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Low-Income Households' Perceived Obstacles And Reactions In Obtaining Affordable Housing, K Mark Leonard
Low-Income Households' Perceived Obstacles And Reactions In Obtaining Affordable Housing, K Mark Leonard
Walden Dissertations and Doctoral Studies
Low-income affordable housing remains an issue for the town on Martha's Vineyard where this study was conducted, in which an estimated 54% of low-/moderate-income households spend more than 50% of monthly income on housing. Using Schneider and Ingram's work regarding the social construction of target populations as the foundation, the purpose of this qualitative research was to assess how the perceived social standing and political power contributed to determining the benefits and burdens allocated to the town's low-income households. Data for this study consisted of 14 individual semistructured interviews with members of low-income households who were seeking or in affordable …
Perceptions On The Essential Writing Skills Of Entering First-Year College Students, Jennifer Lloyd
Perceptions On The Essential Writing Skills Of Entering First-Year College Students, Jennifer Lloyd
Walden Dissertations and Doctoral Studies
Some students are entering college and graduating with the inability to write scholarly and professionally. The purpose of this instrumental case study was to examine the perceptions of college instructors and students about the essential writing skills of entering first-year college students within a Southwestern university. This study provided insight into strategies to engage students in the writing process, both before and after entering college. Vygotsky's social constructivism provided the framework for this study. The research questions included an examination of the perceptions of students' writing skills based on what instructors, students, and writing center personnel observed; what instructors and …
Strategies To Generate Employee Engagement, Diane Marie Marshall
Strategies To Generate Employee Engagement, Diane Marie Marshall
Walden Dissertations and Doctoral Studies
When leaders use an ineffective communication strategy, it leads to decreased employee engagement, and thus increases the potential for lost productivity and profitability. The purpose of this case study was to explore effective communication strategies managers used to improve employee engagement and increase productivity as well as profitability. The motivating language theory served as the conceptual framework for this study. A semistructured interview technique was used to interview 3 purposefully selected managers in the northeastern region of the United States about the successful strategies they generated to improve employee engagement. Two themes emerged from data analysis: creating a culture that …
Enhancing The Nurse Aide Student's Knowledge Of Evidence-Based Geriatric Care Practices, Vivienne Mcdaniel
Enhancing The Nurse Aide Student's Knowledge Of Evidence-Based Geriatric Care Practices, Vivienne Mcdaniel
Walden Dissertations and Doctoral Studies
Certified nurse aides provide approximately 65% of care to more than 1.4 million older adults residing in nursing homes who have been diagnosed with 1 or more chronic illnesses or debilitating conditions. Licensed nurses rely on nurse aides to report potentially harmful status changes in geriatric residents. Nurse aides often receive limited education and do not have a structured care process to guide them in their practice in the geriatric population. The purpose of this educational quality improvement project was to develop a geriatric-specific nurse aide care process to increase the knowledge of student nurse aides regarding processes to identify …
Instructional Quality And Middle School Student Engagement, Achievement, Attendance, And Gender, Pauline Monsegue-Bailey
Instructional Quality And Middle School Student Engagement, Achievement, Attendance, And Gender, Pauline Monsegue-Bailey
Walden Dissertations and Doctoral Studies
Gaps in middle school students' outcomes such as engagement, achievement, and attendance have been linked to instruction. In addition, the effect of instructional quality might not be the same for male and female students. The purpose of this quantitative study was to measure the relationship between instructional quality, student engagement, achievement, and attendance, with gender as a moderator in middle school. The ecological systems model and Vygotsky's social development theory formed the theoretical framework for this study, as they help understand how the environment, including instructional support, is likely to correlate with student behavior and motivation toward learning. The CLASS …
Healthcare Administrator Strategies For Nurse Engagement To Increase Patient Care, Nicole Sarah Morlock
Healthcare Administrator Strategies For Nurse Engagement To Increase Patient Care, Nicole Sarah Morlock
Walden Dissertations and Doctoral Studies
Healthcare administrators can improve patient care and safety by stimulating nurse engagement as a means of improving internal relationships. The purpose of this case study was to explore engagement strategies that healthcare administrators use to stimulate nurse engagement. Data were collected using semistructured interviews with 4 healthcare administrators in a Missouri hospital setting. The engagement theory informed the conceptual framework of the study. Data were analyzed using Yin's 5-step process that included compiling, disassembling, reassembling, interpreting, and concluding. Analysis revealed 4 major themes: teamwork, nurse and administrator communication, nurse recognition, and nurse empowerment. Strategies were identified through the exploration and …
Improving Hand Hygiene In An Intensive Care Unit, Charles Chukwuemeka Njenje
Improving Hand Hygiene In An Intensive Care Unit, Charles Chukwuemeka Njenje
Walden Dissertations and Doctoral Studies
Health-care-associated infections (HCAIs) affect hundreds of millions of people worldwide, causing morbidity and mortality among hospitalized patients. About 2 million patients suffer from HCAIs in the United States, and it is estimated that 99,000 of them die each year. Studies have indicated that transmission of health-care-associated microorganisms occurs through contaminated hands of health care workers. Hand hygiene (HH) is the single most effective way to prevent health-care-associated infections, yet health care workers' hand hygiene compliance remains low. One factor responsible for poor compliance with hand hygiene guide-lines are lack of knowledge of good hand hygiene and lack of hand hygiene …
Perspectives Of Primary Care Physicians On Adopting Electronic Medical Records In The Atlanta, Georgia Area, Chris U. Okoro
Perspectives Of Primary Care Physicians On Adopting Electronic Medical Records In The Atlanta, Georgia Area, Chris U. Okoro
Walden Dissertations and Doctoral Studies
Slow adoption of electronic medical records (EMR) by primary care physicians in medical office practices has not facilitated the EMR adoption process. The problem is the slow pace of EMR adoption by primary care physicians in the Atlanta, Georgia area has become a public health concern. Research regarding the lived experiences of these physicians with EMR implementation and utilization may identify reasons for the slow adoption. The purpose of this phenomenological study was to explore the lived experiences of primary care physicians, who practice in the Atlanta area, regarding their perception, successes, barriers, and urgency of adoption of EMR in …
Small Business Owners' Strategies For Success, Ovuefelomaloye London Onyenego
Small Business Owners' Strategies For Success, Ovuefelomaloye London Onyenego
Walden Dissertations and Doctoral Studies
Small businesses represent 99.7% of all employers in the United States and account for 63% of new jobs; however, 50% of small businesses fail within 5 years of operation. The purpose of this multiple case study was to explore strategies that some small restaurant owners used to succeed in business for longer than 5 years. The sample population for the study was the owners of 3 small restaurants in the northeastern region of the United States who have a minimum of 5 years' experience in operating a successful business. Chaos theory provided the conceptual framework for the study. Data collection …
Emergency Medical Services First Responder Certification Level's Impact On Ambulance Scene Times, Devin Todd Price
Emergency Medical Services First Responder Certification Level's Impact On Ambulance Scene Times, Devin Todd Price
Walden Dissertations and Doctoral Studies
The foundation of modern-day emergency medical service (EMS) systems began in 1966, based on hospital medical care. Demand for evidence to support prehospital practices that have been in existence for the past half-century has continued to grow; yet, researchers have not adequately explored the relationship between the medical certification level of emergency first responders and the amount of time an ambulance spends on the scene. The purpose of this quantitative study was to examine and compare ambulance scene times for emergency responses when basic life support (BLS) certified first responders or advanced life support (ALS) first responders are first on …
A Qualitative Case Study Of Mathematics Teachers' Formative Assessment Feedback, Ryan Rathje
A Qualitative Case Study Of Mathematics Teachers' Formative Assessment Feedback, Ryan Rathje
Walden Dissertations and Doctoral Studies
Formative assessment is supported by research as a process to enhance student learning. A vital aspect in the process is the role of feedback which, based on its use, can support or hinder student learning. The problem addressed in this study was based on the concern of a high school administrator that teachers in the school were not using formative feedback in a manner that supported student learning. The purpose of this instrumental qualitative case study was to explore and understand the assessment and feedback practices of mathematics teachers in a private high school setting. The conceptual framework for this …
Financial Advisors' Marketing Strategies To Minorities, Jonica Rowland
Financial Advisors' Marketing Strategies To Minorities, Jonica Rowland
Walden Dissertations and Doctoral Studies
Independent financial advisors face challenges with successful marketing strategies as competition from web-based resources, large U.S. financial services, and wealth advisors' corporations increase. The purpose of this exploratory case study was to understand financial advisors' perceptions, experiences, and marketing strategies to improve their companies' sustainability by targeting a broader population base, including minorities, who need assistance with retirement planning strategies. Consumer culture theory was the conceptual framework for this study. Purposeful sampling was the basis for selecting 7 financial advisors from the mid-Atlantic region of the United States for face-to-face interviews. Semistructured interviews with open-ended questions were used to identify …
Families' Decisions To Not Enroll Their Children In Pre-K: A Qualitative Study, Jennifer Scarbrough
Families' Decisions To Not Enroll Their Children In Pre-K: A Qualitative Study, Jennifer Scarbrough
Walden Dissertations and Doctoral Studies
High-quality preschool is freely available at two locations in a rural area. However, many parents choose not to send their children to preschool at all, despite its availability and demonstrated benefits to children. The purpose of this qualitative exploratory study was to understand why families did not enroll children pre-K. Bronfenbrenner's ecological systems model was used as a conceptual framework for the study. which suggests that child development is influenced by multiple environmental factors. Research questions were related to examining the perspectives of parents who had not enrolled their children in pre-K on their inhibitions and inducements to enroll their …
Postpartum Hemorrhage Evidenced-Based Registered Nurse Staff Education Project, Jessica Powell
Postpartum Hemorrhage Evidenced-Based Registered Nurse Staff Education Project, Jessica Powell
Walden Dissertations and Doctoral Studies
Despite medical technology and research advances postpartum hemorrhages (PPH) continue to be a leading cause of morbidity and mortality for pregnant women, even in developed countries. One possible explanation for PPHs continuing to be a leading cause of maternal death is inconsistent recognition and timely treatment of women experiencing a PPH. This doctor of nursing practice project attempts to improve labor and delivery nurse knowledge through an educational intervention which will contribute to rapid identification and treatment of PPH. Knowledge change was demonstrated though change in pretest and posttest scores. The educational information and process was guided by adult learning …
Aligning Social Media, Mobile, Analytics, And Cloud Computing Technologies And Disaster Response, William Tuley Worthy
Aligning Social Media, Mobile, Analytics, And Cloud Computing Technologies And Disaster Response, William Tuley Worthy
Walden Dissertations and Doctoral Studies
After nearly 2 decades of advances in information and communications technologies (ICT) including social media, mobile, analytics, and cloud computing, disaster response agencies in the United States have not been able to improve alignment between ICT-based information and disaster response actions. This grounded theory study explored emergency response ICT managers' understanding of how social media, mobile, analytics, and cloud computing technologies (SMAC) are related to and can inform disaster response strategies. Sociotechnical theory served as the conceptual framework to ground the study. Data were collected from document reviews and semistructured interviews with 9 ICT managers from emergency management agencies in …
Factors Associated With Adherence To Diabetes Medication Among Individuals With Type 2 Diabetes In Cambridge, Ontario, Canada., Benedict Osamuimen Atekha
Factors Associated With Adherence To Diabetes Medication Among Individuals With Type 2 Diabetes In Cambridge, Ontario, Canada., Benedict Osamuimen Atekha
Walden Dissertations and Doctoral Studies
Although it is known that the prevalence of type 2 diabetes is on the rise in Canada, more information is needed on how well type 2 diabetes patients living in Cambridge, Ontario self-manage their diabetes and what factors influence their adherence to diabetes medication regimens. The objective of this cross-sectional study based on the theory of planned behavior was to determine if there are predictors of adherence to diabetes medications among patients living with type 2 diabetes in Cambridge. The World Health Organization STEPwise Approach to Surveillance was used to collect demographic data. Adherence and diabetes knowledge were assessed with …
Understanding Teachers' Perceptions Of Bullying For Developing Teacher Detection And Intervention, Christopher Samuel Hazeltine
Understanding Teachers' Perceptions Of Bullying For Developing Teacher Detection And Intervention, Christopher Samuel Hazeltine
Walden Dissertations and Doctoral Studies
Bullying behaviors can have lasting adverse consequences for teachers, victims, offenders, and bystanders. Teachers are often not prepared with the knowledge required for appropriate interventions. The purpose of this study was to understand teachers' perceptions of bullying in one of the largest urban school districts in the United States. Guided by Bronfenbrenner's ecological systems theory, which holds that individuals impact and should be impacted by various environmental systems around them, the study was focused on teachers' understanding of detection and intervention of bullying in the school setting. A qualitative single case study design was used. Fifteen urban, middle school teachers …
The Relationship Between Isolation, Distress, And Medical Care Among Transgender Coloradoans, Charles Tinnell
The Relationship Between Isolation, Distress, And Medical Care Among Transgender Coloradoans, Charles Tinnell
Walden Dissertations and Doctoral Studies
In Colorado in 2014, suicidal ideation or suicide attempts occurred up to 10 times more frequently among transgender persons than the general population. This reality occurred within a milieu of stigma that included transgender persons' negative perceptions of healthcare, a higher incidence of psychological distress, and an uncertain role for social isolation in their well-being. The purpose of this quantitative study was to explore the interactions between social isolation, supportive medical care, and psychological distress within the framework of Meyer's minority stress theory. Data were acquired from the 2014 Colorado Transgender Health Survey conducted by the One Colorado Education Fund …
Effective Strategies For Venture Capital Evaluations Of Organizations' Drug Development Capabilities, Roslyn Chand
Effective Strategies For Venture Capital Evaluations Of Organizations' Drug Development Capabilities, Roslyn Chand
Walden Dissertations and Doctoral Studies
Undercapitalization is a major impediment for the growth and survival of Canadian life sciences firms. Proficient management teams are the 'sine qua non' criteria in the venture capital decision-making processes. The purpose of this multicase study was to explore strategies successful venture capitalists use to improve their evaluation processes of life sciences management teams' drug development capabilities. The conceptual framework for this study was based on business process management. The purposeful sample consisted of 10 venture capitalists located in the United States and Canada who had expertise evaluating life sciences management teams. The data were triangulated from semistructured interviews, annual …
Factors Predicting Academic Achievement Among Hispanic Community College Students, Lisa Marcelino
Factors Predicting Academic Achievement Among Hispanic Community College Students, Lisa Marcelino
Walden Dissertations and Doctoral Studies
Hispanic college students are more at risk of poor academic performance and dropping out than any other racial group. The Hispanic college population continues to grow, yet rates of retention and achievement for this group continue to decline. Previous research on Hispanic college students has examined factors that contribute to underachievement and declining graduation rates, but they are limited to students attending 4-year institutions. This study examined if grade point averages (GPAs) were affected by levels of self-efficacy, resiliency, and sensation seeking. Bandura's self-efficacy and social cognitive theories along with Zuckerman and Kuhlman's theory of sensation-seeking were the theoretical frameworks …
Relationships Among Vitamin D Deficiency, Metabolic Syndrome, Smoking Behavior, And Physical Activity, Ethan Pham
Relationships Among Vitamin D Deficiency, Metabolic Syndrome, Smoking Behavior, And Physical Activity, Ethan Pham
Walden Dissertations and Doctoral Studies
Aging increases the risk of both vitamin D deficiency and metabolic syndrome. Vitamin D deficiency and metabolic syndrome may be related, although there are mixed findings. Furthermore, literature suggests other factors such as physical fitness activity and smoking behavior are associated with Vitamin D deficiency and the development of metabolic syndrome. A number of studies have documented associations between Vitamin D levels and physical fitness activities, while other studies found correlations between Vitamin D levels, metabolic syndrome, and smoking behavior. However, no previous study has examined the links between physical fitness activity, smoking behavior, Vitamin D levels, and the risks …
Nursing Pain Management In An Emergency Room With Hallway Overflow, Zaida Ruiz
Nursing Pain Management In An Emergency Room With Hallway Overflow, Zaida Ruiz
Walden Dissertations and Doctoral Studies
Overcrowded emergency rooms (ERs) decrease the flow of nursing care creating a delay in nurse-administered pain management leaving patients in pain. The project-focused question asked if ER nurses felt that overcrowding in the ER led to inadequate pain management and if a clinical practice guideline (CPG) could be developed to promote effective pain management in the setting. Callista Roy's theory of human adaptation was used to guide the project. To prepare for CPG development, data from a simple random selection of 10 nurses who had worked in the ER for a minimum of 6 months was obtained from the practice …
The Relationship Between Nurse Staffing And Quality Outcomes In Georgia Nursing Homes, Tamara Kathleen Stephens
The Relationship Between Nurse Staffing And Quality Outcomes In Georgia Nursing Homes, Tamara Kathleen Stephens
Walden Dissertations and Doctoral Studies
The quality of care in United States' nursing homes has been of concern to consumers, government agencies, and researchers for several decades. Nurse staffing has been identified as a key factor influencing the quality of care in nursing homes. The purpose of this quantitative, correlational research was to determine if relationships existed between nurse staffing levels and three quality care outcomes in the state of Georgia. Donabedian's quality conceptual framework guided the study. The framework encompasses three interrelated dimensions of quality including structure, process, and outcomes. Nurse staffing levels and facility bed size represented the structure of nursing homes and …
Strategies Small Business Leaders Use To Increase Employee Engagement, Akeia Simmons
Strategies Small Business Leaders Use To Increase Employee Engagement, Akeia Simmons
Walden Dissertations and Doctoral Studies
When organizational leaders create cultures that foster employee engagement, the leaders experience multiple benefits such as enhanced organizational performance, increased profitability, and improved retention rates. Although small business leaders must create and sustain atmospheres that nurture employee engagement to experience maximized success, 85% of organizational leaders struggle with executing strategies that increase engagement. The purpose of this qualitative, single case study was to explore strategies that small business leaders use to increase employee engagement. Servant leadership theory was the conceptual framework chosen for this study. The population included 3 small business leaders of a coffee shop located in Birmingham, AL. …
Increasing Patients' Understanding Of Prescribed Medication Adherence, Valarie Finley Thomas
Increasing Patients' Understanding Of Prescribed Medication Adherence, Valarie Finley Thomas
Walden Dissertations and Doctoral Studies
The cost of healthcare in the United States has increased due to growing numbers of patients who live with chronic health problems, such as heart disease. The cost of healthcare is compounded by the cost in terms of complications of cardiovascular disease secondary to medication non-adherence. Education about medication use and adherence, safety, and side effects was needed for patients in a cardiovascular unit to improve adherence to medications as prescribed. Results of a health care provider (HCP) and nursing staff needs assessment provided by the site showed the need for improved cardiovascular medication education. The project focused question asked …
A Community Oriented Solution To Access To Care, Margaret Louise Thornell
A Community Oriented Solution To Access To Care, Margaret Louise Thornell
Walden Dissertations and Doctoral Studies
Access to primary health care services is a significant issue for many communities seeking to improve the health of their populations. This single case study describes the 12-year journey of 2 adjoining rural counties in 2 states towards meeting the primary and specialty care needs of the uninsured and underinsured population. Data were triangulated using historical documents, first-person interviews, and health utilization data. The community leadership moved through various models including a free clinic and a university-sponsored health center before finally establishing a federally qualified health center, which now serves 40,000 citizens in these counties. The site is now hosting …
Leader Self-Perceptions Of Ethics In And Out Of The Workplace And Personal Trustworthiness, Marcia W. Vanderwood
Leader Self-Perceptions Of Ethics In And Out Of The Workplace And Personal Trustworthiness, Marcia W. Vanderwood
Walden Dissertations and Doctoral Studies
Ethical breaches in many organizations can be traced to failures in ethical leadership, which undermine trust. If a leader's ethical behavior in their private life and settings is perceived as influencing workplace ethics, it may in turn affect organizational trust levels and the development of trust. A quantitative study based on the social learning and moral theory was conducted to determine whether a difference exists between a leader's self-perceptions of their ethical behaviors inside and outside of the workplace, and whether it affects their perceived personal trustworthiness. Participants' (N = 94) scores on work and nonwork versions of the ethical …
Nurses' Perception Of Their Role In Patient Safety, Janeane Walker
Nurses' Perception Of Their Role In Patient Safety, Janeane Walker
Walden Dissertations and Doctoral Studies
Despite efforts to ensure patient safety in the United States, patients are being harmed by preventable errors. There is a gap in the literature from the nurse's perspective as to why medical errors continue to occur despite having evidence-based safety strategies available. The purpose of this constructivist grounded theory study was to develop a theory explaining nurses' perception of their role in patient safety and why medical errors are still occurring despite implementation of evidence-based safety strategies. The systems engineering initiative for patient safety (SEIPS) model provided the conceptual framework for the study. Data collection included interviews with 11 nurses …
Amputee Social Support: A Quantitative Investigation Of Peer-To-Peer And Group Influence, Dirrick Anthony Williams
Amputee Social Support: A Quantitative Investigation Of Peer-To-Peer And Group Influence, Dirrick Anthony Williams
Walden Dissertations and Doctoral Studies
Previous research has indicated that vascular disease, trauma, and cancer lead to amputations and that 1.7 million Americans are living with an amputation. The social problem of this study is that amputees have limited places to obtain social support. Alderfer's Existence, Relatedness, and Growth Theory provided the foundation for this research. The current study examined the following questions. First, does type of social support impact amputee perceived social support satisfaction? Second, does type of social support impact life satisfaction? Survey methodology was used following attendance at either peer-to-peer or group support. A purposeful sample of 184 participants were assessed using …
An Assessment Of The Financial Literacy Of Undergraduates At One Community College In Texas, Melissa J. Weathersby
An Assessment Of The Financial Literacy Of Undergraduates At One Community College In Texas, Melissa J. Weathersby
Walden Dissertations and Doctoral Studies
At a Texas community college, stakeholders wanted to strengthen the financial literacy module offered in the student development course for undergraduates. The problem was that no formative data existed on students' financial literacy, and it was not known if knowledge of financial literacy for students who participated in a prior financial literacy class in high school differed from students who had not. The purpose of this study was to obtain formative data regarding students' needs for financial literacy education and to examine whether the knowledge of financial literacy for college students who participated in a prior financial literacy class in …