explore the methods health care professionals use for teaching adults about controlling weight. Altheide and Johnson's analytic realism theory, in which …
Perceptions Of Preconception Health And Prenatal Care By Young Adult Women And Men At Risk For Unintended Pregnancies, Broderick Crawford
Perceptions Of Preconception Health And Prenatal Care By Young Adult Women And Men At Risk For Unintended Pregnancies, Broderick Crawford
Walden Dissertations and Doctoral Studies
Among young adults at risk for unintended pregnancies, preconception health and prenatal care programs aimed at positive birth outcomes remain unaddressed. The purpose of this phenomenological study was to explore the lived experiences of young adults in terms of their willingness to use preconception health and prenatal care as a means for increasing both positive birth outcomes and overall health. All study participants met the following criteria: (a) young adult man or woman, (b) age 18 to 25, (c) at risk for unintended pregnancies, (d) sexually active, (e) single or in cohabiting partnerships, and (f) living in the greater Los …
Correlating Residual Stress With Personal And Professional Characteristics In Aircraft Pilots, Erik Eckblad
Correlating Residual Stress With Personal And Professional Characteristics In Aircraft Pilots, Erik Eckblad
Walden Dissertations and Doctoral Studies
Every day aircraft pilots must successfully resolve significant inflight situations and then manage the possibility of residual psychological and physiological stress. Previous research has shown primary attention is given to presignificant event training and stress management, however there remains an important gap in the current literature regarding postsignificant event stress within the aviation profession. The purpose of this cross-sectional quantitative study was to use the observational lens of stress theory and survey U.S. pilots who have experienced an inflight emergency, looking for correlation between factors such as age, gender, flight experience, and training against a pilot's self-reported level of residual …
The Impact Of Depakote On Agitation And Short-Term Memory In Nursing Home Dementia Residents, Kristin E. Fazzolari-Pleace
The Impact Of Depakote On Agitation And Short-Term Memory In Nursing Home Dementia Residents, Kristin E. Fazzolari-Pleace
Walden Dissertations and Doctoral Studies
Researchers have linked dementia to common psychiatric symptoms such as agitation and aggression, known as behavioral and psychological symptoms of dementia (BPSD). To treat residents manifesting BPSD, nursing homes (NHs) use psychoactive medications. However, research is limited and inconsistent regarding the impact of Depakote treatment on agitation and short-term memory (STM) in NH residents who have dementia. The purpose of this nonexperimental quantitative study was to evaluate for 1 year the impact of Depakote treatment on agitation and STM in NH residents as measured by each resident's Minimum Data Set (MDS). Moncrieff and Cohen's drug-centered theory served as the theoretical …
Entrepreneurship Growth During A Recessionary Period, Ralph Ndubuisi Igwedibie
Entrepreneurship Growth During A Recessionary Period, Ralph Ndubuisi Igwedibie
Walden Dissertations and Doctoral Studies
Small business entrepreneurs in the United States often struggled or went out of business during the recession of 2007-2009. The purpose of this phenomenological study was to explore the strategies entrepreneurs needed to grow their businesses during a recessionary period. The conceptual framework for the study was effectuation theory. The population consisted of small business entrepreneurs whose businesses survived the recession of 2007-2009 in Atlanta, Georgia. Data were gathered through semistructured interviews with 20 participants. Data organization and thematic analysis involved coding interview data and using software to categorize themes and subthemes. Major themes that emerged from the study included …
Effect Of Attentional Capture And Cross-Modal Interference In Multisensory Cognitive Processing, Michael Jennings
Effect Of Attentional Capture And Cross-Modal Interference In Multisensory Cognitive Processing, Michael Jennings
Walden Dissertations and Doctoral Studies
Despite considerable research, the effects of common types of noise on verbal and spatial information processing are still relatively unknown. Three experiments, using convenience sampling were conducted to investigate the effect of auditory interference on the cognitive performance of 24 adult men and women during the Stroop test, perception of object recognition and spatial location tasks, and the perception of object size, shape, and spatial location tasks. The data were analyzed using univariate analysis of variance and 1-way multivariate analysis of variance. The Experiment 1 findings indicated reaction time performance for gender and age group was affected by auditory interference …
Employee Turnover At Community Banks, Cheryl J. Johnson
Employee Turnover At Community Banks, Cheryl J. Johnson
Walden Dissertations and Doctoral Studies
Some community bank managers do not possess the skills needed to retain employees, which increases employee turnover and decreases their competitive advantage. The purpose of this explanatory case study was to explore strategies community bank managers use to minimize employee turnover for their organization. The population consisted of 4 community bank managers in the Central Florida area who had at least 1-year of managerial experience evaluating employee retention. The conceptual framework was the jobs characteristics theory of Hackman and Oldham. Data were collected from semistructured face-to-face interviews and business documentation. Methodological triangulation was appropriate to validate the creditability and interpretation …
Decentralization Of Local Government And Rural Development In Rivers State, Nigeria, Eddy B. Kaka
Decentralization Of Local Government And Rural Development In Rivers State, Nigeria, Eddy B. Kaka
Walden Dissertations and Doctoral Studies
Rural communities in Rivers State, Nigeria are fraught with underdevelopment crises despite the accrual of wealth from oil and gas. Community Development Committees (CDCs) are established by the Rivers State government in each town and village to facilitate community development. However, the CDCs have failed to generate substantive development in rural communities. The purpose of this qualitative case study was to investigate the perceptions of local stakeholders as to the factors that have contributed to this policy failure. Benet's theory of polarities of democracy was used in this study. Twenty-two participants in the Khana region of Rivers State were interviewed …
A Meta-Analysis Of Video Based Interventions In Adult Mental Health, Lauretta Kaye Montes
A Meta-Analysis Of Video Based Interventions In Adult Mental Health, Lauretta Kaye Montes
Walden Dissertations and Doctoral Studies
Symptoms of mental illness such as anxiety and depression diminish functioning, cause distress, and create an economic burden to individuals and society. This meta-analysis was designed to evaluate the effectiveness of video based interventions (VBIs) for the treatment of adults in mental health settings. VBIs comprise four different ways of using video in mental health therapy, including video modeling, video exposure, video feedback, and videos used for psychoeducation. Bandura's social learning theory, Beck's cognitive theory, and Dowrick's theory of feedforward learning form the theoretical framework for understanding how VBIs work. The research questions were: (a) what is the range of …
Cost-Effectiveness Analysis Of Preimplantation Genetic Screening, William Andrew Moye
Cost-Effectiveness Analysis Of Preimplantation Genetic Screening, William Andrew Moye
Walden Dissertations and Doctoral Studies
In vitro fertilization (IVF) is used to help infertile couples achieve a live birth. Clinical studies have suggested that multiple, consecutive cycles of IVF can increase live birth rate significantly. Others have documented improved live birth rates from the use of new laboratory techniques for preimplantation genetic screening (PGS). This genetic screening technique seeks to determine the ploidy of the embryo prior to implantation into the woman. To date, no study has examined the cost-effectiveness of using IVF in conjunction with PGS compared to that of IVF alone for 3 consecutive cycles in achieving a live birth. This study compared …
Knowledge, Perceived Barriers, And Preventive Behaviors Associated With Cardiovascular Disease Among Gallaudet University Employees, Andy Kenji Tao
Knowledge, Perceived Barriers, And Preventive Behaviors Associated With Cardiovascular Disease Among Gallaudet University Employees, Andy Kenji Tao
Walden Dissertations and Doctoral Studies
When the Minority Health Improvement and Health Disparity Elimination Act of 2007 went into effect, there was a corresponding increase in research focused on cardiovascular disease (CVD) in underrepresented groups, except for 1: culturally Deaf Americans. Guided by the health belief model, the purpose of this study was to determine if there were significant differences in the level of knowledge, perceived barriers, and preventive behaviors associated with CVD among Deaf and hearing employees at Gallaudet University, Washington D.C. This cross-sectional quantitative research study used a survey with questions derived from 2 existing national surveys. One hundred eighty-six subjects were recruited …