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Sustained Education Access For Homeless Youth: Case Study Of U.S. Transitional Living Programs, Heather Hall
Sustained Education Access For Homeless Youth: Case Study Of U.S. Transitional Living Programs, Heather Hall
Walden Dissertations and Doctoral Studies
Without interventions to address homelessness among youth, the risk of homelessness for future generations is great. As a result, the federal government has invested in funding Transitional Living Programs (TLPs), though it is not clear whether these programs have achieved the intended outcomes of helping youth transition from homelessness to being able to sustain employment and avoid poverty through access to educational and workforce programs. Using the broad conceptualization of democratic governance as the foundation, the purpose of this case study was to assess whether access to educational programs through TLPs benefitted homeless youth in terms of program success. Data …
Facial Emotional Perception, Psychosis, Antisocial Traits, And Violence In Schizophrenia, Clarita Villafranca Hipol Ligot
Facial Emotional Perception, Psychosis, Antisocial Traits, And Violence In Schizophrenia, Clarita Villafranca Hipol Ligot
Walden Dissertations and Doctoral Studies
Compromised social cognition, psychosis, and antisocial traits are associated with violence in individuals with schizophrenia. Facial emotional perception (FEP) has been used to measure social cognition in schizophrenia, but its relationships to psychosis, antisocial behavior, and violence have not been explored. Archival data from a sample of 38 participants ages 18-55 with schizophrenia were analyzed in a quasi-experimental design using a 2-way analysis of variance to determine the relationship of psychosis, antisocial traits, and FEP. The main factors of the analysis were psychosis, classified as either high or low, and antisocial traits, classified as high or low. The dependent variable …
Demographic Factors Associated With Consistent Hand Hygiene Adherence Among Icu Nurses, Sharon Lea Kurtz
Demographic Factors Associated With Consistent Hand Hygiene Adherence Among Icu Nurses, Sharon Lea Kurtz
Walden Dissertations and Doctoral Studies
Healthcare associated infections cause 75,000 to 80,000 deaths a year. Many are preventable with proper hand hygiene adherence (HHA). Worldwide, HHA range is between 40-60%, far below the 100% recommended. The purpose of this quantitative, cross-sectional, prospective study was to investigate any association between 15 demographic variables and HHA of ICU nurses. A convenience sample of 613 hand hygiene opportunities was collected by direct observation at each of 5ICUs (4 hospitals) in Texas for 8 consecutive hours each day for 3-5 days. The theoretical foundation guiding this study was the healthcare environment theory. The Statistical Package for Social Sciences software …
Return On Investment Of The Cftp Framework With And Without Risk Assessment, Anne Lim Lee
Return On Investment Of The Cftp Framework With And Without Risk Assessment, Anne Lim Lee
Walden Dissertations and Doctoral Studies
In recent years, numerous high tech companies have developed and used technology roadmaps when making their investment decisions. Jay Paap has proposed the Customer Focused Technology Planning (CFTP) framework to draw future technology roadmaps. However, the CFTP framework does not include risk assessment as a critical factor in decision making. The problem addressed in this quantitative study was that high tech companies are either losing money or getting a much smaller than expected return on investment when making technology investment decisions. The purpose of this research was to determine the relationship between returns on investment before and after adding risk …
Educating Nurses On Workflow Changes From Electronic Health Record Adoption, Rhoda Lynn Atienza San Jose
Educating Nurses On Workflow Changes From Electronic Health Record Adoption, Rhoda Lynn Atienza San Jose
Walden Dissertations and Doctoral Studies
Workflow issues related to adoption of the electronic health record (EHR) has led to unsafe workarounds, decreased productivity, inefficient clinical documentation and slow rates of EHR adoption. The problem addressed in this quality improvement project was nurses' lack of knowledge about workflow changes due to EHR adoption. The purpose of this project was to identify changes in workflow and to develop an educational module to communicate the changes. This project was guided by both the ADDIE model (analysis, design, development, implementation, and evaluation) and the diffusion of innovations theory. Five stages were involved: process mapping, cognitive walkthrough, eLearning module development, …
Students' Participation In An Alternative To Suspension Program, Yolanda Jordan Stovall
Students' Participation In An Alternative To Suspension Program, Yolanda Jordan Stovall
Walden Dissertations and Doctoral Studies
Black and Hispanic students in the United States are suspended at a higher rate and lag behind White students academically. This project study examined student achievement and behavior in an alternative to suspension (ATS) program at a Midwest U.S. high school. The purpose of this mixed methods, concurrent embedded strategy study was to determine if participation in the ATS program decreased disciplinary referrals and improved student performance. This study was guided by social control theory, which suggests that when students are disengaged in the school environment, student/teacher and peer relationships are damaged and students turn toward delinquent behavior. The study …
Active Shooter Event Severity, Media Reporting, Offender Age And Location, Philip Joshua Swift
Active Shooter Event Severity, Media Reporting, Offender Age And Location, Philip Joshua Swift
Walden Dissertations and Doctoral Studies
Following the 1999 Columbine High School shooting, it was hypothesized that offenders used knowledge gained from news media reports about previous events to plan mass shootings. Although researchers have studied active shooter events, little research has been conducted on the factors that influence an active shooter's decision and ability to carry out such events. The purpose of this study was to evaluate the relationship between the rate of news media reporting about an active shooter event and the casualty rate of the ensuing event in the United States. The bracketed time of this assessment was between April 20, 1999, and …
Development Of A Quality Improvement Initiative To Screen For Postpartum Depression, Renee Traube
Development Of A Quality Improvement Initiative To Screen For Postpartum Depression, Renee Traube
Walden Dissertations and Doctoral Studies
Postpartum depression (PPD) is a mood disorder affecting approximately 20% of women within 6 months of delivery. Untreated PPD diminishes a woman's functioning and may result in short and long-term consequences for her infant. Screening with evidence-based tools can identify prenatal and postpartum women at risk for PPD, ensure early treatment, and limit adverse maternal and infant effects. Using Rosswurm and Larrabee's evidence-based practice model, a multidisciplinary team of 7 key stakeholders, including directors and a nurse from the departments of OB/GYN, Pediatrics, and Primary Care, a psychiatrist specializing in women's health, and a member of nursing leadership, formed to …
Nursing Education On Caring For The Dying, Holley Tyler
Nursing Education On Caring For The Dying, Holley Tyler
Walden Dissertations and Doctoral Studies
Healthcare teams can implement care initiatives to promote a positive dying experience. However, there is a lack of knowledge related to how best to care for dying patients. Nurses do not receive extensive training in nursing school to care for patients at the end of life, yet most, at some point in their careers, experience the provision of this type of care. It is important to ensure that nurses caring for dying patients have been educated about end-of-life care. The purpose of the quality improvement project was to address the lack of end-of-life care education among critical care nurses in …
Frequent Fall Risk Assessment Reduces Fall Rates In Elderly Patients In Long-Term Care, Omokhele Rosemary Aliu
Frequent Fall Risk Assessment Reduces Fall Rates In Elderly Patients In Long-Term Care, Omokhele Rosemary Aliu
Walden Dissertations and Doctoral Studies
Falls are a serious issue for the elderly living in long-term care facilities, as falls contribute to signiï¬?cant health problems such as increased dependence, loss of autonomy, confusion, immobilization, depression, restriction in daily activities, and, in some cases, death. An estimated 424,000 fatal falls in elderly patients residing in long-term facilities occur annually in the United States costing $34 billion in direct medical costs. One way to reduce falls among elderly patients in long-term care is to assess for fall risk frequently and implement evidence-based strategies to prevent falls. Patients in this project site facility had been assessed for fall …
Subsistence Farmers' Perceptions Of Pluralistic Agriculture Extension In Northern Ghana, Amos Kwame Egyir Baah
Subsistence Farmers' Perceptions Of Pluralistic Agriculture Extension In Northern Ghana, Amos Kwame Egyir Baah
Walden Dissertations and Doctoral Studies
In 2013, the Ministry of Food and Agriculture of the Republic of Ghana implemented a reformed food and agriculture sector development policy (FASDEP II) to reduce poverty among the poorest subsistence farmers in the nation. These extension efforts have been unsuccessful. The purpose of this ethnographic case study was to understand the perceptions of subsistence farmers in the Savelugu-Nanton District (SND) who participated in FASDEP II on how the program had affected their ability to meet their subsistence needs. The theoretical framework of collaborative advantage was used to analyze farmers' opinions of how the decentralized, pluralistic extension policy did or …
Treating Adult Women With Depression Through Videoconferencing, Irina Demidova
Treating Adult Women With Depression Through Videoconferencing, Irina Demidova
Walden Dissertations and Doctoral Studies
The occurrence of depression in the United States is steadily increasing. In every age group, women have a higher rate of depression than men, and U.S. women between the ages of 40 and 59 have a depression rate of 12%. Adult women living in rural areas experience physical and/or psychological impairment and lack access to mental health treatment. The purpose of this quantitative nonexperimental study was to examine participants' preferences for treatment delivery method based on patient perceptions of the clinical experience, patient satisfaction, and therapeutic bond. The working alliance theory provided the theoretical foundation. Data collection included survey responses …
Overcoming The Adverse Impact Of Internal Subculture Communications Within Organizations, Terrence Lee Farrier
Overcoming The Adverse Impact Of Internal Subculture Communications Within Organizations, Terrence Lee Farrier
Walden Dissertations and Doctoral Studies
The need for clear and organizationally effective communications is necessary to maintain sustainability as competition increases. Current research has not addressed problems associated with senior managers' clarity and intent and the misinterpretation by midlevel managers of that intent, causing division managers to misinterpret the company plans. Unresolved miscommunications may lead to destructive subculture development. This mixed methods design focused on how to minimize the confusion that manifests between senior and midlevel management within diverse and decentralized decision support structures. The secondary purpose was to advocate for the identification of divisional misalignment and provide information for a tool to help senior …
Dimensions Of Nurse-Physician Communication, Rachel Malek Hamdan
Dimensions Of Nurse-Physician Communication, Rachel Malek Hamdan
Walden Dissertations and Doctoral Studies
Hospital leaders set quality and safety as high priorities in their strategic goals. Improving the quality and safety of patient care requires improving internal processes that have direct implications for patient care. Hospital leaders need to improve health care providers' communication as part of improving quality and safety. The problem addressed in this study was the lack of strategies health care administrators use to guide nurse-physician communication patterns in a university medical center in the Middle East. The purpose of this qualitative case study was to explore communication strategies that health care administrators use to guide nurse-physician communication. Relational coordination …
Voter Worldview And Presidential Candidate Choice., Thomas Allen Kulbickas
Voter Worldview And Presidential Candidate Choice., Thomas Allen Kulbickas
Walden Dissertations and Doctoral Studies
Research has shown a relationship between having a strict father upbringing, defined by rules reinforcement and self-discipline beliefs, and the presence of high levels of social dominance orientation (SDO) and right-wing authoritarianism (RWA). The relationship between these variables and issue choice has been established, but no study has explored the connection between parental upbringing and moral foundations. Furthermore, the connection to political candidate choice has not been shown. This study investigated the relationship between people's parental upbringing beliefs, their adult morality, and their rating of ideal presidential candidate characteristics. Based on the moral foundation theory, a mixed methods study was …
Evaluating Behavioral Health Homes To Decrease Emergency Department Use, Resa Jane Noe-Norman
Evaluating Behavioral Health Homes To Decrease Emergency Department Use, Resa Jane Noe-Norman
Walden Dissertations and Doctoral Studies
The Affordable Care Act of 2010 proposed a new integrated care model for individuals with chronic mental illness and multiple medical comorbidities by using Behavioral Health Homes (BHH). The purpose of this doctoral project was to evaluate the effectiveness of the BHH in reducing emergency department (ED) use in the community mental health outpatient setting. Guided by the American Association for Critical Care Nurses synergy model for patient care a cross-sectional, post-test only with comparison group quasi-experimental research design was used. A de-identified data set of 68 patient records in the BHH group and 73 patient records in non-BHH as …
Recruitment Strategies For Manufacturers In Northwest Louisiana, Markey W. Pierre
Recruitment Strategies For Manufacturers In Northwest Louisiana, Markey W. Pierre
Walden Dissertations and Doctoral Studies
Acquiring information about successful human resources strategies that help to effectively recruit skilled labor is critical for manufacturers. Manufacturing is the backbone of the United States, yet 6 of 10 skilled labor jobs are unfilled because traditional methods and strategies used by human resource leaders to recruit are inadequate. Guided through the lens of strategic human resource management and using the concepts and views of resource-based theory, the purpose of this multiple case study was to explore strategies that manufacturing human resource professionals use to successfully recruit skilled labor in Northwest Louisiana. The data collection for this case study was …
Impacts Of Observing Live Open Heart Surgery On Young Adults' Health Behaviors, Muhammad Musa Qarizadah
Impacts Of Observing Live Open Heart Surgery On Young Adults' Health Behaviors, Muhammad Musa Qarizadah
Walden Dissertations and Doctoral Studies
Having a heart healthy lifestyle at a younger age is beneficial in reducing the risk of coronary heart disease (CHD) in adulthood and various health education programs for CHD prevention exist to persuade young adults to adopt a heart healthy lifestyle. Little is known, however, about the influence of watching live open heart surgery on young adults' adoption of a heart healthy lifestyle. To address that gap in knowledge, this study was conducted at a health facility in Virginia where students came to observe live open heart surgery. The purpose of the study was to understand whether watching live open …
Strategies Needed For Small Business Sustainability: A Case Study Of Thai Restaurants, Vanida Sirilarbanan
Strategies Needed For Small Business Sustainability: A Case Study Of Thai Restaurants, Vanida Sirilarbanan
Walden Dissertations and Doctoral Studies
According to U.S. Small Business Association, the failure rates for small businesses in 2014 were as high as 50% to 80% within the first 5 years of establishment. Failure rates were especially high among restaurant businesses. The purpose of this study was to explore the strategies that small business owners needed to sustain their businesses beyond the first 5 years. Guided by entrepreneurship theory as the conceptual framework, a case study was conducted with semistructured interviews of 3 successful Thai restaurant owners in Salt Lake City, Utah. Member checking and methodological triangulation with field notes, interview data, company websites, customer …
Hedging Exchange Rate Risks, Godwill George Wanga
Hedging Exchange Rate Risks, Godwill George Wanga
Walden Dissertations and Doctoral Studies
Risks associated with fluctuating exchange rates affect investment cost and investor profitability. Approximately 50% of firms in emerging markets have significant exposure to fluctuating exchange rates. Grounded in principal-agent theory (PAT), the purpose of this case study was to explore hedging strategies to mitigate risks of fluctuating exchange rates. The population comprised a census sampling of 12 bank hedgers (risk managers and controllers) in Dar es Salaam in Tanzania, East Africa. Data collection involved semistructured interviews, casual observations of the work environment, and analysis of reports including risk management, internal control, and compliance policies. Data were analyzed by coding and …
Perceptions Of Childhood Obesity Among African Americans In A Low-Income Community, Cotella Wilkes Wilkes
Perceptions Of Childhood Obesity Among African Americans In A Low-Income Community, Cotella Wilkes Wilkes
Walden Dissertations and Doctoral Studies
Childhood obesity is a prevalent chronic condition affecting millions of children and adolescents in the United States and is rising in record-breaking numbers among African Americans in low-income communities. Guided by the social cognitive theory, the purpose of this evidence-based project was to understand the impact of an educational intervention on parents' perceptions of childhood obesity risk factors, weight status, and prevention strategies in a rural South Carolina community. A convenience sample of parents who attended a church-based community health promotion service in a low-income area (n = 10), aged 28 to 54, completed The Childhood Obesity Perceptions survey before …
Bridge Program Participants' Satisfaction, Retention, Grade Point Average, And Credits Earned, Chip Palmer
Bridge Program Participants' Satisfaction, Retention, Grade Point Average, And Credits Earned, Chip Palmer
Walden Dissertations and Doctoral Studies
An increasing number of first-generation college students enroll in college each year. However, according to national statistics, as many as 900,000 first-generation college students drop out each year. Colleges have developed summer bridge programs to help first-generation students succeed; participants have shown an increase in grade point average (GPA) and retention. There is limited research focusing specifically on private nonprofit university bridge programs, and national statistics show 34% of first-generation college students electing private universities. Thus, the purpose of this quantitative cross-sectional study was to evaluate a private nonprofit university bridge program called the Pfeiffer Readiness Education Program. Using the …
Integrating The Common Core State Standards For Mathematics In A Secondary School, Danielle Holmes Campbell
Integrating The Common Core State Standards For Mathematics In A Secondary School, Danielle Holmes Campbell
Walden Dissertations and Doctoral Studies
The problem that anchored this study was district leaders' and administrators' lack of clarity regarding teacher concerns about the Common Core State Standards for Mathematics (CCSSM) implementation in high school math. The purposes of the study were to (a) examine the perception of high school math teachers regarding the barriers for successfully implementing the CCSSM, and (b) to elicit recommendations for teacher preparation. Ely's theory of change was utilized to relate the entity of the CCSSM to this new shift in education. To better understand this phenomenon, 2 research questions accompanied this study. The research questions were geared to not …
The Development And Validation Of A Novice Nurse Decision-Making Skills Education Curriculum, Joanne Stephanie Simmons
The Development And Validation Of A Novice Nurse Decision-Making Skills Education Curriculum, Joanne Stephanie Simmons
Walden Dissertations and Doctoral Studies
Novice nurses (NNs) are entering critical care environments with limited knowledge, skills, and decision-making expertise. They are expected to care for complex patients in a dynamic healthcare setting. The research question for this project examined whether NNs improve their knowledge and skills by participating in a nursing decision-making skills curriculum. The purpose of the project was to develop and validate a nursing decision-making skills education curriculum working in an intermediate critical care unit. Taba's instructional theoretical model was used to guide the new curriculum development along with current evidence based practice found in the current literature. Scaffolding approach theory encouraged …
Substance Abuse And Depression: Exploring Changes In Symptomology In Minority Subgroups, Ruth Michel
Substance Abuse And Depression: Exploring Changes In Symptomology In Minority Subgroups, Ruth Michel
Walden Dissertations and Doctoral Studies
While a comorbid relationship between substance abuse and depression in Caucasian adults has been widely documented, comorbid substance abuse and depression in minorities remains unexplored, leaving a gap in knowledge concerning the treatment of these comorbid disorders in the fastest growing population in the United States. Cognitive behavior theory posits that specific stressors increase the likelihood of substance abuse. These factors may include structural discrimination experienced by minorities. This quantitative, pretest-posttest archival study examined the effects of a substance abuse treatment program in reducing comorbid depressive symptoms among 317 participants from 3 minority subgroups and a comparison nonminority group enrolled …
Retention Of Minority Students In A Bridge Program: Student Perceptions On Their Successes And Challenges, Chadwick Biermeier
Retention Of Minority Students In A Bridge Program: Student Perceptions On Their Successes And Challenges, Chadwick Biermeier
Walden Dissertations and Doctoral Studies
This study was an examination of the minority student retention rate in a year-long bridge program. The retention rate of these students is 25%. University administration was concerned about the retention rate and its impact on future enrollment. Using Jack Mezirow's transformative learning as a framework of understanding, the purpose of this study was to identify successes and challenges that minority students experienced in the bridge program and how those experiences affected future decisions on retention. A qualitative case-study design was implemented and 9 of the 140 bridge students were purposefully selected for individual interviews. Data analysis was conducted using …
Succession Planning In Family-Owned Businesses, Daisy Chesley
Succession Planning In Family-Owned Businesses, Daisy Chesley
Walden Dissertations and Doctoral Studies
Many family-owned businesses lack strategies regarding succession planning. Succession planning is a company's way of embracing the future. The majority of U.S.-based family-owned businesses do not survive to the second generation, and only 3% of family-owned businesses make it past a third generation. This descriptive case study explored strategies that 4 leaders of a family-owned financial business in the Washington, DC area use to prepare future generations to assume leadership roles in their company. The theory of family systems and the theory of organizational and business development were the conceptual frameworks for this study. In-depth interviews with purposively selected members …
Increasing The Vocabulary Acquisition Rate For Third Grade English Language Learners, Jennifer Dawn Pendergrass
Increasing The Vocabulary Acquisition Rate For Third Grade English Language Learners, Jennifer Dawn Pendergrass
Walden Dissertations and Doctoral Studies
Given the ongoing demographic transformations of U.S classrooms, knowledge of the strategies teachers use to address the vocabulary needs of English language learners (ELLs) is central for improving student outcomes. The problem in a Georgia school system was that ELLs were not building grade-level appropriate vocabulary at a pace comparable to that of their peers. The purpose of this qualitative study was to identify strategies that increase the rate of vocabulary acquisition for ELLs. In this study, 10 third grade teachers were asked about their understanding of the second language vocabulary acquisition process, which vocabulary strategies they were using to …
Succession Planning Strategies In The Air National Guard To Retain Skilled Workers, Daniel Rodarte
Succession Planning Strategies In The Air National Guard To Retain Skilled Workers, Daniel Rodarte
Walden Dissertations and Doctoral Studies
The military faces unprecedented limitation of resources due to fiscal cuts through all branches of service. The purpose of this qualitative case study was to explore succession planning (SP) strategies used by Air National Guard leaders to retain skilled workers. The target population consisted of 5 leaders of the Washington Air National Guard (ANG) with a minimum of 5 years of experience in the ANG. The five tenured candidates were selected given proven leadership performance, ability to influence the organization, and they provided institutional knowledge and corporate insight of SP efforts spanning nearly a century. Additionally, these leaders had direct …
Role Of Midline Catheters In Patient Care, Tina K. Schlegel
Role Of Midline Catheters In Patient Care, Tina K. Schlegel
Walden Dissertations and Doctoral Studies
Central line-associated bloodstream infections (CLABSIs) are responsible for 100,000 patient deaths per year, creating a critical need for prevention of these deadly infections that occur with central venous lines (CVLs). Alternative forms of IV access such as midline catheters (MLCs) may offer lower rates of infection than those seen with CVLs. MLCs were implemented at the practice setting in 2016; however, no evaluation of their effectiveness had been conducted. The purpose of this project was to evaluate the effectiveness of MLCs using a retrospective, pre- post- comparison of CLABSI rates and device utilization rates (DUR) obtained from the practice setting …