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Impact Of Distance, Diagnosis, And Demographics On Attendance For Rural Outpatient Treatment, Trey Howard Jensen
Impact Of Distance, Diagnosis, And Demographics On Attendance For Rural Outpatient Treatment, Trey Howard Jensen
Walden Dissertations and Doctoral Studies
Missed psychotherapy appointments inhibit mental health treatment, limit the availability of treatment to those waiting for care, and reduce clinician revenue. Previous research has revealed that the factors that predict missed appointments vary depending on the geographic location in which that research is conducted. There is not a complete understanding of the characteristics of people who miss appointments in a rural context. This study used information from 281 client records to examine the predictive relationships among missed appointments and the distance traveled to the clinic, mental health diagnosis, age, and gender at a rural outpatient mental health clinic. The purpose …
Traffic Enforcement, Policing, And Crime Rates, Marc Weiss Weiss
Traffic Enforcement, Policing, And Crime Rates, Marc Weiss Weiss
Walden Dissertations and Doctoral Studies
Law enforcement agencies believe that traffic enforcement, in addition to reducing fatalities associated with automobile collisions, may also reduce the incidence of public order crimes. The academic literature, though, has largely failed to address this phenomenon. The purpose of this correlational study was to use Kelling and Wilson's broken windows theory to evaluate whether a statistically significant relationship exists between traffic enforcement rates and public order crimes in South Carolina. Secondary data from 5 counties were acquired from the South Carolina Department of Public Safety and the South Carolina Law Enforcement Division for the time period 2008 through 2012. Statistically …
Determinants Of Obesity Among Deaf And Hard Of Hearing Adults, Lindsay Buchko
Determinants Of Obesity Among Deaf And Hard Of Hearing Adults, Lindsay Buchko
Walden Dissertations and Doctoral Studies
Trends of obesity increased over the last 3 decades with the obesity rate doubling from 1980 to 2010. People with disability are more likely to experience health disparities including obesity compared to the general population. Yet research on the determinants of obesity such as self-efficacy, hearing levels, and deaf acculturation styles among those who are deaf or hard of hearing (HoH) is limited. This cross-sectional study, using the social cognitive theory framework, examined BMI and self-efficacy differences between deaf/HoH adults and hearing adults, aged 20 years and older. This study also examined the associations between BMI or self-efficacy and factors …
Exploring The Effectiveness Of Leadership Practices In Urban Charter Middle Schools, Cherise Cupidore
Exploring The Effectiveness Of Leadership Practices In Urban Charter Middle Schools, Cherise Cupidore
Walden Dissertations and Doctoral Studies
Researchers have noted that educational manager and instructional leadership roles are vital to achieving sustainable student achievement. Ineffective leadership practices may decrease students' academic success and are a continuous concern for educators, especially for those of urban charter schools. The purpose of this study was to explore practices that leaders of urban charter middle schools have implemented to advance their schools from a priority school to a focus school designation. This multiple case study sought to identify and clarify leadership practices of successful leaders in urban charter middle schools. Leithwood and Riehl's core leadership practices model served as the basis …
Policemoms: Perceptions Of Motherhood And Policy In Ohio Police Organizations, Lacy Kristine Ellis
Policemoms: Perceptions Of Motherhood And Policy In Ohio Police Organizations, Lacy Kristine Ellis
Walden Dissertations and Doctoral Studies
Police organizations have a problem retaining female police officers, especially those who are mothers. Women leave the policing profession at higher rates during childbearing and child-rearing years than during any other time in their career. Using feminist theory as a foundation, the purpose of this phenomenological study was to gain a deeper understanding of the lived experiences of policewomen who are mothers and identify factors that contribute to poor retention rates during childbearing and child-rearing years. Data were collected through 11 interviews with policewomen, who were also mothers, in Ohio. These data were analyzed using Saldana's 2-cycle coding procedure followed …
Time To Diagnosis Of Second Primary Cancers Among Patients With Breast Cancer, Edward Okezie Irobi
Time To Diagnosis Of Second Primary Cancers Among Patients With Breast Cancer, Edward Okezie Irobi
Walden Dissertations and Doctoral Studies
Many breast cancer diagnoses and second cancers are associated with BRCA gene mutations. Early detection of cancer is necessary to improve health outcomes, particularly with second cancers. Little is known about the influence of risk factors on time to diagnosis of second primary cancers after diagnosis with BRCA-related breast cancer. The purpose of this cohort study was to examine the risk of diagnosis of second primary cancers among women diagnosed with breast cancer after adjusting for BRCA status, age, and ethnicity. The study was guided by the empirical evidence supporting the mechanism of action in the mutation of BRCA leading …
Psychological Empowerment And Customer Orientation In The Grocery Industry, Christopher Nestico
Psychological Empowerment And Customer Orientation In The Grocery Industry, Christopher Nestico
Walden Dissertations and Doctoral Studies
Organizations incur $83 billion per year in losses because of negative consumer experiences. Leadership behaviors and the various aspects of organizational life affect employee-customer interactions. With psychological empowerment theory as a theoretical framework, the purpose of this correlational study was to investigate the relationship between the independent variables of psychological empowerment (PE), dimensions of PE (e.g., meaning, self-efficacy, influence), tenure, education, and the dependent variable of customer orientation (CO). Employees of a regional grocery retailer in the northeastern United States comprised the population of the study. Data collection involved the use of paper surveys to measure individual worker levels of …
Retention Strategies For Financial Stability In Community Colleges, Jackie Ann Roddy
Retention Strategies For Financial Stability In Community Colleges, Jackie Ann Roddy
Walden Dissertations and Doctoral Studies
Tennessee education leaders must improve their student retention strategies to increase financial stability and enhance the state's ability to support businesses and jobs through a well-educated workforce. The focus of this qualitative multiple case study was on 6 Tennessee community colleges where leaders had demonstrated successful strategies for retaining students resulting in increased revenues and financial stability. The advocacy/ participatory worldview provided a conceptual framework for identifying and comparing themes regarding Tennessee higher education leaders' retention strategies. Data collection included interviews and review of organizational retention reports on strategies as well as college, state, and federal findings on retention. Federal …
Knowledge, Attitudes, And Beliefs About Preconception Care Among American Adolescent Females, Lynette Collins Collins
Knowledge, Attitudes, And Beliefs About Preconception Care Among American Adolescent Females, Lynette Collins Collins
Walden Dissertations and Doctoral Studies
Despite an initiative to provide preconception care (PCC) and reproductive life planning (RLP) for all women of childbearing age, many women, especially those with low incomes, are not receiving it. As a result, there continues to be a high rate of infant morbidity and mortality in this population. Furthermore, low income adolescent females have not been adequately studied regarding this phenomenon. The purpose of this phenomenological study was to explore low income adolescent females' knowledge, attitudes, and beliefs about PCC and RLP in order to serve them more effectively. Five low income adolescent females, aged 18 to 21, were recruited …
The Effect Of A Constructivist-Based Approach On Fifth Grade Reading Achievement, Lori Mcgough Harkness
The Effect Of A Constructivist-Based Approach On Fifth Grade Reading Achievement, Lori Mcgough Harkness
Walden Dissertations and Doctoral Studies
The problem investigated in this quantitative study was that schools in a small, rural East Texas town were falling below acceptable ratings in reading on the Texas Assessment of Knowledge and Skills (TAKS) and the State of Texas Assessment of Academic Readiness (STAAR). Researchers have found that constructive-based learning environments (CBLEs) can improve student achievement. The purpose of this study was to examine the relationship between length of time enrolled in a CBLE and reading achievement. Based on the framework of constructivism, 2 research questions were examined. To answer Research Question 1, an analysis of covariance (ANCOVA) calculated the difference …
Female Police Officers' Perceptions And Experiences With Marginalization: A Phenomenological Study, Dr. Arlether Ann Wilson
Female Police Officers' Perceptions And Experiences With Marginalization: A Phenomenological Study, Dr. Arlether Ann Wilson
Walden Dissertations and Doctoral Studies
There is a lack of female police officer representation in police departments nationwide. Women's position, or lack thereof, in law enforcement is a topic of discussion in many police literature reviews. However, there were minimal studies detailing female police officers' personal experiences in the law enforcement profession. The purpose of this phenomenological study was to describe and understand the perceptions and lived experiences of female police officers, as well as the impact those experiences had on their careers. Female participants from 3 police departments formed the purposive sample that included 8 full-time female police officers. The feminist theory helped to …
A Composite Index To Measure Integration Of Global Business Citizenship, Linda L. Sanner
A Composite Index To Measure Integration Of Global Business Citizenship, Linda L. Sanner
Walden Dissertations and Doctoral Studies
Among the top Fortune 100 U.S. companies, 97% claim to be global business citizens, primarily based on self-evaluated qualitative criteria. The purpose of this quantitative cross-sectional survey design study was to develop a self-administered survey and apply it to calculate a composite index rating that assesses the maturity level a company has attained toward becoming a global business citizen. The theoretical framework underpinning the research was based on the theory of global business citizenship (GBC) and accompanying four-step implementation process. The GBC theory was utilized to develop the research survey consisting of 1 qualifying question and 22 Likert-type questions. The …
Disparities In Arkansas Mandated Immunization Coverage Among Natural Home And Foster-Care Adolescents, Jerome Essono Ngundue
Disparities In Arkansas Mandated Immunization Coverage Among Natural Home And Foster-Care Adolescents, Jerome Essono Ngundue
Walden Dissertations and Doctoral Studies
Anecdotal evidence indicated vaccine coverage disparities among foster-care (FCA) and natural-home adolescents (NHA). Arkansas laws require 5 vaccines for school entry (FVSE) to prevent 9 common childhood diseases. The study problem was that Pulaski County, Arkansas adolescent birth cohort (PCABC) immunization rates were low compared to U.S. adolescents for these FVSE. This study examined the extent to which (1) PCABC immunization rates were significantly different from those estimated for U.S. adolescents in 2006–2008, (2) NHA and FCA immunization rates were different in 2003– 2008; (3) sociodemographic variables mediate associations between home of residence (HOR), NHA or FCA, and up to …
The Effect Of Federal Reporting Regulations On Hospital Investment In Community Building, Dorothy Magasis Escobar
The Effect Of Federal Reporting Regulations On Hospital Investment In Community Building, Dorothy Magasis Escobar
Walden Dissertations and Doctoral Studies
The role of hospitals as partners in community health improvement is changing, especially for nonprofit hospitals receiving tax exemptions in exchange for providing benefits to the community. There are examples of reported health improvement activities funded through hospitals' charitable donations, but there's a gap in the literature on the effect of policy and legislation on hospitals' investments in community building activities that address the social determinants of health. Grounded in eco-social theory, this quantitative, correlational study compared secondary data from CA's nonprofit hospitals' annual 2009 and 2012 reports to determine what, if any, changes have occurred in the hospitals' investments …
An Interpretive Phenomenological Investigation Of The Meaning Of Job Satisfaction Among Veteran Special Educators, Raeann Barnes
An Interpretive Phenomenological Investigation Of The Meaning Of Job Satisfaction Among Veteran Special Educators, Raeann Barnes
Walden Dissertations and Doctoral Studies
The attrition rate among special education teachers is ranked among the highest in the education profession. Retaining teachers early in their careers continues to be a concern due to increased job responsibilities, larger caseloads, challenging student behaviors, minimal support from colleagues, increased paperwork, and diminishing resources. The purpose of this phenomenological study was to examine the meaning of satisfaction special education teachers made of their careers. The transactional model developed by Lazarus and Folkman (1984) can help to explain how the occurrence of stressful events can impact an individual. A purposive sample of 9 tenured, certified special education teachers currently …
Exploring Generation Y Leaders' Motivation And Retention Within The Service Industry, Jason Earl Wiggins
Exploring Generation Y Leaders' Motivation And Retention Within The Service Industry, Jason Earl Wiggins
Walden Dissertations and Doctoral Studies
The retention of millennial leaders continues to be a concern for executive leadership. The problem addressed in this study was the gap in research regarding how the motivation of Generation Y leaders affects employee satisfaction and retention factors. The purpose of this phenomenological inquiry was to explore the retention rate for 20 Generation Y service leaders in the southwestern United States to illuminate patterns of satisfied millennial leaders by drawing from employers' role in motivating and retaining millennial leaders in the service industry. Herzberg's 2-factor theory, Vroom's expectancy theory, Adams's equity theory, and Maslow's hierarchy of needs comprised the conceptual …
Alignment Of Standards, Assessment, And Compliance For A Residential Support Provider Organization, Monique Day
Alignment Of Standards, Assessment, And Compliance For A Residential Support Provider Organization, Monique Day
Walden Dissertations and Doctoral Studies
Although Code of Maryland policy mandates multidisciplinary, integrated teams for residential service provider organizations (RPOs) for an intellectual/developmental disabilities (IDD) population, alignment criteria to identify and evaluate the functional characteristics of such teams do not exist. This ambiguity has resulted in potential conflict in the goals of service delivery, as well as misaligned quality assessment and policy development criteria. The intent of this general qualitative study was to use complex adaptive systems theory and Vitkiene's work on corporate ethos to determine whether the services provided by a single RPO were consistent and aligned with the regulatory mandate set by the …
Exploring Barriers To Fathers' Implementation Of Behavioral Interventions For Nonverbal Children With Autism, Michael Lafasakis
Exploring Barriers To Fathers' Implementation Of Behavioral Interventions For Nonverbal Children With Autism, Michael Lafasakis
Walden Dissertations and Doctoral Studies
Many families, regardless of their ethnic and cultural background, find it challenging to raise a nonverbal child with autism. Parent-implemented behavioral interventions can contribute to positive behavior change related to joint attention, imitation, and communication. However, many parents face barriers that prevent them from implementing behavioral interventions in the home. Very little research has been conducted on fathers of nonverbal children with autism to ascertain their perspectives on these barriers. In this qualitative study, a phenomenological design was used to obtain input from 12 fathers of diverse ethnic and cultural backgrounds residing in New York City regarding barriers to implementing …
The Perception Of Obesity Among African American Women 35 Years And Older In Houston, Texas, Bernadette Ebere Osuji
The Perception Of Obesity Among African American Women 35 Years And Older In Houston, Texas, Bernadette Ebere Osuji
Walden Dissertations and Doctoral Studies
As obesity has reached an epidemic level, the female population age 35 years and older is struggling with increased risks of death from type 2 diabetes, hypertension, coronary heart disease, stroke, and certain cancers. The purpose of this study was to explore the perception of overweight and obesity among African American women 35 years and older in Houston, Texas. A phenomenological approach was adopted for this study to explore the perception of overweight and obesity among African American women 35 years and older in Houston, Texas. This study was also guided by the Health Belief Model as a conceptual framework …
Rural Obese African American Women And Depression, Food Culture, And Binge Eating, Tracee Tamiko Smith
Rural Obese African American Women And Depression, Food Culture, And Binge Eating, Tracee Tamiko Smith
Walden Dissertations and Doctoral Studies
The rural African American population has a high incidence of severe psychosocial problems and a skewed perception of obesity, despite obesity's extremely high prevalence rate in this population. Despite the acknowledgements of these problems, there is a gap in literature relative to the effective treatments for obese African Americans diagnosed with depression. This study measured correlations between obesity and depression, binge eating, and food culture amongst African American women residing in Jefferson County, MS. The health belief model was used to guide an assessment of beliefs, perceptions, susceptibility, cues to action, and self-efficacy. A cross-sectional design was used based on …
Exploring The Process Of Lean Training In The Healthcare Industry, Rose Bailey
Exploring The Process Of Lean Training In The Healthcare Industry, Rose Bailey
Walden Dissertations and Doctoral Studies
Organizational leaders use lean training as a process improvement strategy to eliminate waste and inefficiencies in processes. Of the 91% of company leaders who believed lean training was important, 64% of those leaders expressed the perception that workers do not comprehend lean training and methodology. The purpose of this qualitative single case study was to explore how healthcare managers successfully implemented lean training strategies to combat escalating costs. The target population consisted of healthcare managers in a single rural care hospital located in Tennessee who had implemented lean training strategies to train staff in lean principles and lean tools. The …
Teacher Perceptions Of Professional Learning Community Maturity In Catholic Schools, Jane-Marie Fetty Koelsch
Teacher Perceptions Of Professional Learning Community Maturity In Catholic Schools, Jane-Marie Fetty Koelsch
Walden Dissertations and Doctoral Studies
Many Midwestern Catholic schools have implemented professional learning communities (PLCs) to enhance teacher quality and attain school goals. However, not all schools have aligned practices essential to increase maturity in the five PLC dimensions, as defined by Hord. Guided by Hord's framework, this research study investigated teachers' perceptions of PLC maturity in select Catholic schools. A convenience sample allowed an examination of schools engaged in an initiative that included PLCs. Using a sequential explanatory mixed-methods design, the Professional Learning Communities Assessment - Revised was administered to 42 teachers in 4 schools. Quantitative survey data were analyzed using descriptive statistics. Data …
Exploring Best Practices To Utilize Business Intelligence Systems, John James Mchenry
Exploring Best Practices To Utilize Business Intelligence Systems, John James Mchenry
Walden Dissertations and Doctoral Studies
Organizational leaders who can manage business intelligence system (BIS) resources may achieve sustainable success in economic, political, and corporate environments. The review of professional literature indicated that effective resource management in a BIS environment requires the establishment of best practice. The purpose of this qualitative, single-case study was to explore best practices among 9 BIS practitioners for effective resource management. Participation criteria included the active engagement in BIS professional disciplines and the willingness to share their perspectives. The conceptual framework for this study was the cognitive experiential self-theory (CEST). Five leaders and 4 data analysts at an eastern U.S. county …
Strategies To Retain Employees In Clinical Laboratories, Amber Rose Phipps
Strategies To Retain Employees In Clinical Laboratories, Amber Rose Phipps
Walden Dissertations and Doctoral Studies
With 30 million citizens gaining access to U.S. healthcare through the Affordable Care Act by 2016, healthcare managers need preanalytic employees to ensure quality healthcare services can be provided. The purpose of this qualitative single case study explored strategies used to retain preanalytic employees. The target population consisted of 10 clinical laboratory managers in a single community-based clinical laboratory in the mid-southern United States, selected because of prior success in improved employee retention strategies. The conceptual framework grounding this study was the theory of work adjustment. Data triangulation occurred from using semistructured interviews and company documents. All interpretations from the …
Decision Making Of Environmental Engineers On Project Selection, Millicent Amanda Davis
Decision Making Of Environmental Engineers On Project Selection, Millicent Amanda Davis
Walden Dissertations and Doctoral Studies
Some environmental engineers do not understand how to perceive profitable opportunities in redeveloping the large number of contaminated brownfield sites in New Jersey. The purpose of this qualitative exploratory case study was to find effective decision-making strategies that help environmental engineers acquire profitable environmental redevelopment projects. The target population consisted of 4 environmental engineers in an environmental organization in Camden County, New Jersey who possessed proven decision-making strategies that helped them acquire profitable environmental redevelopment projects in the past 5 years. The conceptual framework for this study was the multiple criteria decision method (MCDM). Semistructured interviews were conducted with the …
Strategies For Real Estate Professionals To Compete With Internet Organizations, Jennifer Dorwart
Strategies For Real Estate Professionals To Compete With Internet Organizations, Jennifer Dorwart
Walden Dissertations and Doctoral Studies
There has been slow growth among traditional residential real estate organization managers to communicate among the real estate industry successful e-commerce strategies. Grounded in diffusion of innovation theory, the purpose of this descriptive case study was to explore strategies traditional residential real estate managers use to compete with e-commerce real estate managers. The study population comprised traditional real estate office managers in western Nebraska who had at least 5 years' experience in developing successful e-commerce strategies and had sold a home in the past 5 years. I conducted a thematic analysis on the data collected via semistructured interviews and company …
The Economic Impact Of Deficient Anti-Money Laundering Program To A Multinational Bank, Emmanuel Hayble-Gomes
The Economic Impact Of Deficient Anti-Money Laundering Program To A Multinational Bank, Emmanuel Hayble-Gomes
Walden Dissertations and Doctoral Studies
Money laundering is a financial crime that threatens the stability of a country's financial sector. The purpose of this qualitative case study was to explore the strategies that compliance officers used to improve the AML program in a multinational bank in the northeastern United States. The target population was purposefully selected using bank compliance officers because they have experience with the strategies to improve the AML program. The normative neo-institutional theory framed the discussion of this study. Data were collected from interviews with 10 AML compliance officers and the achieved data. The Krippendorff method of content analysis was used to …
Causes And Effects Of Teacher Burnout, Donna Ault Jacobson
Causes And Effects Of Teacher Burnout, Donna Ault Jacobson
Walden Dissertations and Doctoral Studies
Teacher burnout is not a new problem; however, with increasing frequency, teacher burnout leads to teacher attrition. Teacher burnout is a problem that affects school districts nationwide because of the financial and academic toll it has on education. The purpose of this qualitative case study was to explore teacher burnout, its perceived causes, and its effects in an urban high school in the northeastern United States. The conceptual framework was based on Vygotsky's social development theory. The research questions focused on factors that contribute to teacher burnout and teachers' perceptions of the ways in which their burnout affected instruction as …
Relationship Between Destructive Leadership Behaviors And Employee Turnover, Craig Michael Hyson
Relationship Between Destructive Leadership Behaviors And Employee Turnover, Craig Michael Hyson
Walden Dissertations and Doctoral Studies
The loss of 6 million U.S. manufacturing jobs since 2000 has severely affected communities that have lost a vital source of employment. Voluntary employee turnover has compounded the problem. The purpose of this correlational study was to examine the relationship between employee turnover and destructive leadership behaviors of managers in small and medium enterprise (SME) manufacturing businesses in Warren County, New Jersey. The constructive-destructive leadership model formed the theoretical framework for the study. A random sample of 96 SME manufacturing firm employees completed the destructive leadership scale (DLS), multifactor leadership questionnaire (MLQ), and the turnover intention scale (TIS-6) via an …
An Examination Of School Culture And English Language Learner Achievement, Tawanda Blackshear Hunter
An Examination Of School Culture And English Language Learner Achievement, Tawanda Blackshear Hunter
Walden Dissertations and Doctoral Studies
English Language Learners (ELLs) do not achieve sufficiently on standardized tests, as required by federal law. Fourth grade ELLs at a suburban elementary school in the Southern United States experienced similar problems in the failure rate on the state standardized test. Still, this school outperformed several of the schools in the same area of the county. In this sequential, explanatory study, teacher and administrator perceptions of school culture and its impact on the achievement of ELLs in a Southern elementary school were examined. Vygotsky's cultural-historical theory provided the theoretical framework to ground this study, as culture within a school could …