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Health Care Leaders' Strategies To Improve Nurse Retention, Steve Brooks
Health Care Leaders' Strategies To Improve Nurse Retention, Steve Brooks
Walden Dissertations and Doctoral Studies
Registered nurse (RN) turnover is a significant threat to organizational performance and profitability. Nurse turnover impacts business practices by disrupting staffing and patient care. The inability of health care leaders to retain RNs in their organizations results in problems such as increased personnel costs and productivity loss. Grounded by Burns's transformational leadership theory, the purpose of this single case study was to explore strategies health care leaders used to improve RN retention. Health care leaders from Brooklyn, New York who implemented RN retention strategies in their organization comprised the population for the study. Data were collected through face-to-face semistructured interviews …
Staffing Model To Improve Patient Outcomes In An Acute Inpatient Rehabilitation Facility, Ann Marie Evans
Staffing Model To Improve Patient Outcomes In An Acute Inpatient Rehabilitation Facility, Ann Marie Evans
Walden Dissertations and Doctoral Studies
The goal of the acute inpatient rehabilitation facility (IRF) is to rehabilitate patients and discharge them back into the community at their optimal level of functioning. The IRF patient is more acutely ill today than in the past, and due to a change in condition may be discharged back into the acute care hospital before achieving maximal level of function. An IRF was identified as discharging 14% of patients back into acute care, which indicated the IRF was not meeting its treatment goals. A chart review revealed a possible link between the nurse's role in patient care and the patient's …
Impact Of Adverse Childhood Experiences On Maternal Health And Birth Weight In Appalachia, Kristen Baker Dickerson
Impact Of Adverse Childhood Experiences On Maternal Health And Birth Weight In Appalachia, Kristen Baker Dickerson
Walden Dissertations and Doctoral Studies
Adverse birth outcomes and adverse childhood experiences (ACE) are concerns in the United States, with potential to impact health indices now and in the future. The purpose of this study was to quantitatively examine the association between maternal exposure to ACE, low birth weight, and county of residence in the Appalachian population using the Life Course Approach as the theoretical framework. A cross-sectional study design and clustering strategy was used to randomly select potential respondents from a data set that was provided by Ohio Department of Health. Self-administered questionnaires were sent to potential respondents to collect information about ACE in …
Collaborative Strategies Used To Reduce Billing Administrative Cost, Stella Fayomi-Olaleye
Collaborative Strategies Used To Reduce Billing Administrative Cost, Stella Fayomi-Olaleye
Walden Dissertations and Doctoral Studies
Billing inefficiencies represent 80% of wasteful healthcare administrative costs that are projected to reach $45 billion by 2018. Potentially, a reduced billing administrative cost is estimated to yield an annual savings of $60 billion that could fund other societal needs such as jobs, wage increases, and education. Through the conceptual framework of iceberg change management model, this single case study explored collaborative strategies 3 healthcare billing managers in Dallas, Texas successfully used to reduce billing administrative costs. Data were collected through semistructured interviews and the review of company documents. Using Yin's procedure of examining, comparing, categorizing, and coding data, the …
Alcohol Use Disorder And Withdrawal Syndrome In Correctional Facilities: An Evidence-Based Clinical Practice Guideline To Prevent Alcohol-Related Adverse Events, Wanda Wilma González-Méndez
Alcohol Use Disorder And Withdrawal Syndrome In Correctional Facilities: An Evidence-Based Clinical Practice Guideline To Prevent Alcohol-Related Adverse Events, Wanda Wilma González-Méndez
Walden Dissertations and Doctoral Studies
In the United States, one in every 100 adults is confined to a correctional facility. Approximately 60% of inmates have an alcohol use disorder (AUD). When compared to the general population, inmates are twice as likely to have AUD. As they are unable to readily access alcohol, inmates entering a correctional facility with AUD are at high risk for the lethal alcohol withdrawal syndrome (AWS). AWS is preventable and yet correctional nurses process new inmates without an evidence-based clinical practice guideline (CPG) to assess for AUD, the prerequisite for AWS. The purpose of this project was to develop an evidence-based …
Emergency Managers' Perceptions Of All-Hazards Pandemic Planning Effectiveness In North Texas, Timothy Goss
Emergency Managers' Perceptions Of All-Hazards Pandemic Planning Effectiveness In North Texas, Timothy Goss
Walden Dissertations and Doctoral Studies
All-hazards pandemic planning is the foundation of current emergency management planning doctrine, yet there is limited information and limited studies related to its effectiveness in mitigating pandemics. The North Texas emergency management community handles incidents of West Nile Virus, H1N1 influenza, and a recent Ebola incident. Despite efforts to mitigate these threats, reported cases and deaths are still occurring from both influenza and West Nile virus. The purpose of this case study was to assess the risk perceptions of emergency planners in a small emergency operation center in North Texas using the cultural theory of risk perception as the theoretical …
E-Leadership And Leader-Member Exchange Strategies For Increasing Nonprofit Virtual Team Productivity, Nichole Guerra
E-Leadership And Leader-Member Exchange Strategies For Increasing Nonprofit Virtual Team Productivity, Nichole Guerra
Walden Dissertations and Doctoral Studies
Nonprofit leaders often place new employees with little experience in challenging virtual team settings, where they are expected to meet increased service demands. Productivity failures reported in the 2015 State of the Nonprofit Sector survey revealed that 76% of U.S. nonprofit agencies experienced increased demand for services in 2014, while 52% were unable to meet those demands. Based on the e-leadership and leader-member exchange (LMX) theories, the purpose of this descriptive, single case study was to identify the leadership strategies used by nonprofit midlevel supervisors to increase productivity of virtual teams containing new employees in Colorado. A purposeful sampling method …
Middle School Teachers' Perceptions Of Long-Term English Language Learners, Rachel.Butiko O. Butiko
Middle School Teachers' Perceptions Of Long-Term English Language Learners, Rachel.Butiko O. Butiko
Walden Dissertations and Doctoral Studies
Increasing numbers of English-language learners (ELLs) with limited literacy skills in middle schools have resulted in a high percentage of long-term English-language learners (LTELLs). The problem of LTELLs, ELLs who have attended school in the United States for more than 6 years and have not met the state ESL exit criteria, is addressed in this study. Cummins' concept of second language acquisition and Vygotsky's zone of proximal development theoretical frameworks were used in this qualitative case study to explore the perceptions of 6 Title I middle school teachers. The purpose of this study was to explore middle school teachers' perceptions …
Strategies To Improve Millennial Employee Engagement In The Luxury Resort Industry, Kei-Lin Cerf
Strategies To Improve Millennial Employee Engagement In The Luxury Resort Industry, Kei-Lin Cerf
Walden Dissertations and Doctoral Studies
Millennials are estimated to compose half of the workforce by 2020. Many hospitality researchers have studied Millennial employee engagement, but less is known about how to apply strategies that are authentically engaging for Millennials. The purpose of this study was to explore Millennial employee engagement strategies. The research questions for this study were used to examine the engagement strategies of luxury resort leaders and how Millennial employees perceived engagement. A single case study design was used to gather interview, questionnaire, and company document data from employees of a luxury resort in Hawai`i. Kahn's employee engagement theory served as the basis …
Perceptions Of Women Of Color On Career Advancement In High Technology Management, Angela Michelle Charles
Perceptions Of Women Of Color On Career Advancement In High Technology Management, Angela Michelle Charles
Walden Dissertations and Doctoral Studies
In information technology, few women of color hold senior level executive leadership positions in the United States. Currently, in the high-tech industry, Asian and Black women hold 1.7% of executive/senior-level positions, and only 0.2% are in CEO positions. The purpose of this research was to understand professional executive women of color experiences in career advancement in the high technology fields. The study's conceptual framework included organizational culture theory, Krumboltz's theory of career counseling, and the leadership pipeline model. The overarching research question and subquestions addressed the lived experiences of 15 professional senior executive women of color in relation to career …
Intimate Partner Violence During Pregnancy And Prenatal Care Attendance In Abuja, Nigeria., Dorothy Ijeoma Ezekwe-Anya
Intimate Partner Violence During Pregnancy And Prenatal Care Attendance In Abuja, Nigeria., Dorothy Ijeoma Ezekwe-Anya
Walden Dissertations and Doctoral Studies
Intimate partner violence (IPV) among women poses a significant threat to maternal mortality during pregnancy in Nigeria with a prevalence rate of 14% in the southern region versus 43% in the northern region. Early and adequate prenatal care is essential for improving pregnancy outcomes and the reduction of the maternal mortality rate. Previous studies in several countries have demonstrated a unique barrier to healthcare access among women exposed to IPV. This study assessed the association between IPV during pregnancy and prenatal clinic attendance, using a cross-sectional quantitative study design guided by the social learning theory. The modified Conflict Tactile Scale …
Impact Of Emergency Department Patient Flow Model And Triage Level On Patient Wait Times, Joann Lynn Featherstone
Impact Of Emergency Department Patient Flow Model And Triage Level On Patient Wait Times, Joann Lynn Featherstone
Walden Dissertations and Doctoral Studies
Some hospital emergency departments (EDs) are negatively affected by extended patient wait times, resulting in reduced hospital profitability. Therefore, it is critical hospital leaders understand factors impacting ED average patient wait times. Grounded in the business process improvement theoretical framework, the purpose of this causal comparative study was to examine the impact of an ED rapid evaluation unit (REU) patient flow model and emergency severity index (ESI) on average weekly patient wait times. Data collection comprised a census of 26 archival data records pre and postimplementation of an ED REU patient flow model from a hospital ED in Upstate New …
Strategies To Reduce Employee Turnover For Frontline Cashiers In The Retail Business, Egypt K. Grandison
Strategies To Reduce Employee Turnover For Frontline Cashiers In The Retail Business, Egypt K. Grandison
Walden Dissertations and Doctoral Studies
Employee turnover is 1 of the most significant concerns for organizations because it involves loss of investments and increased costs of hiring, training, and replacement. The turnover rate in the U.S. retail industry is relatively high at 60% for full-time employees, and this rate continues to increase rapidly. The purpose of this case study was to explore the retention strategies retail managers in big-box retail stores use to decrease frontline cashier turnover. Using Herzberg's two-factor hygiene theory, as the conceptual framework, the study was conducted with a sample of 8 retail managers, located in Huntsville, Alabama, who have decreased frontline …
School Leadership In A High Performing Rural Catholic School In Nigeria, Theophilus Idebaneria Itaman
School Leadership In A High Performing Rural Catholic School In Nigeria, Theophilus Idebaneria Itaman
Walden Dissertations and Doctoral Studies
Researchers have observed that effective leaders are essential to achieving and sustaining high student achievement in disadvantaged poor rural areas. Poor leadership may negatively influence the academic performance of students. The poor performance of students in disadvantaged rural areas has been a continuous concern for Catholic educators in Nigeria. The purpose of this study was to gain an understanding of the leadership practices that a rural Catholic school principal implemented to improve the academic standards in a disadvantaged environment in Nigeria. This qualitative case study sought to explore the practices of a principal in a Catholic school in the Diocese …
A Study Of Instructional Methods On Fourth Grade Reading Achievement, Benita Jessup
A Study Of Instructional Methods On Fourth Grade Reading Achievement, Benita Jessup
Walden Dissertations and Doctoral Studies
According to the National Assessment of Educational Progress, a significant percent of 4th grade students read below the basic level. In one elementary school students participated in additional reading instruction as intervention for students scoring basic and below basic on the state standardized test. The purpose of this ex post facto non-experimental quantitative study was to determine the effectiveness of direct instruction versus fluency (repeated reading) instruction on the reading achievement of 4th grade students. This study is based on the theory of automatic information processing in reading and the theory of prosody. The overarching research question for this study …
Determining Cost-Effectiveness And Learning Impact Of Government-Funded Counterterrorism Training Programs, Ira D. Jones, Jr
Determining Cost-Effectiveness And Learning Impact Of Government-Funded Counterterrorism Training Programs, Ira D. Jones, Jr
Walden Dissertations and Doctoral Studies
Since September 11, 2001, money and resources have been allocated at unprecedented levels in order to prevent future attacks on the United States. In the interest of preventing a similar type of incident, counterterrorism initiatives were funded using public funds with little or no oversight as to measuring the effectiveness of these programs. The purpose of this quantitative study was to determine if there was a statistically significant difference in the dependent variable - the level of awareness of participants (the ability to identify terrorism threats) who attended counterterrorism training that was solely lecture based and one that combined both …
Preschool Teachers' Views Of Literacy Instruction, Michelle Kimmy
Preschool Teachers' Views Of Literacy Instruction, Michelle Kimmy
Walden Dissertations and Doctoral Studies
Students in Pennsylvania are falling behind in reading proficiency. Early literacy skills are the foundation for future reading success and students who have not learned to read proficiently by the end of 3rd grade have an increased chance of failing to achieve academic success. The purpose of this quantitative correlational study was to investigate the relationship between preschool teachers' perceived self-efficacy for literacy instruction and preschool literacy assessment scores of students at local private preschool classrooms. The research question focused on the relationship between preschool teacher self-efficacy for literacy instruction and student literacy achievement. Bandura's self-efficacy theory served as the …
Intermediate Teachers' Perceptions Of Reading Instruction Strategies And Professional Development Needs, Barbara Jean Joyner
Intermediate Teachers' Perceptions Of Reading Instruction Strategies And Professional Development Needs, Barbara Jean Joyner
Walden Dissertations and Doctoral Studies
In 1 urban Tennessee school, students in Grades 3 through 5 had not met adequate yearly progress in reading for the past 5 years. The purpose of this case study was to explore teachers' perceptions of current district-recommended teaching practice in reading. The research questions related to current instructional strategies, teaching practices, challenges, and perceptions of current instructional strategies and changes needed to improve students' reading achievement. This study was grounded in the constructivist theoretical framework of Vygotsky. Twelve educators from Grades 3 through 5 and a reading specialist participated in this study. The data were collected from interviews, minutes …
A Document Analysis Of Two States' Child Protective Services Agency Permanency Policies, Barbara Christine Liston-Garcia
A Document Analysis Of Two States' Child Protective Services Agency Permanency Policies, Barbara Christine Liston-Garcia
Walden Dissertations and Doctoral Studies
U.S. Child Protective Services Agencies (CPSA) have had mixed success in achieving stable, permanent placements for foster care children. To address the adverse effects of unstable placements on foster care children's emotional well-being and physical development, the Adoption and Safe Families Act of 1997 was enacted to better ensure permanency, safety, and well-being of children in foster care. Using Stone's policy paradox as the framework, the purpose of this qualitative document analysis was to explore whether policy constructs contributed to the success or failure of promoting permanency for foster care children. Data was used from 2 states, representing those most …
Differentiating Successful And Unsuccessful Nursing Students, Trilla Mays
Differentiating Successful And Unsuccessful Nursing Students, Trilla Mays
Walden Dissertations and Doctoral Studies
Administrators of nursing programs in community colleges are aware of the need to retain and to graduate students to meet the growing demand for licensed practical nurses (LPNs). High attrition in a 2-year nursing program in South Carolina affected the number of students either graduating as a LPN after completing the third semester, or continuing in the program to become a registered nurse (RN). Guided by Jeffreys's nursing undergraduate retention and success model, this causal comparative study investigated the differences between students who were and were not successful in the initial 3 semesters of the program. Archival student records for …
Strategies To Reduce Effects Of Organizational Stress In Health Care Workplaces, Kate Chinyere Mbidoaka
Strategies To Reduce Effects Of Organizational Stress In Health Care Workplaces, Kate Chinyere Mbidoaka
Walden Dissertations and Doctoral Studies
Workplace stress has become a frequent occurrence in the race for competitive business advantage. This stress leads to negative physiological consequences in the workplace, causing productivity and profitability to suffer. The purpose of this single case study was to explore the stress management strategies that some health care business leaders used to reduce the effects of work-related stress on their employees to improve productivity. The interview process included 3 managers employed at a health care institution in Houston, Texas, with records of implementing successful strategies for mitigating the effects of workplace stress. The conceptual framework was job demands-resources model, pertinent …
The Effect Of Rules On Racially-Influenced Policing And Police Uses Of Force, Joe D. Mazza
The Effect Of Rules On Racially-Influenced Policing And Police Uses Of Force, Joe D. Mazza
Walden Dissertations and Doctoral Studies
Public opinion polls have shown the public lacks confidence in U.S. police to use appropriate amounts of force and treat racial minorities fairly, which undermines police legitimacy and the quality of life of all citizens. Although rules have been shown to positively constrain police uses of force, researchers have not demonstrated the effect of rules on racially influenced policing (RIP). In 2005, the RIP directive which prohibits officers from using race as a factor in taking discretionary actions was promulgated in New Jersey. The purpose of this study was to determine through the theoretical lens of Lipsky's street-level bureaucrat theory …
Leadership Transition Strategies For Medium-Sized Family Businesses' Sustainability, Okechukwu Vitalis Nwuke
Leadership Transition Strategies For Medium-Sized Family Businesses' Sustainability, Okechukwu Vitalis Nwuke
Walden Dissertations and Doctoral Studies
Medium-sized family businesses are major contributors to economic activities and job creation in Nigeria, but more than 50% of such family businesses fail after leadership succession. The purpose of this multiple case study was to explore the strategies that owners of medium-sized family businesses use to sustain the businesses after the leadership transition from the founders. The population for this study included 3 family business leaders in Lagos and Port Harcourt in Nigeria who have sustained their family businesses after the leadership transition from their founders. The conceptual framework for the study was based on the transformational leadership theory and …
Effectiveness Of Prisoner Reentry Programs For Reduction Of Repeat Incarcerations In Nigeria, Emmanuel Dejo Oluwaniyi
Effectiveness Of Prisoner Reentry Programs For Reduction Of Repeat Incarcerations In Nigeria, Emmanuel Dejo Oluwaniyi
Walden Dissertations and Doctoral Studies
The persistently high rate of repeat incarcerations poses a threat to the safety of lives and properties. The problem that led to this study was the prevailing high rate of repeat incarcerations in Nigeria, despite interventions to reduce their occurrences. The purpose of the study was to evaluate the effectiveness of prisoner reentry programs in reducing reincarcerations of ex-prisoners. The focus of the research questions was on whether treatment and the type (faith- or non-faith-based) made a difference in a prisoner's reincarceration status after release. The theoretical foundation was based on the transtheoretical model of change. Reincarceration outcomes were analyzed …
The Molecular Epidemiology Of Tuberculosis In South Carolina, 2005-2011: Estimates Of Recent Transmission And Risk Factors For Genotype Clustering, Amy Kathleen Roach
The Molecular Epidemiology Of Tuberculosis In South Carolina, 2005-2011: Estimates Of Recent Transmission And Risk Factors For Genotype Clustering, Amy Kathleen Roach
Walden Dissertations and Doctoral Studies
Because tuberculosis (TB) is a public health threat that continues to elude elimination in the United States, there is a need to identify contributing factors that may have implications for targeted control measures. Molecular studies of genetic clustering are crucial for pinpointing these contributing factors. It is for this reason this study was conducted. This was a non-experimental, cross-sectional population-based molecular epidemiological study of TB in SC from 2005 to 2011. Its purpose was to estimate the proportion of TB that may be due to recently acquired infection and to determine the risk factors associated with the genetic clustering of …
Autonomy Supportive Teaching Strategies And Student Motivation In Middle School Physical Education, Amanda Lynn Savage-Speegle
Autonomy Supportive Teaching Strategies And Student Motivation In Middle School Physical Education, Amanda Lynn Savage-Speegle
Walden Dissertations and Doctoral Studies
Many U.S. adolescents struggle with obesity and a lack of motivation to be healthy and physically active, which affects individual as well as public health. The purpose of this mixed-method study was to evaluate students' motivation to participate in physical education class and better understand the teaching strategies currently used by physical education teachers who participated in an interview and 2 observations. Self-determination theory framed the research questions, which focused on students' intrinsic motivation to participate in physical education class and physical education teachers' use of autonomy supportive teaching strategies. Learning Climate and Basic Need surveys were administered to 6th-8th …
The Experience Of Children Living With Sensory Processing Disorder, Melissa Scotch
The Experience Of Children Living With Sensory Processing Disorder, Melissa Scotch
Walden Dissertations and Doctoral Studies
Sensory processing disorder (SPD) is a neurological condition that alters the way an individual perceives sensory information. Although the condition has been studied for more than 40 years, SPD remains a difficult condition to diagnose, treat, and live with because it affects individuals uniquely, and the symptoms can change from childhood to adulthood. For children diagnosed with SPD, the misinterpretation of sensory cues can cause difficulties in family, social, and academic settings. While there is some research on the assessment and treatment of SPD, what is missing is a deeper understanding of the family, social and academic challenges these children …
Management Strategies To Improve Employee Engagement In The Credit Union Industry, Joy Keiondra Smith
Management Strategies To Improve Employee Engagement In The Credit Union Industry, Joy Keiondra Smith
Walden Dissertations and Doctoral Studies
Employee engagement is the main topic of discussion among researchers and managers for over 24 years. Managing employee engagement is critical to the success of an organization, but 85% of manager's struggle with engaging employees. The purpose of this single case study was to explore employee engagement strategies that credit union managers use to increase productivity and organizational effectiveness. Expectancy theory was used to explore employee engagement, performance, and motivation of people in the workplace. Data were collected using semistructured interviews and observations with 6 credit union managers and company documents using thematic coding. Analysis of the data revealed that, …
Strategies For Improving The Effectiveness Of Customer Relationship Management Systems, Sathish Thejaswarup
Strategies For Improving The Effectiveness Of Customer Relationship Management Systems, Sathish Thejaswarup
Walden Dissertations and Doctoral Studies
Many banks invest heavily in customer relationship management (CRM) system implementation and expect to increase their profitability. However, the failure rates of CRM projects are significant. The purpose of this multiple case study was to explore the strategies implemented by CRM managers in the banking industry to achieve CRM system effectiveness. CRM implementers from 1 medium and 2 large banks in Minnesota who successfully implemented CRM systems were selected. Data were collected primarily from participant interviews, websites, and social media pages. Bertalanffy's general systems theory was the underlying conceptual framework for this study. Data triangulation and member checking were used …
Rural Jail Administrators Perceptions Of Take-Home Naloxone To Control Opioid Overdoses, Jaclyn Woollett
Rural Jail Administrators Perceptions Of Take-Home Naloxone To Control Opioid Overdoses, Jaclyn Woollett
Walden Dissertations and Doctoral Studies
Opioid overdoses and overdose deaths have increased significantly throughout the United States. Naloxone distribution has become a harm reduction strategy that has proven effective in reducing opioid overdoses in urban areas through drug treatment centers and needle exchange programs. However, limited research is available on the efficacy and feasibility of these programs in rural locations and other nontraditional settings. Guided by harm reduction theory, the purpose of this qualitative phenomenological study was to address this gap by exploring the feasibility of implementing a take home naloxone program in rural jails. Semistructured interviews were conducted with 6 jail administrators in rural …