Digital Commons Network^™

Perceptions, Beliefs, And Behaviors Toward Breast Cancer Screening Of Filipino Women In Saudi Arabia, Cherry Rose Aguilar Fronda

Walden Dissertations and Doctoral Studies

Despite the existence of breast cancer screening that could promote early diagnosis and survival of breast cancer, high mortality rates of breast cancer persist among Filipino women. The purpose of the qualitative study was to describe the perceptions, beliefs, and behaviors of Filipino women working as Overseas Filipino Workers (OFWs) in Saudi Arabia. Face-to-face interviews were conducted with 20 Filipino women between the ages of 40 to 60 years who were recruited voluntarily using purposeful sampling technique. Guided by the structures of health belief model (HBM), the study used an inductive coding technique to elicit common themes from the raw …

Assessing The Implementation Of Internal Branding Training In The Hotel Industry, Peter Juskiw

Walden Dissertations and Doctoral Studies

Internal branding (IB) evolved from marketing to engage employees in a company's strategic planning. IB has been studied extensively in the hospitality industry, but not with human resource (HR) departments. The purpose of this phenomenological study was to assess the effectiveness of corporate training designs in instilling IB corporate values in global employees of a multinational hotel chain to determine whether European core values could be transferred across different cultural backgrounds. Structured interviews on IB were conducted with 22 HR practitioners of a luxury hotel chain to capture essential information through the lived experiences of the participants, all of whom …

Composite Risk Behaviors That Enhance The Transmission Of Malaria In Pregnancy, John Olusegun Dada

Walden Dissertations and Doctoral Studies

Malaria causes high morbidity and mortality, especially among the most vulnerable populations, including pregnant women. Malaria in pregnancy (MiP) can be prevented by compliance with the 3 core measures: sleeping under insecticide-treated nets (ITNs), 3 doses of sulfadoxine-pyrimethamine as intermittent preventive treatment (IPTp-SP), and effective case management of malaria and anemia. The purpose of this cross-sectional household survey was to examine the composite risk behaviors that enhance the transmission of MiP. Stratified and multistage sampling methods were used to select a sample of 300 pregnant women in Abuja, Nigeria. Bivariate and multivariate analysis were conducted. According to study findings, participants' …

Strategies For Retaining Employees For Call Centers, Kimberly M. Combs

Walden Dissertations and Doctoral Studies

Voluntary employee turnover has several adverse consequences for call center managers, including lowered productivity and decreased profitability. The purpose of this descriptive multiple case study was to explore strategies used to reduced voluntary employee turnover among 2 call center managers in the southern United States. These managers had been recommended by the human resource directors of the organizations because of their implementation of strategies to reduce voluntary employee turnover. The conceptual framework for this study was Herzberg's motivation-hygiene theory. Data were collected from semistructured face-to-face interviews and employee handbooks. The data analysis consisted of compiling the data, disassembling the data …

Recidivism Rates Among Juveniles With Mental Illness, Kia Chevon Russell

Walden Dissertations and Doctoral Studies

Treating mental illness is imperative to help reduce criminal justice involvement within the juvenile population. Receiving mental health care will help decrease the likelihood for youth to reoffend, ultimately reducing recidivism rates. Past studies showed there are risk factors associated with juveniles and recidivism; however, very few studies have examined what factors are prevalent after services have been received. The purpose of this study was to identify factors that increase the risk of recidivism among juveniles who have received psychiatric stabilization in Harris County, Texas. Risk factors that were assessed included age, gender, ethnicity, and criminal offense. The psychodynamic perspective …

Effect Of Response To Intervention On Developmental Education Students' Persistence, Retention, And Completion, Cheryl Garayta

Walden Dissertations and Doctoral Studies

In 2012, national rates of degree or certificate completion for students beginning college in developmental education courses were 35%. At a Midwestern state community college completion rates were even lower, with only 27% of developmental reading/writing (DRW) students completing their program. Therefore, the purpose of this causal- comparative study was to compare success rates for DRW students beginning college in a multileveled (MLI) program and in a response to intervention (RtI) based program. The MLI program was grounded in a scaffolded learning framework, and the RtI program was grounded in a transformative learning framework. Four research questions were posited to …

Proactive It Incident Prevention: Using Data Analytics To Reduce Service Interruptions, Mark G. Malley

Walden Dissertations and Doctoral Studies

The cost of resolving user requests for IT assistance rises annually. Researchers have demonstrated that data warehouse analytic techniques can improve service, but they have not established the benefit of using global organizational data to reduce reported IT incidents. The purpose of this quantitative, quasi-experimental study was to examine the extent to which IT staff use of organizational knowledge generated from data warehouse analytical measures reduces the number of IT incidents over a 30-day period, as reported by global users of IT within an international pharmaceutical company headquartered in Germany. Organizational learning theory was used to approach the theorized relationship …

Assessing Nurses' Demographic Cardiovascular Risk Factors And Pharmacogenetic Testing Knowledge And Acceptance, Stella Chibuzor Ohanuka

Walden Dissertations and Doctoral Studies

The lack of knowledge of pharmacogenetic testing for cardiovascular disease (CVD), coupled with their increased risk for CVD, may impair nurses' cognitions and attitudes toward pharmacogenetic testing for CVD. The purpose of this quantitative cross-sectional correlational study, conducted with 230 RNs without CVD who worked in acute-care settings in Georgia, was to determine if their years of education, years of experience, and gender significantly influenced their perceived risk for CVD (Questions 1-3) and their perceived knowledge of pharmacogenetic testing for CVD (Questions 4-6), and if their perceived risk for CVD significantly influenced their acceptance of pharmacogenetic testing for CVD (Question …

Improving The Quality Of Nursing Documentation In Home Health Care Setting, Chidiadi Obioma

Walden Dissertations and Doctoral Studies

Poor nursing documentation of patient care was identified in daily nurse visit notes in a health care setting. This problem affects effective communication of patient status with other clinicians, thereby jeopardizing clinical decision-making. The purpose of this evidence-based project was to determine the impact of a retraining program on the quality of documentation of patient care in nurses' notes in a home health agency in central Texas. A retrospective audit of quality of nursing documentation using the Nurse and Midwifery Content Audit Tool (NMCAT) was done. A pre- and posttest design was used. A convenience sample of de-identified nurses' notes …

Exploring The Employability Of African-American Male Ex-Offenders In Local Government, Chandra Latrelle Porter

Walden Dissertations and Doctoral Studies

The public sector is the largest employer that requires a background check. When African-American male ex-offenders return to their communities, they are often unable to find work in local government because of their criminal record. The central research question for this phenomenological study explored the lived experiences of African-American male ex-offenders regarding their employability in the local government sector. Guided by Sampson and Laub's life course perspective theory, a purposeful sample of 5 African-American male ex-offenders who applied for work or who currently work for local government entities in the state of Georgia was selected for this study. A three-interview …

The Influence Of Cardiovascular Disease Risk Factors On Exercise Participation, Chadrick Cooper

Walden Dissertations and Doctoral Studies

The study's purpose was to analyze whether the control (sustained healthy level) of independent cardiovascular disease risk factors could be used to significantly predict aerobic exercise status. The health belief and ecological model helped describe health awareness, autonomy, and ecological influences that could also influence the control of each risk factor. Multiple logistic regression analysis of behaviors and demographics was utilized to assess relationships of met aerobic recommendations to hypertension, diabetes, obesity, tobacco/alcohol use, diet, physical activity limitations, mood, and socio-economic status. The study consisted of 340 African American participants (37% male 63% female), between the ages of 30-64 who, …

Rapport Development And Native Language Use Between U.S. Advisors And Afghan Counterparts, Sean Ryan Ryan

Walden Dissertations and Doctoral Studies

Advisory activities form a central element of the U.S. National Security Strategy to mitigate the need for employment of large military formations. The commitment of large U.S. combat formations has resulted in more than 6,000 fatalities since September 11, 2001; poor relationship skills were cited as contributing factors in 51 or more fratricide-murders of U.S. soldiers by Afghan compatriots in 2012. Informed by social exchange theory, servant leadership theory, and role theory, the Army conceptual rapport framework provided a lens for this phenomenological symbolic interactionism study of rapport between Afghan counterparts and U.S. advisors. Participants included 15 English-speaking Afghan soldiers, …

Resisting Democratic Transition Through Terrorism: A Case Study Of Post Saddam-Hussein Iraq, Kellie Rourke

Walden Dissertations and Doctoral Studies

Democracy building operations in foreign nations in Iraq and Afghanistan have been met with resistance and at great cost in terms of dollars and lives. Reducing these costs requires understanding why individuals choose to resist the transition to democracy, yet current research in the field does not address the issues of a previously nonviolent population turning to terrorism to resist transition to democracy. The purpose of this single case study was to use rational choice theory and Crenshaw's 3 levels of causation to understand what factors influenced members of the Sunni sect to resist democratic transition following the 2003 invasion …

Human Resource Strategies For Improving Organizational Performance To Reduce Medical Errors, Dr. Mary Ellen Taylor-Hyde

Walden Dissertations and Doctoral Studies

Preventable medical errors are the third leading cause of death in the United States. Healthcare leaders must consistently promote the delivery of quality and safe care of patients to reduce unnecessary errors and prevent harm. The purpose of this case study was to explore human resource strategies for improving organizational performance to reduce medical errors. The study included face-to-face interviews with 5 healthcare clinical managers who work within a multifaceted health system in the Midwestern region of the United States. Complex adaptive systems theory was used to frame this study. Interview notes, publicly available documents, and audio recordings were transcribed …

Strategies To Improve Productivity Of A Multigenerational Workforce, Grace Elizabeth Beasley

Walden Dissertations and Doctoral Studies

The U.S. Bureau of Labor Statistics reports that millennials will soon represent 46% of the workforce. The anticipated changes in the workforce are of great concern to business leaders who may manage individuals from different generations. The purpose of this multiple case study was to explore the strategies that administrative leaders in an advisory group of community-based organizations and educational institutions used to improve the productivity of a multigenerational workforce. The conceptual frameworks that grounded this study were the social constructivist perspective and generational theory. Data were collected from semistructured interviews to elicit narratives from 6 administrative leaders from 6 …

Budget Planning, Budget Control, Business Age, And Financial Performance In Small Businesses, Tracy A. Foster

Walden Dissertations and Doctoral Studies

Over 390,000 businesses failed in the United States in 2014. The primary cause for most business failures is poor planning, and budgets are a primary means of planning. The purpose of this correlational study was to examine to what extent, if any, budget planning, budget control, and the age of the business significantly predict financial performance in small businesses. The target population consisted of small business leaders in the Midwest. Churchill and Lewis's theory on the relative importance of selected management factors of small businesses through 5 stages of development formed the theoretical framework for this study. Data were collected …

The Needs Of Custodial Grandparents In Helping Their Grandchildren Experience School Success, Rex Sawyer Ward

Walden Dissertations and Doctoral Studies

At a local middle school, twice as many students were being reared by their grandparents than in each of the other 3 schools in the study district. Most of these students were experiencing academic and social issues; increased understanding of the issue was needed to address these problems. Using a phenomenological approach, this project study explored the lived experiences of grandparents of skipped-generation households and school employees who interact daily with skipped-generation households. Epstein's theory of parental involvement undergirded this study, and semistructured interviews were used to gather data from 15 grandparents and 15 school employees. Interviews were transcribed, open …

Motives Why Employees At Fort Mcpherson Accepted Or Rejected Their Relocation, Tashan Renea Whitsett

Walden Dissertations and Doctoral Studies

Base closures and relocations reduce costs to the Department of Defense but necessitate the relocation of personnel, organizations, and functions. When Fort McPherson closed, Fort Bragg received the organization's personnel and equipment. The problem in this study was the lack of knowledge and understanding within the U.S. military, especially among civil service and contractor employees affected by realignments and closures, regarding (a) the decision process to accept or reject offers to relocate, (b) the potential health effects related to relocating, and (c) the effect that personnel relocations and losses have on the military mission. This study is essential because no …

Program Evaluation Of Patient Safety And Risk Mitigation Educational Interventions For Medical Errors In Primary Care Settings By Patricia Rose Gould, Patricia Rose Gould

Walden Dissertations and Doctoral Studies

The Institute of Medicine reported in 2016 that medical errors are the 3rd leading cause of death in the United States. In the primary care setting, frequency and severity are unknown. Medical error research is limited related to evaluation of interventions conducted by medical professional liability (MPL) companies of risk mitigation strategies. The purpose of this program evaluation was to determine the impact of multifaceted patient safety and risk mitigation educational interventions conducted in primary care settings on patient safety, reporting, and liability. The program evaluation employed a retrospective secondary analysis of actuarial data from a MPL carrier's educational interventions …

Tariffs Eliminations And Exchange Rate Fluctuations Relationships To Trade Elasticity, Folly Kuevey Kuevey

Walden Dissertations and Doctoral Studies

The enactment of the North America Free Trade Agreement (NAFTA) was intended to reduce tariffs on most goods by 2008 among Canada, the United States, and Mexico, and to create the largest regional market outside the European Union. Early research conducted to investigate the relationships between tariffs elimination and trade volume focused mainly on macrolevel effects with mixed results, without acknowledging the possible influence from exchange rate fluctuations. After 20 years, NAFTA has provided the opportunity to observe a significant reduction in tariffs between 1994 and 2013. Skepticism regarding the relationship between trade liberalization and the regional economy, and the …

Serum Iron Concentration And Prostate Cancer In The United States, Aleeshaia Danner Raymonvil

Walden Dissertations and Doctoral Studies

Over 2 million adult men in the United States have been diagnosed with prostate cancer, with nearly 200,000 new diagnoses each year. This type of cancer is the leading cause of mortality in U.S. men. One possible risk factor for prostate cancer is a high level of iron in the body, but the association has yet to be confirmed. This study was an investigation of the relationship between serum iron concentration and prostate cancer using data obtained from the 2009-2012 National Health and Nutrition Examination Surveys. This quantitative study involved 1,850 men in the U.S. aged 51 to 70 years. …

Using Administrative Healthcare Records To Identify Determinants Of Amputee Residuum Outcomes, Judith Gail Walden

Walden Dissertations and Doctoral Studies

In the United States, the number of major limb amputees is predicted to exceed several million in the coming decades. For those amputees using a prosthesis, their quality of life (QoL) is often modulated by residuum limb problems resultant from its use. Multiple factors preclude quality evidence-based medicine (EBM) research in the field of prosthetics, leading to greater health risk from prosthetic prescription ambiguity. Positive social change is integral to good QoL; studies support administrative healthcare (AHc) as useful to support such, especially in the absence of EBM. This study utilized Veterans Healthcare Administration (VHA) AHc data to discriminate determinants …

Diversifying Funds To Enhance Financial Sustainability Of A County Library System, Francis Adetokunboh Adebola-Wilson

Walden Dissertations and Doctoral Studies

Existing research has focused on the financial challenges affecting public libraries and how to improve library efficiency and funding. However, it is unknown how financial diversification could improve the economic fortunes of public libraries. The purpose of this study was to illuminate the unique structural, legal, and operational dynamics associated with adopting a financial diversification strategy in the Clayton County Library System (CCLS), Georgia, and to explore what would support or hinder the implementation of such a strategy. Using modern portfolio theory, the research explored how the CCLS could diversify its funding sources. A qualitative single-case study was conducted to …

Organizational Strategies For Developing New Stem Talent, Keri Allen

Walden Dissertations and Doctoral Studies

U.S. business leaders are experiencing a deficiency within STEM skill sets in newly hired employees, resulting in challenges to business sustainability. The purpose of this case study was to identify strategies used to develop new STEM employees for business sustainability. Participants included 5 IT business leaders who had experience developing new STEM employees in a technology organization in New York. The 3-part theory of knowledge management, knowledge creation, and knowledge transfer was the conceptual framework for this study. Data collection included face-to-face interviews and analyses of company training plans, videos, and internal websites. Methodological triangulation of the analysis technique included …

Management Strategies And Intervention Program Readiness For Paroled Offenders And Ex-Offenders, Sylvia Jean Bell

Walden Dissertations and Doctoral Studies

Paroled offenders and ex-offenders' retention and completion for 3 small-sized prisoner-

release intervention programs in Columbus, Ohio, continue to decline. Prisoner-release

intervention programs aid paroled offenders and ex-offenders with societal reentry.

Influenced by the conceptual framework of the social control theory, this exploratory

multiple case study was designed to contribute to the common understanding of the

paroled offenders and ex-offenders' retention and completion in the small-sized prisoner

release intervention programs. The 18 participants included stakeholders from the

criminal justice system, prisoner-release intervention programs, community advocacy

organizations, and drug and alcohol rehabilitation centers. Analysis of data collected

from interviews and telephone …

Attitudes And Perceptions Of Middle School Students Toward Cooperative Activities In Physical Education, Damian Canny

Walden Dissertations and Doctoral Studies

Physical education (PE) is recognized by public health officials as a medium capable of addressing various health-related behaviors, and middle school students perceptions and attitudes toward a cooperative PE curriculum have yet to be identified. This study sought to determine the perceptions and attitudes 10 middle school students have toward cooperative activities in PE class with the notion that the results would benefit both teachers and researchers. Two theories were used to guide this study: Bandura's social cognitive theory, and Harter's competence motivation theory. The research questions focused on identifying the attitudes and perceptions middle school students have toward cooperative …

Relationship Between Loan Product, Loan Amount, And Foreclosure After The Subprime Lending Crisis, Vonetta Allen

Walden Dissertations and Doctoral Studies

Following the collapse of property values and an increasing rate of default on high-risk mortgages, the United States experienced a subprime lending crisis that led to massive financial losses for holders of mortgage-backed securities. The purpose of this correlational study was to examine if loan product and loan amount predict the likelihood of loan foreclosure. The theoretical framework grounding the study was Minsky's financial instability hypothesis, which describes the basis of capitalism as economic expansionism followed by financial crises. The population consisted of 473 loan cases from archival data of the Atlanta Sixth Federal Reserve District in Georgia. The method …

Hospice Social Workers' Roles And Responsibilities Within Interdisciplinary Hospice, Amy Marie Coffell

Walden Dissertations and Doctoral Studies

The role of the hospice social worker is unclear and misunderstood by interdisciplinary team members due to role blurring, communication challenges, and poor collaboration efforts. This is important because these actions may result in decreased quality of patient care and decreased quality of life for the clinical hospice social workers. The purpose of this action research project was to explore communication, role blurring, professional activities and abilities, and cohesive goals among hospice clinical social workers. The theoretical foundation for this research was the model of interdisciplinary collaboration (MIC) which was used to describe both the concepts of interdisciplinary collaboration and …

Reducing Risks From Workplace Discrimination, Shannon B. Creighton

Walden Dissertations and Doctoral Studies

In 2014, the Equal Employment Opportunity Commission reported multiple claims of workplace discrimination in the United States; the claims resulted in costly settlements. The purpose of this qualitative, multiple-case study—which used the theory of enterprise risk management as the conceptual framework—was to explore how 4 human resource managers in small-to-medium sized enterprises in the southeastern region of the United States successfully implemented proactive strategies to reduce the financial and legal risk resulting from workplace discrimination. Using Yin’s 5 steps of data analysis along with triangulation of findings from the semistructured interviews, company documents, and websites, the following 4 themes were …

Strategies For Reducing Voluntary Employee Turnover, Xiomara Dejesus

Walden Dissertations and Doctoral Studies

The high costs associated with turnover and the loss of skilled employees have a significant adverse effect on organizational performance. The loss of one skilled worker can cost 25-500% of an employee's salary with respect to replacement, training, and productivity. The purpose of this descriptive multiple case study was to explore strategies for frontline managers and human resource managers to reduce voluntary employee turnover. The sample consisted of 5 frontline supervisors and 6 human resource leaders with successful experience designing and implementing strategies to reduce voluntary employee turnover in 8 organizations in Orange County, Florida. The conceptual framework for this …