Digital Commons Network^™

Telemedicine: An Augmentation Strategy To Mitigate The Primary Care Shortage, Kevin Jeffrey Mckinnon

Walden Dissertations and Doctoral Studies

According to the Association of American Medical Colleges, the primary care workforce shortage in 2025 will exceed 46,000 primary care physicians. Healthcare business leaders in Gwinnett County, Georgia have not evaluated the advantages and disadvantages of telemedicine (TM) to mitigate the workforce shortage. The purpose of this qualitative descriptive study was to determine factors primary care physician administrators consider when deciding to implement TM as a potential solution for the growing physician shortage. A purposive sample of 20 primary care physician administrators located in Gwinnett County, Georgia was drawn. The theory of disruptive technology was the conceptual framework. Data collected …

Investigating Funding Policies For New Clinics In Rural Northwest Region, Cameroon., Chenwi Mbuoko Ngwa

Walden Dissertations and Doctoral Studies

Abstract

Healthcare policies are complex health promotion strategies used by healthcare policy

designers to create awareness, educate, and develop the capacity of sustainable health

promotion practices in rural communities. The purpose of this phenomenological study

was to investigate an occurrence being experience by rural residents in the NWR of

Cameroon where residents lacked nearby healthcare clinics where they can seek medical

treatment and to determine if there were any funding policy requirements for the

construction of new rural community clinics at the NW Regional Delegation of Public

Health. Using Wright's conceptual framework on policy analysis and evaluation and

Coleman's rational …

Nursing Approaches For Use And Sustainability Of Barcode Medication Administration Technology, Jackson Ngigi Njeru

Walden Dissertations and Doctoral Studies

Approximately 43.4% of medication errors occur at the time of administration despite the use of bar code medication administration (BCMA) System. This trend has prompted a national effort to mitigate this problem in the United States. Implementing BCMA in health care settings is one of those efforts. Studies focusing on the approaches employed by nurses when using this system are scant. The purpose of this qualitative case study was to investigate strategies nurses and their leaders use to ensure BCMA is implemented, maximized, and sustained. The technology acceptance model was used to guide the study. The 2 research questions addressed …

Educational Interventions To Improve Aggressive Behavior Recognition For An Acute Psychiatric Setting, Marie Elois Ortiz

Walden Dissertations and Doctoral Studies

Nurses working in an acute psychiatric setting within a veterans' administration hospital must maintain a therapeutic milieu by recognizing and managing aggressive behaviors before violence ensues to reduce injuries to staff nurses and patients. The purpose of this project was to develop an evidence-based and theoretically grounded educational program that will help staff nurses manage escalating aggression, violence, and acting out behaviors to provide a safe environment for patients and staff through high risk identifier recognition and intervention training. During the data and information gathering stage, 23 articles were reviewed, rated, and graded to provide the most significant information used …

Improving The Efficiency Of Mortgage Loan Modification, Devan Pierce

Walden Dissertations and Doctoral Studies

A majority of delinquent mortgage loans during the foreclosure crises were unmodified. Lending institutions lost on average 50% of a home's value in future profit from each foreclosure. The purpose of this single case study was to explore what strategies mortgage loan officers might use to improve the selection of delinquent borrowers for mortgage loan modification. The conceptual framework for this study was contract theory. The target population included mortgage loan officers from one community bank who successfully implemented strategies to modify loans for delinquent borrowers during the foreclosure crisis. Semistructured interviews were the data collection method. Emergent themes were …

Communication Strategies Used During Organizational Change In A Health Care Organization, Amber Rose Smith

Walden Dissertations and Doctoral Studies

More than 4.9 million businesses exist in the United States, and leaders within these businesses have to acclimate to change. Clear and effective communication is vital to the success of an organization. According to scholars and health care leaders focusing on strategies to communicate change during organizational change is a critical aspect of sustainability and profitability. The conceptual framework of this study was communication theory. The purpose of this single case study was to explore successful strategies that some health care leaders used to communicate during organizational change in a health care organization in El Paso, Texas. The data collection …

Predictors Of Obesity, Acculturation, And Perceived Stress In Meskhetian Turk (Ahiska) Immigrants In The United States, Zekeriya Temircan

Walden Dissertations and Doctoral Studies

Obesity is a risk factor for chronic diseases among the ethnic minorities for adult immigrants in the United States. There have been many research studies conducted to examine the relationship between the predictors and obesity in minority groups in the United States, that relationship was unknown in Meskhetian Turk (Ahiska) immigrant populations. Guided by social ecological model and acculturation theory, this study examined the predictors of obesity in the Meskhetian Turk (Ahiska) immigrant population in the western United States. Data were collected from 109 participants using CDC's Behavioral Risk Factor Surveillance System, Stephenson Multigroup Acculturation Scale, and Perceived Stress Scale. …

Assessing Effective Interventions In Pregnant And Postpartum American Indian And Alaska Native Women, Hope Thompson

Walden Dissertations and Doctoral Studies

Through the creation of the Indian Health Service in 1955, the health status of American Indian and Alaska Native (AI/AN) has improved; however, AI/AN women of reproductive age still have some of the poorest health outcomes of all populations. This study aimed to examine effective interventions that seek to improve the health of AI/AN women during pregnancy, and immediately postpartum (up to 12 months post delivery). This study addressed the research question: What effect does parental competence have on early parenting and/or infant/toddler outcomes? The life course conceptual framework was used to demonstrate how life experiences impact current health. The …

Assessment Of Anxiety And Depression Among Breast Cancer Patients Undergoing Treatment In Ghana, Kofi Adesi Kyei

Walden Dissertations and Doctoral Studies

Breast cancer patients undergoing radiotherapy often experience severe levels of anxiety and depression. There is a gap in the research literature from Africa, particularly from Ghana, with few studies focusing on the assessment of anxiety and depression among breast cancer patients undergoing radiation treatment. A better understanding was essential to promote efforts to help breast cancer patients cope with their diagnosis and treatment and increase their overall quality of life. This mixed method study examined breast cancer patients in Ghana undergoing radiotherapy and their responses related to anxiety and depression through a concurrent triangulation involving an interview with selected professional …

Sustainability Strategies For Small Business Restaurant Owners, Alisa Williams

Walden Dissertations and Doctoral Studies

Half of new businesses in the United States cease to exist after the first 5 years of operations, and the failure rate continues to increase after the first 10 years. The study was grounded on von Bertalanffy's systems theory to explore business strategies that small business restaurant owners use to sustain their business beyond 5 years. Data were collected by engaging 3 small restaurant business owners in the Little Rock, Arkansas metropolis who sustained their business beyond 5 years. Information obtained from face-to-face interviews and data mining organizational document were analyzed with the support of qualitative software to generate themes. …

The Effect Of Cognitive Behavioral Therapy And Chiropractic Care On Stress Reduction, Tracee Felice Williams

Walden Dissertations and Doctoral Studies

Decreasing the impact of stressors on the body remains an important area of study for the affected population. While there is evidence showing that cognitive behavior therapy (CBT), a psychotherapy approach, results in decreased stress, little was found about the effects of chiropractic treatment (CC) on stress. The purpose of this quantitative archival study was to determine whether the combination therapy of CC and CBT was more effective in decreasing stress than CBT independently. Cognitive neuropsychology served as the theoretical lens. Client data from a mental health and chiropractic care center on the West coast (N = 112) were divided …

Effective Stakeholder Management Strategies For Information Technology Projects, Andrew Stephen Williams

Walden Dissertations and Doctoral Studies

Information Technology (IT) projects have become critical to business strategy. However, one major issue is that, historically, IT projects have high failure rates, with scholars asserting that ineffective stakeholder management strategies were a major factor for project failure. The purpose of this multiple case study was to explore strategies IT executives use for managing IT project stakeholders by exploring the experiences of 2 CIOs and 4 IT directors in two multinational companies, based in Switzerland. Stakeholder theory was the conceptual framework for this study. Data were collected through semistructured interviews and company documentation, and analyzed using Yin's 5-step data analysis …

Coping Mechanisms Of Sub-Saharan African Female Immigrants With Breast Cancer, Ernest Opoku Agyeman

Walden Dissertations and Doctoral Studies

Coping mechanisms of breast cancer is a public health problem among African females, particularly, the Sub-Saharan African female immigrants. The purpose of this qualitative study was to explore the coping mechanisms of the research group that could be used to develop and implement an intervention program to promote the quality of adaptation to improve the quality of life. The study achieved the objective by the use of 1-to-1 interviews of purposive samples of 2 and 12 using Roy Adaptation Model. Interviewed data were collected from females diagnosed with breast cancer, in treatment, and with remissions. The pilot study (n = …

Intervention Strategies Against And Effects Of Female Sexual Harassment In Workplaces Of Cote D'Ivoire, Mariam Lamine Breant

Walden Dissertations and Doctoral Studies

Workplace sexual harassment in Cote d'Ivoire has been documented as extensive and commonplace, yet in West African nations, sexual harassment is not well studied or understood. Specifically, little is known about whether intervention programs instituted by the Ivorian law under Act No.98-756 forbid sexual harassment are viewed by female workers as effective. Using Hendricks and Valasek's theory on gender mainstreaming as the foundation, the purpose of this study was to evaluate the perceptions of female workers in Cote d'Ivoire related the effectiveness of sexual harassment training programs. Data for this study were collected from 15 women who worked in public …

Strategies For Increased Productivity Through Control Of Process Constraints, Fabian Aniemene

Walden Dissertations and Doctoral Studies

In Nigeria, manufacturing businesses play a vital role in the industrial growth of the nation and have many dynamic benefits crucial for the growth of a sustainable economy. The manufacturing sector has added substantially to the gross domestic products of many countries. Nonetheless, 50% of manufacturing firms in Nigeria experience a decline in production capacity utilization and profitability because of inefficient production processes. The purpose of this qualitative multiple case study was to explore strategies leaders of manufacturing firms in Nigeria use to support efficient manufacturing operations. The theory of constraints served as the conceptual framework for this study. Eight …

Ged Learners' Perceptions Of Support Systems For Encouraging High School Completion, Frances Lucille Campbell

Walden Dissertations and Doctoral Studies

All 7 high schools located in a school district in Alabama have experienced a high dropout rate since 2012. The purpose of this qualitative descriptive study was to understand the perceptions of recent high school dropouts about support systems that could have assisted them in completing the requirements to receive a high school diploma. Research questions centered on recent high school dropouts' views on what supports from home and from teachers they could have received to assist them in completing high school and what things they could have done differently to receive their high school diplomas. Bandura's theories of self-efficacy …

Seniority And Transparency In The Perceived Fairness Of Seniority-Based Police Promotion, Michael Edward Carter

Walden Dissertations and Doctoral Studies

Perception of fairness is a key construct affecting job performance, and perceptions of promotional processes are related to employees' sense of justice in private organizations. In police departments, negative perceptions of procedures can be detrimental to departmental effectiveness. The purpose of this quantitative quasiexperimental study was to compare Louisiana officers' perceptions of fairness of a seniority-based promotion system in relation to Louisiana deputies' perceptions of fairness of a merit-based promotion system. Organizational justice theory, including procedural justice, was the theoretical foundation. The research questions were designed to examine whether seniority, transparency, knowledge of the promotion systems, gender, and race predicted …

Teacher Dispositions In Special Education Training To Promote Persistence In The Field, Megan Chaney

Walden Dissertations and Doctoral Studies

A teacher's disposition is a valued factor in special education; however, preservice teacher training in California higher education institutions does not require a focus on dispositions. The purpose of this quantitative correlational study was to examine whether common dispositions were associated with retention among teachers with comparable experience and preparation in special education. The study was grounded in constructivist learning theories including experiential learning, transformational learning, reflective practice, communities of practice, and situated learning. Data collection included responses to the Teacher Dispositions Index survey from 28 teachers in the partner school district. Results of multiple regression analyses indicated that effective …

Women's Quest To Occupy Executive Positions In Corporate America, Erica Charles-Lynch

Walden Dissertations and Doctoral Studies

Women comprise 50.8% of the United States population and 47% of the workforce, and over the past few decades, many women have been promoted to midmanagement positions in Fortune 500 and other major corporations, but few run companies at the executive levels. The research problem addressed the underrepresentation of women in top leadership positions in the executive suite. The purpose of this study was to explore the perceptions of women in upper level management in large corporations on rising to the C-suite. A basic qualitative naturalistic inquiry was used employing interviews in collecting and analyzing the data. The targeted population …

The Relationship Of Job Stress To Job Performance In Police Officers, Chidiebere Chikwem

Walden Dissertations and Doctoral Studies

For the past 3 decades, police officers have been diagnosed with various stress-induced health problems. Police officers are at a greater risk of various environmental health problems due to the stressful nature of their profession. While there is abundant research that explores the relationship between high stress occupations and environmental health, researchers have yet to sufficiently explore the relationships between police officers' job stress and job performance. The purpose of this correlational study was to use Cohen & McKay's conceptualization of the stress-buffering hypothesis to explore whether police officers' physical exercise moderated the negative impact of job stress on their …

Mobile Collaborative Learning For Female Baby Boomer Students In Canadian Higher Education, Holly Cp Chun

Walden Dissertations and Doctoral Studies

Female baby boomer students (born 1946-1964) need to augment their skills in mobile collaborative learning because current knowledge of technologies is essential for making informed decisions. The purpose of this study was to determine the need to promote technologies based on the experiences of female baby boomer students. Andragogy and constructivism provided the conceptual framework for this research. The research questions were devised to investigate female boomer students' collaborative experiences using smart devices and barriers to their adoption of technology. This phenomenological study included 8 participants from a Canadian university recruited through purposeful sampling. Per the Modified Stevick-Colaizzi-Keen method, data …

Inclusion Teachers' Attitudes And Practices Regarding Literacy Strategies, Lisa Christine Putt

Walden Dissertations and Doctoral Studies

Students with disabilities (SWDs) at a combined junior/senior high school in a Midwestern state have opportunities to participate in inclusive education settings. However, they consistently score below proficient on state standardized reading assessments, despite an increased focus on literacy by content area inclusion teachers. Without improved literacy skills, many SWDs will experience a decrease in standardized test scores and graduation rates, which, in turn, will affect access to a college education and better careers and livelihoods. The purpose of this bounded qualitative case study was to explore 7th and 8th grade content area inclusion teachers' attitudes toward and perceptions of …

Relationships Between Women's Glass Ceiling Beliefs, Career Advancement Satisfaction, And Quit Intention, Michelle Roman

Walden Dissertations and Doctoral Studies

Research on the glass ceiling shows that women may encounter obstacles in their pursuit of high-level management positions. The purpose of this quantitative study was to test the explanatory style theoretical framework by examining relationships between women's glass ceiling beliefs, career advancement satisfaction, and quit intention and to determine whether satisfaction with career advancement opportunities mediated the relationship between glass ceilings beliefs and quit intention. Data were collected from 179 working women in the public or private sector and women who exited the public or private sector job market within the past 5 years via Web-based surveys. Glass ceiling beliefs …

Stress Management Training, Gender, Level Of Stress, And Coping In Police Officers, Samantha Leigh Fields Salain

Walden Dissertations and Doctoral Studies

Stress has lasting and sometimes fatal effects on the law enforcement community, which can compromise the well-being of police officers. To date, there is little research on factors that influence the level of stress in police officers. The purpose of this quantitative, correlational study was to investigate the relationship of gender, used coping mechanisms, and levels of organizational and operational stress among police officers who have and have not received stress management training. Bandura's social learning theory and Lazarus and Folkman's theory of cognitive appraisal provided the theoretical foundation. Cross-sectional survey data from a convenience sample of 134 male and …

The Impact Of Socially Conscious Initiative Announcements On Coffee Company Stock Values, Glenn Thomas Smith

Walden Dissertations and Doctoral Studies

Stockholders invest billions of dollars in the purchase of new corporate coffee stock while producers of these commodities exist in poverty of developing nations. Corporate managers may miss the opportunities for offering humanitarian aid if potential stockholders do not know of corporate social change initiatives. Little research in the influence of socially conscious initiatives exists in the coffee sector and none concentrating on socially conscious initiative announcements. If a relationship exists between socially conscious initiative announcements and stock investments, then managers could justify funding social change initiatives. This quantitative study used a 5 day pre and post event study methodology …

Small Business Profitability Strategies During Retail Gentrification, Jalysa Smith

Walden Dissertations and Doctoral Studies

Small business owners can suffer fluctuations in profitability during the entrance of big box stores within their neighborhood that grab market share with more recognizable brands and change the retail environment. A multiple case study was completed to explore the strategies small business owners use to stay profitable during retail gentrification, looking specifically at the neighborhoods of Adams Morgan and Congress Heights in Washington, DC. Porter's five forces and the resource-based view served as the conceptual framework for the study. Seven small business owners with over 80 years of experience in their locations provided input through semistructured interviews and identified …

Exploring The Merging Of Two Divergent Behavioral Support Systems In Juvenile Justice, Linda Susan Spaulding

Walden Dissertations and Doctoral Studies

In 2016, over 47,000 youths in the state of Florida were served by the Department of Juvenile Justice (DJJ) probation services. While on probation, these youths were exposed to 2 different, and potentially conflicting disciplinary management systems. Youth are under the authority of juvenile probation officers (JPOs), who are bound to a consequence-based management approach. This approach is guided by negative reinforcement. The youths are simultaneously engaged with staff from diversion programs, many of which are strengths-based and guided by positive reinforcement. According to the ecosystemic complexity theory of conflict, exposure to incongruent systems can have negative effects such as …

Improving Bespoke Software Quality: Strategies For Application And Enterprise Architects, Daniel Scott Wagner

Walden Dissertations and Doctoral Studies

Despite over 50 years of software engineering as a formal practice, contemporary developers of bespoke software follow development practices that result in low-quality products with high development and maintenance costs. This qualitative case study sought to identify strategies used by software and enterprise architects for applying architectural best practices to improve bespoke software quality and lower the total cost of ownership. The study population was application and enterprise architects associated with delivering bespoke software for the enterprise architecture team at a large enterprise in the Nashville, Tennessee metropolitan area. Interview data were collected from 7 enterprise or solution architects; in …

Relationship Between Student Characteristics And Attrition Among Associate Degree Nursing Students, Wendy Elizabeth Watson

Walden Dissertations and Doctoral Studies

High nursing student attrition has been a pervasive problem in the nursing program at the research site of this study. The purpose of this project study was to investigate the relationship between attrition and nursing student characteristics, including age, gender, ethnicity, English as Second Language (ESL) background, licensed practical nurse (LPN) licensure, grade point average (GPA), the number of preadmission college credits, and the Test of Essential Academic Skills (TEAS) scores. This correlational study of archival data was guided by Jeffreys's nursing undergraduate retention and success model and included a convenience sample of 240 students admitted to the program between …

Strategies Using The Affordable Care Act With Small Businesses In Northeastern Ohio, Donald White

Walden Dissertations and Doctoral Studies

Small business owners with 50 to 100 employees in the physical and mental health care industry face a primary challenge of implementing health insurance under the Patient Protection and Affordable Care Act (ACA) while sustaining their business. The purpose of this multiple case study was to explore the strategies small business owners use to provide health insurance coverage under the ACA and sustained business operations. Semistructured interviews took place in Northeastern Ohio with 3 business owners in the physical and mental health care industry to acquire health care without increasing service cost. The conceptual framework for this study was strategic …