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Articles 6151 - 6180 of 7907
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The Role Of Inflammatory Biological Markers In Novel Pharmacotherapies For Populations With Depression, Stacey Boyer
The Role Of Inflammatory Biological Markers In Novel Pharmacotherapies For Populations With Depression, Stacey Boyer
Walden Dissertations and Doctoral Studies
Current interventional pharmaceutical therapies targeted for depression are not adequate to achieve sufficient remission following treatment. Researchers explored inflammatory biomarkers as a way of understanding why treatment for depression is effective for some and not others. The purpose of this secondary data analysis study was to determine if there was a relationship between inflammatory biomarkers and treatment efficacy in persons diagnosed with depression who have demonstrated a previous lack of remission. Using the immune-cytokine paradigm of depression (POD) allowed depression to be viewed as multifaceted and a potential signal of chronic immune system activation. This secondary data analysis included findings …
Leadership Strategies For Maintaining Profitability In A Volatile Crude Oil Market, Lucky Anderson Braimoh
Leadership Strategies For Maintaining Profitability In A Volatile Crude Oil Market, Lucky Anderson Braimoh
Walden Dissertations and Doctoral Studies
Volatile crude oil prices significantly affect the profitability of crude oil firms. The purpose of this single case study was to explore strategies some crude oil and gas business leaders used to remain profitable during periods of crude oil price volatility. The target population comprised 8 crude oil and gas business leaders located in Calgary, Canada, whose company remained profitable despite crude oil price volatility. The transformational leadership theory formed the conceptual framework for the study. Data were collected through the use of semistructured face-to-face interviews, company reports, and field notes. Data analysis involved a modified Van Kamm method, which …
The Lived Experiences Of Men Attracted To Minors And Their Therapy-Seeking Behaviors, Heather Cacciatori
The Lived Experiences Of Men Attracted To Minors And Their Therapy-Seeking Behaviors, Heather Cacciatori
Walden Dissertations and Doctoral Studies
This study explored the lived experiences of men attracted to minors who believed they would benefit from therapy but did not seek out or attend therapeutic services; and sought to gain an understanding of how the decision to seek help or not impacted their well-being. Participants included 7 men who were recruited through the B4U-ACT online forum, which provides peer support for the minor attracted community. Participants were interviewed over Skype. Data from these interviews was analyzed and coded according to the interpretative phenomenological method as outlined by Smith et al. (2012). Five main themes emerged, providing insight as to …
Exploration Of Nurses' Experiences Transitioning To A Team-Nursing Model Of Care, Melissa E. Pestill
Exploration Of Nurses' Experiences Transitioning To A Team-Nursing Model Of Care, Melissa E. Pestill
Walden Dissertations and Doctoral Studies
In response to the needs of patients, coupled with nursing workforce predictions and the pressure of cost containment, a shift to a new team nursing model of care has been seen in Canada and Australia. Today's patients require multiple resources, nurses with additional skillsets and vast amounts of experience during their hospital stays, and a team of nurses can meet these needs. This project explored the experiences and perspectives of nurses during the implementation of a team nursing model of care on a 32-bed, inpatient, cardiology floor in southern Ontario. The purposes of this project were to conduct a formative …
The Lived Experience Of In-Center Hemodialysis Patients Receiving Treatment In Dekalb County, Georgia, Stacey Deniese Cooper
The Lived Experience Of In-Center Hemodialysis Patients Receiving Treatment In Dekalb County, Georgia, Stacey Deniese Cooper
Walden Dissertations and Doctoral Studies
Chronic kidney disease (CKD) is preventable and reversible in the early stages with upstream strategies; however, the number of individuals diagnosed with end-stage renal disease (ESRD) is increasing annually. Although researchers have documented the physiological and psychological stressors associated with hemodialysis (HD), little is known about the effects of in-center HD on the recipients in DeKalb County, Georgia. This study described the experiences of 10 African American HD patients who dialyze in DeKalb County. Using a phenomenological approach, the interviews were transcribed and then analyzed for significant quotes and recurrent themes relevant to receiving HD in DeKalb County. The health …
Ptsd With Substance Use Disorders Female Versus Male Veterans: An Archival Study, Geri Cribbs
Ptsd With Substance Use Disorders Female Versus Male Veterans: An Archival Study, Geri Cribbs
Walden Dissertations and Doctoral Studies
The present study examined men and women veterans diagnosed with posttraumatic stress disorder (PTSD) and substance use disorder (SUD). Women in the general public have been found to be at greater risk for a diagnosis of PTSD with life-long symptoms. Current literature involving military men and women veterans is at odds over which gender is more likely to have both PTSD and SUD. This study assessed the variables of gender and diagnosis. It also studied whether the age of female veterans affects their likelihood of having both PTSD and SUD. Archival data were gathered from the Veterans Administration (VA) for …
Defense And Prosecuting Attorney Perceptions Of Facility Dogs In The Courtroom, Kristy Melissa Donaldson
Defense And Prosecuting Attorney Perceptions Of Facility Dogs In The Courtroom, Kristy Melissa Donaldson
Walden Dissertations and Doctoral Studies
Attorneys must obtain evidence for purporting their position on a court case. Many factors are considered when working with witness testimony such as age, development, narrative recall, and retraumatization. Research has detailed the hardship of obtaining evidence during witness testimony and the importance of support systems to help with the process. Existing research illustrates the stressors caused by the court processes, witness fear, and difficulty for attorneys to ascertain testimony. Therapeutic animals have been well researched and shown to have an important support role in many professions and situations. Additionally, much has been written regarding the use of varying types …
Static-99, Mnsost-R, And Pcl-R In Predicting Recidivism Among Texas' Sexual Violent Predators, Diana Jefferson Jefferson
Static-99, Mnsost-R, And Pcl-R In Predicting Recidivism Among Texas' Sexual Violent Predators, Diana Jefferson Jefferson
Walden Dissertations and Doctoral Studies
Recidivism within the sexually violent predator (SVP) population has gained worldwide attention because of the lack of protection offered to the victims that may lead to loss of life. Behavioral theory suggests that accuracy of predictive behaviors based on empirical judgement is more reliable than that based on clinical judgement. The purpose of this research was to see whether three actuarial assessment tools, Static-99, PCL-R, and MnSOST-R, could predict recidivism and whether the combination of the three-increased predictive value in the Texas SVP population. As yet, the literature provides no evidence. The Texas Open Record System provided assessment scores and …
The Effects Of Leveled Literacy Intervention For Students In The Rti Process, Lisa Taylor
The Effects Of Leveled Literacy Intervention For Students In The Rti Process, Lisa Taylor
Walden Dissertations and Doctoral Studies
Low reading skills constitute a serious achievement problem. Although there are remedial support in schools, between 2% and 6% of the student population continues to show persistent reading difficulties despite intensive intervention. The research problem in this study addressed the lack of effective reading interventions for students who were in Tier III of the Response to Intervention (RtI) process. Piaget's cognitive development theory, constructivism, and Vygotsky's zone of proximal development theory made up the theoretical framework. The purpose of this quantitative study was to determine the effects of Fountas and Pinnell's Leveled Literacy Intervention (LLI) on reading achievement of students …
Professionals' Perspective On Mental Health Courts, Martha M. Amos
Professionals' Perspective On Mental Health Courts, Martha M. Amos
Walden Dissertations and Doctoral Studies
In recent years, the percentage of incarcerated individuals with mental illness has dramatically increased. It is very hard to provide treatment and care for these defendants in jails or prisons. Currently, there are more mentally ill individuals incarcerated than in psychiatric hospitals. Furthermore, as budget cuts are being decided, urban and rural communities in America are looking at ways to help the mentally ill by initiating a mental health court (MHC) or continuing to fund an already existing MHC. Guided by the therapeutic jurisprudence theory, the purpose of this study was to elicit the opinions from MHC professionals regarding the …
An Integrated Approach To Malaria Prevention And Control In Rural Cameroon, Naomi Chuiwo Azunie
An Integrated Approach To Malaria Prevention And Control In Rural Cameroon, Naomi Chuiwo Azunie
Walden Dissertations and Doctoral Studies
Malaria is a life-threatening parasitic disease spread to humans through bites of an infected mosquito. In rural Cameroon, malaria is one of the major causes of morbidity and mortality. Several studies have examined the use of various malaria preventive tools; however, there is insufficient literature available on use of an integrated approach to prevent and control malaria in rural Cameroon. The aim of this study was to provide information necessary for bridging the gap in understanding the proper use of insecticide treated nets (ITNs) and antimalarial drugs and the roles of education and socioeconomic status in malaria prevention and control …
Strategies For Recruiting Cybersecurity Professionals In The Financial Service Industry, Iva Walters
Strategies For Recruiting Cybersecurity Professionals In The Financial Service Industry, Iva Walters
Walden Dissertations and Doctoral Studies
The cybersecurity market is the fastest growing market in the United States; as such, leaders in financial institutions recognize their businesses are vulnerable, as money is accessible within computerized banking systems. The purpose of this multiple case study was to explore what strategies financial service leaders- use to recruit cybersecurity professionals. The conceptual framework for this study was the hierarchy of needs and stakeholder management theory. Data collection involved company archival documents and semistructured, open-ended interviews with 5 financial service leaders in the Midlands area of South Carolina who recruited skilled cybersecurity professionals to support long-term business sustainability. Coding, clustering, …
Development Of A Transformational, Relationship-Based Charge Nurse Program, Kimetha D. Broussard
Development Of A Transformational, Relationship-Based Charge Nurse Program, Kimetha D. Broussard
Walden Dissertations and Doctoral Studies
Leaders of a rural Southwest Oklahoma hospital requested the development of an evidence-based program that could transform unit charge nurses into effective leaders in order to improve the leadership of direct care nurses. Nursing executive leadership discovered staff members were demonstrating high levels of stress, dissatisfaction, and burnout. Press-Ganey survey results revealed that staff felt they were not supported and did not believe nurses cared for patients' or other co-workers' well-being or safety. The Hospital Consumer Assessment of Healthcare Providers and Systems outcome scores, which were below hospital and national desired benchmarks, revealed that patients were not satisfied with the …
The Effect Of Risk Factors On Recidivism Among Juveniles From The Perspectives Of Juvenile Justice Professionals, Diana R. Clarke
The Effect Of Risk Factors On Recidivism Among Juveniles From The Perspectives Of Juvenile Justice Professionals, Diana R. Clarke
Walden Dissertations and Doctoral Studies
Within the Florida Department of Juvenile Justice system, juvenile delinquency referrals have decreased, yet at the same time, juvenile recidivism rates continue to challenge policy makers. Using Hirschi's social learning theory as the foundation, the purpose of this descriptive phenomenological study was to examine the perceptions of juvenile justice professionals about their experiences with youthful offenders in order to determine the causes of juvenile recidivism. Data came from in-depth interviews with 9 participants including state attorneys, judges, and mental health counselors from within the central region of the state of Florida. Data were analyzed and coded using Colaizzi's method. Two …
Strategic Alignment Of Information Technology Projects And Project Success, Joan Barnes
Strategic Alignment Of Information Technology Projects And Project Success, Joan Barnes
Walden Dissertations and Doctoral Studies
Alignment of information technology (IT) projects remains a concern for business executives and negatively impacts IT investments through failed projects. Drawing from the theory of systems thinking and the concept of holism, the purpose of this correlational study was to provide executive leaders with information about influences associated with the independent variables of project alignment and performance outputs, and the dependent variable, project success rates. Accordingly, the research question addressed the relationship between the 2-predictor variables and the outcome variable. Data collection involved a nonprobability, purposive sample of 49 credentialed project managers from Arizona who completed an online survey. Results …
Walkability Assessment To Reduce Childhood Obesity In Wilson County Kansas, Nancy Lee Carpenter
Walkability Assessment To Reduce Childhood Obesity In Wilson County Kansas, Nancy Lee Carpenter
Walden Dissertations and Doctoral Studies
Promoting physical exercise is necessary to combat childhood obesity. Walking to school is an encouraged physical activity, but the feasibility of walking to school depends on the walkability of the environment. During the last 40 years, the number of U.S. schoolchildren who walk to school has declined. The purpose of this evidence-based practice project was to perform a walkability assessment of the 2 largest communities in Wilson County Kansas to identify and address walkability issues. Frameworks for this practice initiative were social cognitive theory and the Health Promotion model. Questions for the project addressed whether sidewalks along the main pedestrian …
Analytic Tradecraft In The U.S. Intelligence Community, John Joseph Borek
Analytic Tradecraft In The U.S. Intelligence Community, John Joseph Borek
Walden Dissertations and Doctoral Studies
The Intelligence Reform and Terrorism Prevention Act of 2004 addressed the belief that weak analytic tradecraft had been an underlying cause of intelligence failures in the U.S. by requiring the Director of National Intelligence to establish and enforce tradecraft standards throughout the U.S. intelligence community (IC). However, analytic tradecraft-the innate abilities and learned skills of intelligence analysts, combined with the tools and technology needed to conduct analysis-is an understudied and poorly understood concept and a decade later, the frequency of intelligence failures has not improved. Using actor-network theory (ANT) as the foundation, the purpose of this qualitative narrative study was …
Education Management Organizations' Collaborative Leadership Practices For Low-Performing Urban Charter Schools, Calvin C. Cupidore Jr.
Education Management Organizations' Collaborative Leadership Practices For Low-Performing Urban Charter Schools, Calvin C. Cupidore Jr.
Walden Dissertations and Doctoral Studies
Educators have regarded building leader-member relationships using collaboration as a fundamental component to successfully improve students' academic achievement. Ineffective collaborative leadership practices may lead to achievement deficits particularly for many urban charter schools operated by educational management organizations. The purpose of this case study was to explore collaborative leadership practices educational management organization leaders need to assist school principals in low-performing K-12 urban charter schools to improve academic achievement. Guided by Fiedler's contingency theory, this case study explored the successful collaborative leadership practices of educational management organization leaders and school principals in a midwestern urban charter school to improve academic …
Visually Impaired Individuals' Perspectives On Obtaining And Maintaining Employment, Nadine Donaldson
Visually Impaired Individuals' Perspectives On Obtaining And Maintaining Employment, Nadine Donaldson
Walden Dissertations and Doctoral Studies
The employment rate among people with visual impairment is very low compared to sighted individuals. Negative attitudes, stereotypes, and misconceptions are held against people with visual impairment by employers, family members, and the general public. The purpose of this transcendental phenomenological study was to explore the lived experiences of 10 people with visual impairment regarding challenges in obtaining and maintaining employment. A transcendental phenomenological conceptual framework was used to guide the study. Data from semistructured interviews were coded and categorized to identify themes. Results revealed 5 essential themes, which showed to be barriers to employment. The themes are: travel difficulties, …
How Women Experience And Respond To Singlism: Stereotyping And Discrimination Of Singles, Lisa Lynn Hancock
How Women Experience And Respond To Singlism: Stereotyping And Discrimination Of Singles, Lisa Lynn Hancock
Walden Dissertations and Doctoral Studies
Society views and treats women who are single differently than women who are not single. This practice of stereotyping and discrimination towards singles is called singlism. The purpose of this qualitative study was to use grounded theory methodology to explore and explain how women experience singlism and what explains how women experience singlism. Social constructionism, cognitive dissonance theory, and social identity theory were used as conceptual foundations in explaining how society constructs the status of single women, how single women are viewed and treated, and how single women manage their single social identity. The participants of the study included women …
Achieving Hospital Sustainability Through Strategies For Nursing Leader Succession Planning, Venecia Holmes
Achieving Hospital Sustainability Through Strategies For Nursing Leader Succession Planning, Venecia Holmes
Walden Dissertations and Doctoral Studies
Seventy percent of hospital leaders report a lack of succession planning practices as an organizational strategy to mitigate the risk of talent loss and for addressing nursing shortages. The purpose of this multiple case study was to explore succession planning strategies 6 hospital managers used to reduce the shortage of nurse leaders in 2 Hampton Roads, Virginia hospitals. The conceptual framework was Rothwell's succession planning model for understanding the succession planning strategies the hospital managers used to reduce the shortage of nurse leaders. After conducting semistructured interviews, and reviewing supporting hospitals' documents, techniques of compiling, disassembling, reassembling, interpreting, and concluding …
Examining Adolescent Student Photography And Related Processes To Inform Day Treatment School Curricula And Behavioral Interventions, Jason Edward Gorbel
Examining Adolescent Student Photography And Related Processes To Inform Day Treatment School Curricula And Behavioral Interventions, Jason Edward Gorbel
Walden Dissertations and Doctoral Studies
Adolescent students with psychiatric disorders who are educated in day treatment school classrooms manifest cognitive limitations, maladaptive behaviors, and social functioning deficits that often lead to academic failure, impeding their productivity when they become adults and causing them to run afoul of the criminal justice system. Informed by their students' interests and perspectives, day treatment schoolteachers can individualize existing curricular and behavioral interventions, or develop alternatives so that unwanted classroom behaviors decrease and academic performance improves. This qualitative case study used Roland Barthes' (1981, 1985) theory of semiotics as a conceptual framework for answering how an analysis of photographs taken …
The Policing Strategy Of Racial Profiling And Its Impact On African Americans, Derrick Paul Jones
The Policing Strategy Of Racial Profiling And Its Impact On African Americans, Derrick Paul Jones
Walden Dissertations and Doctoral Studies
Prior literature on racial profiling indicates that African Americans have been mistreated, harassed, and discriminated against by law enforcement because of this controversial policing strategy. The purpose of this qualitative research study was to bridge the gap in knowledge by analyzing the impact of racial profiling on African American adults and discover whether it contributed to unintentional violence in racial and ethnic minority communities. The theoretical framework for this research study was critical race theory. The research question for this study was: How does racial profiling impact African Americans' perception of the police? This phenomenological research study used purposeful sampling …
Decision-Making Strategies Of Venture Capitalists For Risky Startups, Antonio Wendill Mcclain
Decision-Making Strategies Of Venture Capitalists For Risky Startups, Antonio Wendill Mcclain
Walden Dissertations and Doctoral Studies
In 2014, venture capitalist (VC) investments were as high as $87 billion for startup companies. Furthermore, although more than 50% of venture-backed startups failed, return on investment came from only 10% of the investee companies. The high VC investment dollars and the low number of profitable VC-backed startups suggest challenges that VCs might experience in identifying profitable startups. Using a real options theory conceptual framework, the purpose of this multiple case study was to explore strategies VCs in the southeastern United States use to identify profitable startups. Data collection included observation and archival document reviews and involved semistructured interviews of …
Strategies And Processes For Implementing Financial Analysis For Business Success, Dawn Theona Alexander-Joseph
Strategies And Processes For Implementing Financial Analysis For Business Success, Dawn Theona Alexander-Joseph
Walden Dissertations and Doctoral Studies
The early failure of startup businesses is a concern for many local communities, including the Virgin Islands, with about half of startups failing within the first 5 years of their life cycle. Besides the social and economic impact on communities, these failures have a personal effect on small business owners. Grounded in decision-making theory and the theory of financial management, the purpose of this single case study was to explore strategies and processes Virgin Islands retail business managers use to implement financial analysis for decision making to help sustain their operations. Data were collected using company records and semistructured interviews …
The Effectiveness Of Individualized And Rehabilitative Therapies For Children In Foster Care, Alma Pozo-Breen
The Effectiveness Of Individualized And Rehabilitative Therapies For Children In Foster Care, Alma Pozo-Breen
Walden Dissertations and Doctoral Studies
Children placed in foster care face considerable stress and trauma related to being removed from their homes and subsequently living in a new environment. They may exhibit severe disruptive or antisocial behavior as a consequence. Clinicians and researchers often have not considered that these behaviors may be due to children's underdeveloped cognitive control and response. Treatment approaches that offer more holistic perspectives on stress and the inclusion of individual and specialized therapies may help foster children to better control their responses and return to their biological families sooner. The purpose of this study was to focus on whether individual therapy …
Sickle Cell Trait And Genetic Counseling, Tricia Salmon Anderson
Sickle Cell Trait And Genetic Counseling, Tricia Salmon Anderson
Walden Dissertations and Doctoral Studies
Sickle cell trait (SCT) is a very prevalent disorder in the United States, especially among African Americans or people of African descent. However, even with the prevalence of the disorder, there are no standardized guidelines for providing patients with information about SCT and the implications of the disorder at physicals and well-check visits. The purpose of this evidence-based project was to increase awareness for African American patients 18-44 years old in the practice setting about SCT and to provide options for testing and genetic counseling. Kotter's contemporary change theory was used as a guide to implement the new practice approach. …
Awareness And Understanding Of A College Active Shooter Crisis Plan, Christopher Brian Williams
Awareness And Understanding Of A College Active Shooter Crisis Plan, Christopher Brian Williams
Walden Dissertations and Doctoral Studies
Gun violence on college campuses has gained the attention of campus leaders, leading to an active shooter policy and procedure development and implementation. There was little awareness within the campus leadership of a college in the Southeast United States on the college's active shooter policy and procedures. Guided by Coomb's crisis management plan model, the purpose of this case study was to explore how information was provided to students, faculty, and staff regarding how to respond to an active shooter on campus. Purposeful sampling was used to identify 16 participants (6 students, 5 faculty, and 5 administrator/staff) who were interviewed …
Nursing Staff Responsiveness To Patients And Hourly Rounding, Lucretia Wilson Wilson
Nursing Staff Responsiveness To Patients And Hourly Rounding, Lucretia Wilson Wilson
Walden Dissertations and Doctoral Studies
The Center for Medicare/Medicaid Services reduced the hospital's reimbursement by $500,000 due to patient care linked to the poor outcomes of marginal fall rates and low patient satisfaction survey scores as measured by the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). The scores for fiscal years 2013 and 2014 for the medical-surgical unit fluctuated between 40-42.9%, without significant improvement, while the house-wide scores were 63.17%. To address the problem, a quality improvement project (QIP) was implemented. An evidence-based (EB) hourly rounding intervention was initiated following an education program for nursing staff (n=47) tailored to enrich patient communication. The …
An Evidence-Based Mentorship Program For Experienced Nurses, Roma Allen
An Evidence-Based Mentorship Program For Experienced Nurses, Roma Allen
Walden Dissertations and Doctoral Studies
Turnover of experienced nurses is a component of the nursing shortage, which has created a lack of expert nurses administering bedside care. The project site is a Chicago suburban hospital with an average first year turnover of experienced nurses at 35%. This rate is above the 27% first year turnover reported by the Metropolitan Chicago Healthcare Council. This project focused on development and evaluation of an evidence-based mentorship program supported by theory that can contribute to an increase in experienced nurse retention. A detailed literature review references causative factors of turnover, such as an increasing workload, a multigenerational and aging …