Digital Commons Network^™

Monetary Incentives And Adolescent Males' Athletic Performance, Sean Jones

Walden Dissertations and Doctoral Studies

Although the use of monetary incentives as motivational tools has been studied by previous researchers, the mechanism of the relationship between monetary incentives and behavior/performance remains poorly understood. The purpose of this quasi-experimental investigation was to explore the relationship between 3 levels of monetary incentives ($0, $3, and $10) and the athletic performance of adolescent male soccer players. The moderating effect of perceived physical self-efficacy or intrinsic motivation on the relationship between athletic performance and monetary incentives was also investigated. The framework for the study was comprised of expectancy theory, the theory of planned behavior, and self-determination theory. Study participants …

Coping, Conforming, And Liquid Courage As Predictors Of Binge Drinking Among Female College Students, Melania Kim

Walden Dissertations and Doctoral Studies

College-student binge drinking presents a significant health problem on college campuses. Binge drinking has typically been associated with male college students. The rate of binge drinking (4 or more alcoholic drinks on a single occasion) for female college students increased from 46% in 1991-1992 to 52% in 2011-2012. Female alcoholics are more vulnerable to high risk of liver disease, circulatory disorders, breast cancer, fertility issues, and early menopause. Given these risks and increases in the rate of female college student binge drinking, there is a need to identify motivations for/expectations from binge drinking among females. Using the foundation of social …

Perceptions Of An Ebp Module Mobile Application By New Graduate Nurses, Kristin Wilson Carlson

Walden Dissertations and Doctoral Studies

Evidence-based practice (EBP) is a key driver of care and advancements within nursing. It is essential to emphasize EBP early in a nurse's career to promote inquisitive minds and enthusiasm for seeking evidence. The purpose of this project was to implement an EBP mobile app into a nurse residency program (NRP) to improve the process of providing EBP information and resources to new graduate nurses. The intent of the project was to leverage mobile technology to engage new graduate nurses in evidence-based practice. Roger's diffusion of innovation framework guided the project. The target audience for the project was 16 new …

A Qualitative Look At How Sibling Bereavement From Unnatural Causes Of Death Affects Surviving Siblings, Michael David Gilvin

Walden Dissertations and Doctoral Studies

The purpose of the study is to fill the gap in the literature regarding sibling bereavement. This study explored how sibling bereavement from unnatural causes of death affects surviving siblings. Bereavement affects millions of Americans every year. Most grieve naturally, but some experience complicated grief or depression. Many studies address parental and spousal bereavement, but few focus on sibling bereavement. This study fills that gap in the literature so that mental health care professionals and the general public understand what bereaved siblings experience after the death of a sibling. The study was a phenomenological study using social constructivism as a …

Developing An Impella Education Program For The Critical Care Registered Nurse, Sara Jackson

Walden Dissertations and Doctoral Studies

Every year, hundreds of thousands of patients have coronary angiograms performed in the United States. The Impella is a percutaneous ventricular support device that provides hemodynamic support for patients if hemodynamic instability occurs during the procedure. The critical care nurse is responsible for the recovery and management of the patient with the Impella device in place. The purpose of this scholarly project is to provide registered nurses (RN) who have not previously managed the Impella device with the appropriate education in order to demonstrate competency. The program demonstrated improved RN knowledge about the Impella and increased confidence when managing the …

Perceptions Of Stress: Employee Participation In A Yoga Class, Rosemarie Lee

Walden Dissertations and Doctoral Studies

Abstract

Employees experience workplace stress that can affect their health resulting in chronic diseases such as diabetes, stress, hypertension, and cardiovascular diseases. Stress also contributes to staff presentism, absenteeism, and high turnover rate. The employee wellness program (EWP) yoga class at a metropolitan teaching hospital has not been evaluated for its effectiveness in employee stress reduction and improvement in employee health. The practice focus question for this project explored employees' perception of the impact of a metropolitan teaching hospital's EWP yoga class on their stress reduction and health promotion activities. The theoretical framework for this project is Lazarus' transactional model …

Using Parent-Identified Strengths Of Autistic Children To Advance Strength-Based Intervention, Angelique Francesca Trigueros

Walden Dissertations and Doctoral Studies

Questions remain about the range of abilities autistic children possess and what constitutes effective treatment. Strength-based intervention contrasts with traditional autistic intervention approaches that focus on children's deficits. Studies on strength-based intervention approaches have not revealed how children's strengths are identified and have not used the insights of parents for this purpose. Neurodiversity serves as the conceptual framework because the tenets of neurodiversity align with those of strength-based approaches and hold that autism is a variation of the human condition rather than a disability. The purpose of this qualitative interpretive phenomenological study was to explore how the parent-identified strengths of …

The Relationship Of Location And Educational Achievements To Vision Impairment In Asians, Sonali Trivedi

Walden Dissertations and Doctoral Studies

Introduction: Increasing incidence of vision impairment in the United States reinforces the urgent need for research and public health awareness. Eye diseases are of common concern in Asian and other ethnic groups globally. Glaucoma, cataracts, macular degeneration, myopia, and retinitis are types of eye diseases and common causes of vision impairment in Asians. This study addressed the current gap in knowledge regarding vision impairment prevalence among Asian-Americans by geographical location and level of education. Socio-ecological theory was used as the theoretical foundation.

Method: A cross-sectional secondary dataset from U.S. Census Bureau included 3,916,947 participants' survey responses from 2011 through 2015 …

Lived Experiences Of The Individual Mandate Of The Affordable Care Act, Wendy Berry

Walden Dissertations and Doctoral Studies

In 2014, the individual mandate of the Affordable Care Act (ACA) came into effect. More than 7 million Americans paid a tax penalty for not carrying insurance during the previous tax year. Millions of others were forced to purchase a health insurance plan to avoid that penalty. This study filled a gap in public health policy research by incorporating qualitative data to offer narratives along with statistical data that could help explain health outcomes to make successful policy changes in 2019. The purpose of this study was to research the use of market competitive theory by learning people's lived experiences …

Relationship Between Exposure To Phthalate And Obesity In The United States, Gladys Chidiebere Ezem

Walden Dissertations and Doctoral Studies

Obesity is a public health problem. The global obesity problem has been attributed to unhealthy diet, inactivity, and hereditary factors. However, phthalates may also contribute to the obesity epidemic. The purpose of this cross-sectional study was to examine whether there was a relationship between exposure to phthalates and obesity among adults 18 years and older in the United States. The theoretical framework was based on the socioecological model. The quantitative, cross-sectional design, and data analysis were based on the National Health and Nutrition Examination Survey, 2011-2012 database. Descriptive statistics and multiple regression analysis were used to analyze the association between …

Compliance Strategies To Reduce The Risks Of Money Laundering And Terrorist Financing, Cassandra Nottage

Walden Dissertations and Doctoral Studies

Ineffective compliance programs expose banking and trust companies to increased risk of money laundering (ML) and terrorist financing (TF). Using risk management theory, the purpose of this multiple case study was to explore compliance strategies that Bahamian bank and trust company managers use to reduce ML/TF risks. Study participants comprised 7 senior risk and compliance managers experienced in risk strategy development and implementation. Semistructured interview data were triangulated with data collected from internal policy and procedural documents, publicly available papers of the Financial Action Task Force on Money Laundering (FATF), the Basel Committee on Banking Supervision (BCBS), and the Central …

Assessment For Feedback And Achievement Growth For Middle School Math Students, Katie Jo Pemberton

Walden Dissertations and Doctoral Studies

Inconsistent math assessment practices do not accurately represent and communicate student mathematics achievement. Because of inconsistencies in assessment practices, local middle school mathematics teachers in an urban school district in the northwestern United States piloted the use of multiple formative assessments. The purpose of this study was to compare mathematics achievement, growth, and course percentage grades for students who have multiple formative assessment attempts compared to students who are not provided multiple assessment attempts. Theoretical foundations originated from Black and Wiliam, supporting the use of formative assessment for a positive impact on student learning. A quantitative, ex post facto quasi-experimental …

The Role Of Law Enforcement-Community Communication In Disaster Readiness, Amanda Perez

Walden Dissertations and Doctoral Studies

A lack of effective communication structures within local communities could have devastating consequences during an emergency. Therefore, the key problem addressed in this study was that the most effective methods (channels) of communication between law enforcement officials and the general public in the event of a natural disaster has not been studied. The purpose of this study was to weigh the benefits of three types of communication media—social media, radio, and word-ofmouth— to provide a framework for promoting effective communications between local government emergency responders and civilians. This single case study focused on a large county in the State of …

Lived Experiences Of Mothers Raising Children With Autism Spectrum Disorder In Nigeria, Joyce Itseme Ulofoshio

Walden Dissertations and Doctoral Studies

Autism has no cure, but early and appropriate diagnosis and intervention may increase outcomes for individuals affected. The level of awareness, acceptance, and support for autism spectrum disorder (ASD) in Nigeria is very low. There is a gap in the literature regarding a detailed account of the experiences of parents raising children with ASD within the Nigerian environment and culture. The purpose of this phenomenological study was to explore the perceptions and lived experiences of mothers raising children with ASD in Nigeria including the impact of Nigerian culture on their experiences. Bronfenbrenner’s ecological systems theory was the guiding conceptual framework …

Implementation Of An Early Progressive Mobility Program In The Intensive Care Units, Rene Merced Rodriguez

Walden Dissertations and Doctoral Studies

In the United States, adult ICU patient care consumes $90 billion annually, or 1% of the gross national product. In the ICU, about 40% of the patients are mechanically ventilated resulting in an 11% greater length of stay (LOS) that requires 35% more resources. And, an estimated 60% of these patients are adversely impacted for as long as five years following discharge. Patient immobility while ventilated contributes to poor quality and financial outcomes. The Institute of Healthcare Improvement (IHI) reports on average early patient mobility (EPM) reduces a 4.5-day LOS by as much as 1.3 days; and reduces the risk …

Examining The Impact Of Art-Based Anchor Charts On Academic Achievement In Language Arts, Kimberly Ivette Fontanez

Walden Dissertations and Doctoral Studies

The students at 2 middle schools in County SD, NHMS and WMS are not scoring on or above grade level on the information text portion of the English Language Arts (ELA) standardized SC Palmetto Assessment of State Standards (SCPASS) test given annually in South Carolina. The teachers developed and implemented art-based anchor charts to help close the achievement gap among the 6th, 7th, and 8th grade students. There has been no formal exploration of the teachers' experiences regarding the use of anchor charts. Using the elements of problem-based learning as the theoretical framework, the purpose of this project study was …

Approaches To Ghana's Higher Education Challenges Drawn From The U.S. Community College Model, Francis Goode

Walden Dissertations and Doctoral Studies

Higher education institutions in Ghana are challenged in providing access to affordable education to accommodate all qualified students for postsecondary education. Most Ghanaian students seek skills and knowledge to prepare them for a global workforce. The study's purpose was to investigate the adaptation of the U.S. community college's 2-year model for training students in Ghana's higher education system to participate in high skilled employment in business and industry, using a conceptual framework drawn from Becker's theory of human capital. The research questions focused on what support students need to participate successfully in Ghana's higher education system, and what concerns stakeholders …

Strategies To Prevent Security Breaches Caused By Mobile Devices, Tony Griffin

Walden Dissertations and Doctoral Studies

Data breaches happen almost every day in the United States and, according to research, the majority of these breaches occur due to a lack of security with organizations' mobile devices. Although most of the security policies related to mobile devices currently in place may meet the guidelines required by law, they often fail to prevent a data breach caused by a mobile device. The main purpose of this qualitative single case study was to explore the strategies used by security managers to prevent data breaches caused by mobile devices. The study population consisted of security managers working for a government …

Relationship Between Medicare Alternative Payment Methodology And Hospital Program Service Revenue, Sandra J. Gubbine

Walden Dissertations and Doctoral Studies

Medicare paid $388.7 billion to acute care hospitals in 2014 representing the largest portion of the health care sector in the United States. Medicare implemented an innovative reimbursement model called Value Based Purchasing (VBP) to ensure hospitals provide quality care for the dollars spent. This correlation study used the VBP theoretical framework developed by Dudley as the foundation for the reimbursement model implemented by Medicare in 2013. The data used for this study came from the Centers of Medicare and Medicaid, as well as from Guidestar. The data focused on acute care, nonprofit hospitals located in New Jersey, New York, …

Conflict, Knowledge, And Collective Bargaining In Public Education, Tre'shawn Hall-Baker

Walden Dissertations and Doctoral Studies

Negative conflict in public school districts during collective bargaining impedes efforts towards creativity and student success. The purpose of this phenomenological study was to explore the experiences of conflict for participants in collective bargaining in California public school districts. Complexity theory and social construction theory were used as the conceptual framework for the research, and ideas related to conflict, social interactions, knowledge management, and collective bargaining were examined to gain an understanding as they related to the central phenomenon. The specific research questions pondered in this study related to how conflict was experienced in California public schools during collective bargaining, …

A Study Of Fourth-Grade Students' Perceptions On Homework Environment And Academic Motivation In Mathematics, Stefanie Harmon

Walden Dissertations and Doctoral Studies

The problem at an elementary school is teachers' lack of knowledge and information on the perceptions and motivation of students to complete independent mathematics homework. The purpose of this study was to identify students' perceptions regarding their homework environment and academic motivation in mathematics. The study's conceptual framework, attribution theory, supported the examination of drivers of motivation for participants related to homework completion. Guiding research questions, supported by Keller's ARCS model, focused on the identification of students' perceptions of homework attention, relevance, curiosity, satisfaction, and their preferred homework environment. This qualitative research study obtained data from semistructured interviews with 44 …

Impact Of Financial Reporting Frameworks On The Quality Of Not-For-Profit Financial Reports, Jobra Mulumba Kisaku

Walden Dissertations and Doctoral Studies

Even when clean audit reports are issued for not-for-profit organizations (NFPOs), misuse of donor resources may continue for years without detection by financial statement users. Previous research has established creative accounting, haphazard reporting, and fraud among NFPOs. As a result, aid has been reduced and some projects have been suspended. With Uganda as the study area, the key research question was the following: What is the impact of financial reporting frameworks on the quality of financial reports in Uganda, controlling for class of external auditors? The purpose of this quantitative, causal-comparative study was to establish whether reporting frameworks used by …

Faculty Competence In Facilitating Clinical Simulation, Rose Kronziah-Seme

Walden Dissertations and Doctoral Studies

Clinical simulation is a teaching strategy to assist nursing students to connect classroom knowledge to the clinical setting. Teaching clinical simulation requires special training, but many nursing faculty who teach clinical simulation do not receive clinical simulation training. The purpose of this study was to determine if the effects of formal versus informal simulation training impacted nursing faculty's self-ratings of their competency in facilitating simulation and identify areas for needed educational support. A quantitative descriptive approach was used and grounded in the National League for Nursing and Jefferies (NLN/JSF) theoretical framework. This framework focuses on the relationship between teacher, student, …

Knowledge Management Strategies For Competitive Advantage In The Convenience Foods Franchise Industry, Tiffany Moses

Walden Dissertations and Doctoral Studies

The lack of successful knowledge management (KM) practices significantly hinders competitive advantage in small businesses. This case study was designed to explore what effective KM strategies convenience foods franchise industry business owners or managers use to increase competitive advantage. The study population consisted of 7 fast food franchise owners or managers in or near the Research Triangle Park area of North Carolina. The cognitive model of KM was the conceptual framework that grounded the study. Face-to-face interviews were used for the data collection process. Data were organized into nodes and coded for thematic analysis. The 3 major themes that emerged …

Empowering Nurses Through Knowledge And Technology To Decrease Fall Rates, Ngozi Doreen Nwaise

Walden Dissertations and Doctoral Studies

Falls are nurse-sensitive outcome which reflect the quality of nursing care. Nurses, therefore, have a major role to play in efforts to decrease fall rates. The objective of this project is to increase nurses' knowledge on the proper use of the CVVM as an attempt to effectively decrease fall rates. Pretest, post test, and course evaluation data were collected from 30 nurses. A descriptive analysis of the data was performed. Overall, the pretest evaluation showed that nurses had an average score of 43% in the combined assessment of their knowledge on fall prevention strategies, their use of the CVVM, and …

Bedside Reporting: Improving Practice, Lori Wichman

Walden Dissertations and Doctoral Studies

Bedside reporting is one way to improve communication among the health care team. At the study site, at least 50% of bedside reporting was being conducted at the door of the patient's room instead of at the patient's bedside. The project question addressed whether a computer-based education and training video on bedside reporting and a standardized bedside reporting checklist would increase the rate of bedside shift-to-shift reporting among a medical surgical unit (MSU) to 100%. The project addressed the implementation of standardizing bedside reporting through education and training using Agency for Health Care Research and Quality's (AHRQ) Guide to patient …

Leadership Strategies For Managing Change In The Nigerian Banking Industry, Jude Ememe

Walden Dissertations and Doctoral Studies

The Nigerian banking system is experiencing changes brought about by globalization. Operating in a changing business environment requires that bank leaders evolve strategies to manage and adapt to change. There are direct and indirect costs associated when banks are unable to adapt to change such as bank closures, and loss of economic and business opportunities. The purpose of this phenomenological study was to explore the lived experiences of Nigerian bank leaders regarding strategies they used to manage change in the banking industry. The conceptual framework was based on transformational leadership theory and change management theory. Data were collected from document …

Strategies For Improving Internal Control In Small And Medium Enterprises In Nigeria, Olufemi Adepoju Aladejebi

Walden Dissertations and Doctoral Studies

Researchers and practitioners have recognized the need for business leaders to establish effective internal control frameworks. Some small and medium enterprises (SME) leaders lack strategies for improving internal control systems. The purpose of this multiple case study was to explore the strategies leaders of SMEs in Nigeria use for improving internal control practices. Building on the internal control theory and transactional leadership theory, semistructured face-to-face and phone interviews were conducted with 8 purposively-selected leaders of SMEs in Nigeria who successfully implemented internal control practices. The 5 themes that emerged from the thematic analysis of the interview data were: segregation of …

Comparing Outcomes Of Laparoscopic Adjustable Banding And Laparoscopic Sleeve Gastrectomy Bariatric Surgery, Seth Kojo Ananse Baffoe

Walden Dissertations and Doctoral Studies

Bariatric surgery is an effective procedure type for morbidly obese patients when all else fails. Because obesity is a chronic disease, prolonged assessment and understanding of the credibility of procedure types and their effects on bariatric surgery outcomes are essential, yet current evidence shows decreasing utilization of one of the dominant procedure types. To better compare outcomes of procedure type, this research was designed to control for volume, hospital size, age, gender, season, month, year, and ethnicity. The goal of the study was to compare the outcomes of laparoscopic adjustable gastric banding (LAGB) and laparoscopic sleeve gastrectomy (LSG) bariatric surgery …

Collaboration Strategies To Reduce Technical Debt, Jeffrey Allen Miko

Walden Dissertations and Doctoral Studies

Inadequate software development collaboration processes can allow technical debt to accumulate increasing future maintenance costs and the chance of system failures. The purpose of this qualitative case study was to explore collaboration strategies software development leaders use to reduce the amount of technical debt created by software developers. The study population was software development leaders experienced with collaboration and technical debt at a large health care provider in the state of California. The data collection process included interviews with 8 software development leaders and reviewing 19 organizational documents relating to software development methods. The extended technology acceptance model was used …