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The Influence Of Electronic Health Records Systems On Physicians' Efficiency And Effectiveness, William Everette Bond
The Influence Of Electronic Health Records Systems On Physicians' Efficiency And Effectiveness, William Everette Bond
Walden Dissertations and Doctoral Studies
AbstractElectronic Health Records (EHR) were introduced into the field of medicine to replace outdated paper files with searchable, and easily transferrable electronic files. The results of numerous research studies have shown that the use of EHR allowed for beneficial outcomes for the physician and the patient. Some of the benefits included a reduction in scheduling and medication prescription errors. Concurrently, some of the negative factors attributed to EHR use included interoperability issues, reductions in facetime with patients, increased physician workload, and an increase in physician burnout. Little research was found that examined the negative factors from the perspective of the …
Strategies Used By Small And Medium Enterprises In Rome And Cairo To Access Finance For Growth, David Chatsama
Strategies Used By Small And Medium Enterprises In Rome And Cairo To Access Finance For Growth, David Chatsama
Walden Dissertations and Doctoral Studies
A lack of access to finance for small and medium-sized enterprises (SMEs) negatively impacts their business growth. SME leaders who lack strategies to access finance for growth may observe a stagnation in the growth of their organizations. Grounded in the resource-based view, the purpose of this qualitative multiple case study was to explore strategies SME leaders use to access finance for growth. Participants were six SME business leaders from Rome (Italy) and Cairo (Egypt). Data were collected through semistructured interviews and reviews of company documents. Using thematic data analysis, three themes were identified: creating a compelling investment story, leveraging on …
Nurse Educator Perspectives On Undergraduate Nursing Curriculum And Moral Courage Development, April Ciesielski
Nurse Educator Perspectives On Undergraduate Nursing Curriculum And Moral Courage Development, April Ciesielski
Walden Dissertations and Doctoral Studies
Newly licensed nurses may enter the profession without the tools to cope with morally distressing events in the workplace. Experiences of moral distress at work negatively affect physical, emotional, and psychological wellbeing, and effects of moral distress on new nurses may result in job dissatisfaction, burnout, and abandonment of the profession. The specific problem is that undergraduate nursing students are entering the professional field experiencing moral distress. In this study, nurse educators’ perspectives regarding how undergraduate nursing curriculum addresses the topic of moral distress and strategies and skills that can enhance moral courage were explored. The conceptual framework comprised Kidder’s …
Assessment Literacy Of Middle School Music Educators, William Gordon Daines
Assessment Literacy Of Middle School Music Educators, William Gordon Daines
Walden Dissertations and Doctoral Studies
In a school district in the Southwestern region of the United States, middle school music educators did not participate in district-wide initiatives to improve teacher assessment literacy, which encompasses the assessment knowledge and practices of teachers in support of student learning. The educators varied widely in their grading and assessment knowledge and practices. The purpose of this qualitative explanatory case study was to explore the middle school music educators’ perspectives of their assessment knowledge and practices in the classroom and how they used assessments to evaluate students’ knowledge and skills in music. Xu and Brown’s teacher assessment literacy in practice …
Prekindergarten Teachers’ Perspectives Regarding Kindergarten Readiness And Challenges To Readiness Achievement, Felicia Nicole Chapman Farr
Prekindergarten Teachers’ Perspectives Regarding Kindergarten Readiness And Challenges To Readiness Achievement, Felicia Nicole Chapman Farr
Walden Dissertations and Doctoral Studies
AbstractThe problem that was the focus of this study is that only half of the students entering kindergarten in the United States are considered kindergarten ready. This problem is important because children who are successful in kindergarten are more likely to continue to be successful in elementary school. The purpose of this basic qualitative study was to explore the perspectives of prekindergarten teachers regarding lack of kindergarten readiness in students who completed a district-approved prekindergarten program and the challenges the teachers believe affected the level of kindergarten readiness. The conceptual framework for this study was based on the need for …
Effects High-Cost Health Insurance And The Uninsured Middle-Class Families Of Essex County, New Jersey, Janice A. Fearon
Effects High-Cost Health Insurance And The Uninsured Middle-Class Families Of Essex County, New Jersey, Janice A. Fearon
Walden Dissertations and Doctoral Studies
AbstractThousands of middle-class families living in Essex County, New Jersey, cannot afford health insurance, but little is known about their experiences regarding this lack. The purpose of this research study was to explore the lived experiences of uninsured middle-class families who could not afford state or any other type of health insurance in Essex County, New Jersey. The theoretical framework for this study was based on Smith’s rational choice theory. The research question explored the lived experiences of uninsured middle-class families. Purposeful sampling was used in this phenomenological study to select 10 participants from families residing in Essex County with …
Exploration Of The Cultural Perspectives Of Caregivers Of African American And African Children With Delayed Diagnosis Of Autism Spectrum Disorder, Deirdre Marie Johnson-Taylor
Exploration Of The Cultural Perspectives Of Caregivers Of African American And African Children With Delayed Diagnosis Of Autism Spectrum Disorder, Deirdre Marie Johnson-Taylor
Walden Dissertations and Doctoral Studies
AbstractThrough the lens of Bronfenbrenner’s bioecological theory, the purpose of the study was to explore African American and African caregivers’ perceptions of autism spectrum disorder (ASD), child development knowledge, religious/traditional beliefs, and fear of stigma within the context of their culture. African and African American children with ASD are identified at later ages than Caucasian children by 1 1/2 to 2 years. Disparities in educational and social outcomes of African and African American children with ASD may be related to this identification delay. Current literature regarding African and African American caregivers’ perceptions of children with ASD is sparse. An ethnographic …
Water/Sanitation, Hygiene, And Risk Factors Associated With Under-5 Mortality In Côte D’Ivoire, Ouda Kamagate
Water/Sanitation, Hygiene, And Risk Factors Associated With Under-5 Mortality In Côte D’Ivoire, Ouda Kamagate
Walden Dissertations and Doctoral Studies
Despite remarkable progress in children’s survival since 1990, the global burden of the under-5 mortality rate (U5MR) remains immense. According to the World Health Organization, about 5.2 million children below 5 died in 2019, with 14,000 dying each day. Literature reveals that the lack and limitation of water, sanitation, and hygiene (WaSH) are linked to deaths in childhood. Cote d’Ivoire still lags behind expectations with 79 per 1000 live births in 2019 rather than 25 and below, so there is a need to uncover to what extent the U5MR is affected by WaSH. Through a cross-sectional design guided by the …
How Teachers Learn About Using Teacher-Student Relationships In Urban Schools, Cheryl Krapohl
How Teachers Learn About Using Teacher-Student Relationships In Urban Schools, Cheryl Krapohl
Walden Dissertations and Doctoral Studies
The teacher-student relationship (TSR) is an important component of instruction that can lead to improved student outcomes, especially in urban schools. Researchers have suggested that instruction in using TSRs is lacking in teacher preparation programs, but there are limited studies examining this claim. The problem addressed in this study is the perceived lack of instruction in using positive TSRs provided by teacher preparation programs. Using Gay’s theory of culturally responsive teaching and Milner’s concept of relationship-centered teaching as the conceptual framework, the purpose of this basic qualitative study was to explore teachers’ viewpoints about the instruction received in innovative methods …
Perspectives Of Religious Faith Leaders On Hate Crime Policies, Alphonso Manns
Perspectives Of Religious Faith Leaders On Hate Crime Policies, Alphonso Manns
Walden Dissertations and Doctoral Studies
AbstractPrejudice and discrimination stigmatize members of the lesbian gay bisexual transgender and queer (LGBTQ) community as abnormal, which has been attributed to religious opposition and the exercise of ministerial privileges or religious liberty within the law. Religious organizations may indirectly contribute to the public legal rights of members of the LGBTQ community. But little is known about the perspectives of religious faith leaders (RFLs) and how they influence the development and implementation of pro-equality and hate crime policies. The purpose of this study was to explore the experiences of RFLs from one community in a midwestern state. The narrative policy …
The Effects Of Acculturative Stress On The Physical/Mental Health Of Immigrant Mexican Women, Maria Del Carmen Mendoza Griego
The Effects Of Acculturative Stress On The Physical/Mental Health Of Immigrant Mexican Women, Maria Del Carmen Mendoza Griego
Walden Dissertations and Doctoral Studies
AbstractImmigrants may experience acculturative stress as they adapt to their host country's dominant culture, which previous research has indicated may affect their physical and mental health. The purpose of this quantitative study utilizing a random sample was to examine the effect of acculturative stress and age on the mental and physical health of adult women of Mexican origin living in the United States, considering the moderation of perceived discrimination. The theoretical framework of acculturation by John W. Berry guided this study. The three research questions involved understanding whether immigrant Mexican women experienced a negative effect on their mental and physical …
Using Distributed Leadership At The Middle School Level To Improve Academic Outcomes For Students With Disabilities, Kalisha Miller
Using Distributed Leadership At The Middle School Level To Improve Academic Outcomes For Students With Disabilities, Kalisha Miller
Walden Dissertations and Doctoral Studies
The achievement gap between students with disabilities and their nondisabled peers continues to be a major issue in most school systems across the United States, with this gap expanding as students move from elementary to middle school. Using the distributed leadership framework, the purpose of this basic qualitative study was to explore middle school principals’ perspectives on leadership practices within their instructional leadership teams that improved the academic achievement of students with disabilities. Researchers have demonstrated that distributed leadership is embodied through the collaboration of school leaders, followers, and their situation to influence organizational and instructional changes. The research question …
Overeating As A Coping Response To Workplace Gender Discrimination: The Role Of Resilience And Social Support, Rosemarie Charmain Mitchell
Overeating As A Coping Response To Workplace Gender Discrimination: The Role Of Resilience And Social Support, Rosemarie Charmain Mitchell
Walden Dissertations and Doctoral Studies
Gender discrimination in the workplace continues to be a persistent source of stress for women even after 5 decades of antidiscrimination legislation in the United States. Women are more likely than men to cope with stress by overeating, which is a risk factor for chronic illnesses and obesity. Much less is known about the protective factors that could weaken the association between perceived stress and overeating. The purpose of this quantitative study was to address this gap in the literature by examining whether resilience and social support are moderators of the overeating response for women who have experienced gender discrimination …
Body Satisfaction And Self-Efficacy As A Predictor For Obesity Among African American College Women, Sacha Nicole Morris-Dorsey
Body Satisfaction And Self-Efficacy As A Predictor For Obesity Among African American College Women, Sacha Nicole Morris-Dorsey
Walden Dissertations and Doctoral Studies
African American women have the highest rates of obesity when compared to any ethnic group in the United States, and the rates of obesity among this population are expected to continue to increase. In this study, social cognitive theory was used to predict the connection between body satisfaction, self-efficacy, and obesity in 18–24-year-old African American women attending college. The data were analyzed using multiple regression, while controlling for demographic variables, to determine if body satisfaction (Body-Esteem Scale for Adolescents and Adults) and self-efficacy (The Eating Self-Efficacy Scale) predicted obesity among African American women in college. Thirty-three participants completed the survey. …
Role Of Hypertension In Low-Birth-Weight Racial Disparities Among Virginian Women, Ashli Owen
Role Of Hypertension In Low-Birth-Weight Racial Disparities Among Virginian Women, Ashli Owen
Walden Dissertations and Doctoral Studies
Low birth weight (LBW) is a leading cause of infant mortality globally, but it disproportionately burdens the Black community in the United States, with a rate twice that of White women. Further, hypertensive disorders of pregnancy (HDsP) increase LBW incidence. The purpose of the study was to assess the association between HDsP and LBW, maternal race and LBW, and the moderation effect of HDsP on race and LBW on Black and White women in Virginia. The theoretical framework for this study was based on the lifecourse health development model, which states that health should be viewed as an outcome of …
Completion Predictors For Students Who Transfer-In To A Community College, Erin Kristina Reeder
Completion Predictors For Students Who Transfer-In To A Community College, Erin Kristina Reeder
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study is that the credential completion rate for transfer-in students (TIS) is lower than for first-time, full-time students (FTFT) at Peninsula Community College (PCC, a pseudonym). The purpose of this quantitative study was to determine if the completion input (gender, race/ethnicity, age) and environment (number of transfer credits accepted) variables predict credential completion for credential-seeking TIS at PCC. Astin’s input-environment-outcome model served as the framework, in which a student’s success is a function of the student’s background before enrolling and the experiences while attending college. Deidentified archival data for TIS enrolled in fall …
Self-Management Support Program For Dialysis Patients, Elmer Sadiang-Abay
Self-Management Support Program For Dialysis Patients, Elmer Sadiang-Abay
Walden Dissertations and Doctoral Studies
AbstractChronic kidney disease (CKD) prevalence rates have been on the rise in recent years, and currently, about 37 million Americans are living with the disease. Most patients with CKD progress to end-stage renal disease (ESRD), resulting in additional treatments, including kidney transplants and hemodialysis (HD). HD treatments depend on patients’ adherence to self-management practices. The practice gap was the lack of guidelines for staff to use with ESRD patients to teach self-management strategies. This project aimed to develop an evidence-based clinical practice guideline (CPG) on a self-management support program for dialysis patients for use by health care providers at the …
Principals’ Perspectives On Integrating Digital Tools In The Jamaican Primary Curriculum, Audrea Samuels
Principals’ Perspectives On Integrating Digital Tools In The Jamaican Primary Curriculum, Audrea Samuels
Walden Dissertations and Doctoral Studies
There is a growing demand for schools to be digitalized in the fourth industrial revolution, yet many teachers do not use digital tools in their pedagogical practices. Primary school principals have experienced challenges in motivating teachers to use digital tools in curriculum delivery in a rural quality education circle (QEC). The purpose of this study was to explore principals’ perceptions about the challenges experienced with using digital tools in curriculum delivery and the organizational supports needed for utilization in instruction by primary teachers in a rural QEC in Jamaica. The technological, pedagogical, and content knowledge (TPACK) framework was used in …
Oncology Nurses' Development Of Coping Mechanisms To Avoid Burnout And Foster Resilience, Alberto N. Sarmiento
Oncology Nurses' Development Of Coping Mechanisms To Avoid Burnout And Foster Resilience, Alberto N. Sarmiento
Walden Dissertations and Doctoral Studies
Cancer is a leading cause of death in the United States. Individuals diagnosed with the disease experience physiological and psychological burdens due to its effects. As a result, cancer care constantly exposes health care professionals to challenging personal and professional demands. Effective coping mechanisms are associated with better well-being and career longevity for nurses and improved outcomes for patients. Although researchers have examined resilience and burnout among health care professionals, they have not fully considered these concepts in terms of oncology nurses' professional experiences or explored what factors may mitigate burnout for these professionals. The purpose of this qualitative study …
Health Educator Experience: Recommendations For Physical Activity For Mental Health In Women, Patricia Schneider
Health Educator Experience: Recommendations For Physical Activity For Mental Health In Women, Patricia Schneider
Walden Dissertations and Doctoral Studies
Mental health issues, specifically anxiety and depression, continue to be a public health crisis in the United States. Despite the established therapies of pharmacology and cognitive behavioral therapy, not all patients seek or find relief using these methods. Therefore, other treatment strategies need to be studied. The purpose of this basic qualitative study was to understand the experiences of health educators who use physical activity as a strategy for anxiety and depression management among middle-aged women as well as their own attitudes, norms, and perceived behavioral controls. The theory of planned behavior (TPB) was leveraged as the theoretical foundation for …
The Effectiveness Of Culturally Specific Interventions On Young Adult Latina Women, Cheryl Denise Smith
The Effectiveness Of Culturally Specific Interventions On Young Adult Latina Women, Cheryl Denise Smith
Walden Dissertations and Doctoral Studies
Using culturally specific interventions to provide mental health support to young adult Latina women may improve mental healthcare results by furnishing resources that are culturally competent and inclusive. Young adult Latina women continue to experience disparities with mental healthcare resources such as cultural adaptability and accessibility. The purpose of this phenomenological qualitative study was to explore how culturally specific interventions could result in mental healthcare support for young adult Latina women who are experiencing mental health issues such as depression and anxiety. Bronfenbrenner's ecological system theory was used as the conceptual framework. Purposeful sampling was used to recruit 12 young …
The Impact Of Poverty And Gender-Based Disaster Education On Household Preparedness Planning In Male Latino Migrant Workers, Malikah Taylor
The Impact Of Poverty And Gender-Based Disaster Education On Household Preparedness Planning In Male Latino Migrant Workers, Malikah Taylor
Walden Dissertations and Doctoral Studies
Natural disasters cause catastrophic damage to a community through death, injury, and property loss. Urban areas are predisposed to these events due to their built environment and the dense population of vulnerable groups. Urban male Latino migrant workers are an at-risk population with multiple social determinants of health that should be considered when implementing risk reduction plans. Programs that do not target this entire community only enhance the vulnerability of this group. This study examined the relationship between poverty and household preparedness in this community, controlling for gender. The socioecological model provided the foundation for this retrospective secondary analysis. Statistical …
Factors Of Employee Retention Within Youth-Serving Nonprofits In The Mid-Atlantic Region Of The United States, Meleny Thomas
Factors Of Employee Retention Within Youth-Serving Nonprofits In The Mid-Atlantic Region Of The United States, Meleny Thomas
Walden Dissertations and Doctoral Studies
Factors of employee retention have been widely researched and examined. However, research on factors of retention in relation to youth-serving NPOs was limited. Turnover was an issue that many organizations face, but the impacts and implications of turnover for youth-serving nonprofits may be greater. Using Herzberg’s two-factor theory of motivation, this study identified the factors that local and national NPO employees in the Mid-Atlantic region of the eastern United States provided as to why they remained at or left NPOs. The aim of this study was to identify the motivator and/or hygiene factors that employees or former employees of NPOs …
Staff Education On Hepatitis C Screening Guidelines, Duy Le Trinh
Staff Education On Hepatitis C Screening Guidelines, Duy Le Trinh
Walden Dissertations and Doctoral Studies
Hepatitis C virus (HCV) is found worldwide, but the burden is much higher in correctional settings compared to general populations. In a detention centered located in Washington, the nurses at booking do not know who are at risk for Hepatitis C. This Doctor of Nursing (DNP) project attempted to answer the question of if educating nursing staff at the detention facility in Washington increase their knowledge of the importance of screening inmates for hepatitis C.The purpose of this project was to educate nursing staff about the risk factors for HCV so that proper screening can be done. Knowles’s adult learning …
Collaborative Practices Between General Education And Special Education Teachers In Middle School Inclusion Classrooms, Wanda Ray Washington
Collaborative Practices Between General Education And Special Education Teachers In Middle School Inclusion Classrooms, Wanda Ray Washington
Walden Dissertations and Doctoral Studies
To improve the learning of students with disabilities, the collaboration between generaleducation and special education teachers in middle school inclusion classrooms needs to be increased. This basic qualitative study aimed to explore general education and special education teachers’ coteaching relationships in inclusion classrooms. Pratt’s achieving symbiosis theory was used to frame the study. The research question investigated the difficulties middle school general education and special education teachers encountered that prevented them from attaining a symbiotic relationship in the inclusion classroom. A basic qualitative study was used to gain insight from certified, middle school coteachers in inclusion classrooms who taught in …
Links Between Screen Tim, Montessori Preschool Exposure, And Working Memory, Paula Lyn Larsen Mamani
Links Between Screen Tim, Montessori Preschool Exposure, And Working Memory, Paula Lyn Larsen Mamani
Walden Dissertations and Doctoral Studies
A high-quality, foundational education offers lifelong benefits for young children. The problem is that working memory in pre-school-aged children is declining and could be impaired by the extraneous cognitive load imposed during engagement with screen media apps and/or preschool programs. Although the pedagogical practices associated with Montessori preschool programs have been found supportive of cognitive load germane to learning and improved working memory, they have not been fully considered in relation to preschoolers' screen media use. The cognitive load created by screen media apps could affect their usefulness as learning tools. The purpose of this quantitative study was to discover …
Middle School Teachers' Perceptions Of Administrator Support, Teacher Retention, And Attrition, Tonya Kabia
Middle School Teachers' Perceptions Of Administrator Support, Teacher Retention, And Attrition, Tonya Kabia
Walden Dissertations and Doctoral Studies
Teacher attrition has been an issue in the local urban area resulting in students being taught by teachers and substitutes who may not be knowledgeable about the content. The attrition of experienced teachers is a concern for administrators, fellow teachers, parents, and students. The purpose of this study was to investigate teachers’ perceptions of administrator support, teacher retention, and teacher attrition. Bronfenbrenner’s ecological system theory served as the conceptual framework that guided this study. A basic qualitative research design was used to capture the insights of 10 middle school teachers in an urban district in the eastern United States through …
Understanding Marketers’ Strategy Development Processes Used For Behavior Change, Eunice Moseley
Understanding Marketers’ Strategy Development Processes Used For Behavior Change, Eunice Moseley
Walden Dissertations and Doctoral Studies
Studies support the concept that a show of concern by marketing leaders for the consumer equates to consumer loyalty, consumer satisfaction, and positive consumer behavior change. The problem was that processes marketing leaders rely on to develop strategies in California may not show consideration of the campaign’s influence on consumers’ behavior. The purpose of this narrative inquiry was to answer the research question probing for how the processes marketing leaders rely on to develop marketing strategies in California show consideration of the campaigns’ influence on consumers’ behavior. The research question asked about the processes marketing leaders rely on to develop …
Veteran Elementary Teachers’ Perceptions Of Their Preparedness To Teach English Language Learners Literacy, Kelly Ann Philbin
Veteran Elementary Teachers’ Perceptions Of Their Preparedness To Teach English Language Learners Literacy, Kelly Ann Philbin
Walden Dissertations and Doctoral Studies
The English Language Learner (ELL) population continues to steadily grow. While most research focuses on preservice or novice teachers’ perceptions of their preparedness to instruct ELLs, there have been very limited studies focusing on veteran elementary teachers. The purpose of this qualitative multicase study was to explore veteran elementary teachers’ perceptions of their preparedness to teach ELLs literacy. This study was grounded in the conceptual framework of Bandura’s self-efficacy theory. Purposeful sampling was used to select nine veteran elementary classroom teachers to share their perceptions through in-depth, semistructured interviews. Study participants were kindergarten, first, and second grade teachers. Data were …
Latino Pastors’ Perceptions Of Referring Intimate Partner Violence Victims To Secular, Esther M. Rios
Latino Pastors’ Perceptions Of Referring Intimate Partner Violence Victims To Secular, Esther M. Rios
Walden Dissertations and Doctoral Studies
Information about intimate partner violence (IPV) perceptions within the Latino clergy population is scarce. This research study investigated perceptions, experiences, and biases, precluding Latino clergy in referring church members to outside resources. The research question focused on Latino pastors’ perceptions about referring church members victims of IPV to secular organizations. Understanding clergy’s IPV perceptions provided an opportunity for scholars to explore ways for clergy to discover other organizations contributions to IPV. Historical oppression was used as the framework for the study because Latino women victims of IPV experience severe victimization and are afraid to report the abuse. Previous research does …