Digital Commons Network^™

Reducing Falls In The Vulnerable Elderly: Implementing An Inpatient Fall Prevention Program, Bibi Farida Khan

Walden Dissertations and Doctoral Studies

Inpatient falls are a leading cause of fatal and serious injuries among hospitalized elderly patients, often with devastating consequences. This quality improvement project was conducted on a geriatric unit in a large southeastern U. S. hospital, following recognition of an increase in the number of falls with several sustained injuries. After an analysis of the previous fall prevention strategies, a panel of stakeholders who formed a falls prevention committee determined that implementing an evidence-based fall risk assessment tool to help identify risk factors, as well as implementing interventions to address those risk factors, would make fall prevention more patient specific …

Socioeconomic Determinants Of Physical Activity Among Adult Arab Immigrants In Edmonton, Alberta, Samer Kobrosly

Walden Dissertations and Doctoral Studies

Little is known about leisure-time physical activity (LTPA) habits of Arab immigrants in Canada. Leisure-time physical activity has been linked to decreased risks for cancer, cardiovascular disease, and all causes mortality and increased life expectancy. Socioeconomic status has been recognized as a significant factor affecting health and wellbeing due to its impact on individuals’ attitudes, experiences, and exposure to several risk factors. The purpose of this cross-sectional descriptive study was to explore the levels of participation in LTPA among adult Arab immigrants in central Alberta, Canada, to examine the socioeconomic determinants of LTPA, and to investigate which individual, social, and …

Perceptions Of Lifestyle As Mental Health Protective Factors Among Midwestern Amish, Gregory Lantz

Walden Dissertations and Doctoral Studies

The Amish are commonly known for horse-and-buggies, simple clothing, and refusal to use electricity. Less commonly known is their rate of mental illness, which is significantly lower than the non-Amish population. The literature that points to lower depression and anxiety among the Amish does not adequately explain what elements of their lifestyle contribute to this phenomenon. Depression and anxiety are a widespread problem in the United States, increasing the importance of understanding a lifestyle that can reduce these issues. The purpose of this study was to explore the Amish way of life through the words of its members. The three …

Effects Of Teach-Back On Children’S Treatment In Parents With Low Health Literacy, Marion Ines Kopulos

Walden Dissertations and Doctoral Studies

Health literacy (HL) skills are necessary to understand the context of medical information provided to patients in all settings including the emergency room. People with low health literacy (LHL) have difficulty comprehending and implementing basic tasks such as understanding medication administration. The purpose of this quasi-experimental study guided by Orem’s self-care theory was to determine the effect of using the teach-back method for discharge instructions compared to standard written instructions based on parents’ learning style and HL skills assessed during their visit to the emergency room. The Newest Vital Sign (NVS) tool was reworded to assess the parents’ HL. A …

Advancement Via Individual Determination Graduates’ Applying Instructional Strategies In Post-Secondary Education, Cassandra Marie Mueller

Walden Dissertations and Doctoral Studies

The problem in a suburban school district in a northwestern state is that fewer socioeconomic disadvantaged and minority students are graduating high school and attending post-secondary education than their White and economic middle-class counterparts. The disparity continues to expand the achievement gap between minorities and Whites within the education system and continues a cycle of poverty for the poorest and minority students. Bandura’s self-efficacy theory guided the study. The purpose of this bounded qualitative exploratory case study was to explore the advancement via individual determination (AVID) instructional strategies high school graduates used in their transition to post-secondary education. The research …

Improving Gonorrhea Result Notification And Response Among African American Women, Lashonda Ouk

Walden Dissertations and Doctoral Studies

Previous research has shown that 45% of malpractice claims are due to insufficient and late follow-up of test results and limited communication methods provided to patients. This study explored the preferred communication methods between a patient and a healthcare provider. The technology acceptance model served as the conceptual framework. A quantitative research design was used to examine patients’ perceived usefulness, attitude, perceived ease of use, and adaptability regarding mobile technology. The primary means of data collection was the use of a survey questionnaire. Participants included a random sample of 118 women seen in a local health department in the women’s …

Experiences Of High School Noncompleters With Emotional And Psychological Challenges, Christine M. Park

Walden Dissertations and Doctoral Studies

High school noncompleters are those who did not earn a high school diploma. Before their early departure from high school, noncompleters often struggled with challenges (poverty, mental health, addiction, and emotional and physical abuse). Some enter remedial education to earn their equivalency credential. However, in this setting, they experience additional challenges, such as increased responsibility, stress, and anxiety. The problem surrounding the experiences of noncompleters has implications for counseling due to the limited use of and access to counseling as well as the disproportionate amount of mental health concerns and adversity among noncompleters. Current literature informs of the challenges noncompleters …

College Freshman Perceptions Of Social Media Use For Authentic Learning In Composition Courses, Stacy Michelle Platt

Walden Dissertations and Doctoral Studies

Social media has been used as an instructional tool for authentic learning in order to enable adaptability through experimentation and action rather than passive listening and regurgitation. The problem addressed in this study is that it is not known how English composition students’ perceptions of authentic learning are impacted by the use of online social media as instructional tools. Authentic learning is characterized by multiple elements, including collaboration, reflection, and communication. The purpose of this quantitative study was to determine the perceptions of undergraduate 1st year freshmen composition students using social media as instructional tools, across 9 elements of authentic …

Depression With Peripartum Onset (Postpartum) And Mother’S Perceptions Of Social Support And Self-Efficacy For Parenting, Shenetha Carmise Ramsey

Walden Dissertations and Doctoral Studies

Depression with peripartum onset, which was previously called maternal depression, or postpartum depression, is common among many pregnant women. The condition increases impairment in maintaining relationships, self-esteem, and parenting skills. The purpose of this phenomenological qualitative study was to explore how mothers who have experienced peripartum onset (postpartum) depression perceive their social support and their ability to parent effectively. The conceptual framework was based on Albert Bandura’s self-efficacy theory. Convenience and snowball sampling were both used to obtain 6 research participants who were interviewed face-to-face or by telephone. Participants shared their experiences with depression, perceptions of social support, and how …

Principals’ Experiences Leading Strategic Planning In High-Performing Primary Schools In Trinidad And Tobago, Adesh Reitoo Ramlal

Walden Dissertations and Doctoral Studies

In the education system in Trinidad and Tobago, only 60% of students are achieving mastery in literacy and numeracy as documented by national tests. The purpose of this basic qualitative study was to explore principals’ experiences leading strategic planning designed to increase achievement in literacy and numeracy in 8 high-performing primary schools in Trinidad and Tobago. Fullan’s change process theory provided the framework for the study. Data were collected from interviews with 8 principals. Data analysis included coding, categorizing, and identifying themes. Findings indicated that principals plan, implement, and monitor the facilitation of change processes through in-depth strategies in teaching …

Exploration Of K-5 Teacher Decision-Making Related To Student Use Of Technology, Eric Noel Rodriguez

Walden Dissertations and Doctoral Studies

Student technology literacy is critical for success in today’s world; however, little is understood about how teachers make the decision for students to use technology for learning due to limited empirical research on the topic of teacher decision-making regarding student use of information communication technologies (ICT). The purpose of this generic qualitative study was to explore the decision-making process of kindergarten to Grade 5 (K-5) teachers regarding implementation of ICT for student use at varying levels. The framework for this study comprised the substitution augmentation modification redefinition model and the technology acceptance model. The research questions focused on how teachers …

Relationship Between Perceived Usefulness, Ease Of Use, And Acceptance Of Business Intelligence Systems, Christina Ndiwa Sandema-Sombe

Walden Dissertations and Doctoral Studies

In retail, the explosion of data sources and data has provided incentive to invest in information systems (IS), which enable leaders to understand the market and make timely decisions to improve performance. Given that users’ perceptions of IS affects their use of IS, understanding the factors influencing user acceptance is critical to acquiring an effective business intelligence system (BIS) for an organization. Grounded in the technology acceptance model theory, the purpose of this correlational study was to examine the relationship between perceived usefulness (PU), perceived ease of use (PEOU), and user acceptance of business intelligence systems (BIS) in retail organizations. …

Development Of A Nurse Residency Program In Perinatal Nursing, Elizabeth W. Roberts

Walden Dissertations and Doctoral Studies

Staffing turnover created a challenge for the women’s services department of a hospital in the southern United States, potentially compromising care for women and infants during childbirth. The gap in practice was the lack of a structured nurse orientation/residency program for nurses new to perinatal nursing, which requires specific competencies not learned at the prelicensure level of education. The guiding practice-focused question was whether a multidisciplinary team could develop a formal evidence-based perinatal nurse residency program that would meet the needs of on-boarding and support for the new nursing hires at this facility. A team of experienced nurses, which included …

Accessibility Of Innovative Services In Radiation Oncology, Patricia Sansourekidou

Walden Dissertations and Doctoral Studies

The field of radiation oncology (RO) involves the use of highly advanced techniques to treat cancer and safely spare healthy organs. The discipline has experienced rapid growth in the past 25 years, with technological advancement as the driving force. Available data and an instrument to effectively measure the accessibility of innovation in the field were lacking. The purpose of this study was to investigate the accessibility of innovative services in RO in the United States and assess possible diffusion patterns. Two hundred and forty medical physicists practicing in RO in the United States completed a custom Internet-based survey. The diffusion …

Family Predictive Factors Of Rural Malaria Prevalence In Nsukka, Eastern Nigeria, Gabriel Ugwuja Ugwu

Walden Dissertations and Doctoral Studies

Children in early childhood are still suffering from burdens of malaria-related morbidity and mortality. There have been insufficient studies on how family-level factors may predict the prevalence of malaria (PoM), and negatively impact the control of malaria in rural areas, especially among children. In this study, potential family factors were explored to address the challenges associated with the increase in PoM among the children in rural areas of Nsukka. Socioecological framework guided this study at the interpersonal level. The quantitative cross-sectional study used secondary data from Demographic and Health Surveys (DHS) of 2015 in Nsukka rural communities. Data were analyzed …

Relationship Between Technostress Dimensions And Employee Productivity, Kesha Walton

Walden Dissertations and Doctoral Studies

Low productivity among employees represents a threat to the sustainability of organizational profits. Retail organizations have experienced a loss of over $300 billion annually because of low productivity. A consequence of technostress is low self-efficacy, which promotes low productivity and high employee absenteeism and burnout. Guided by the theory of technological self-efficacy, the purpose of this correlational study was to examine whether a relationship existed between employee technostress and employee productivity and the extent that technological self-efficacy mediated that relationship. A random sample of 112 retail employees from central Florida contributed to this study.

Data were analyzed using Pearson bivariate …

Effects Of A Student Success Course On Retention Of First-Year Community College Students, Deatrice Allen Willis

Walden Dissertations and Doctoral Studies

Low retention rates among 1st year students plague many community colleges in the United States, including the study site used for this research. Preparing 1st year community college students both academically and socially are key aspects of combating this issue and enhancing student success and persistence. The purpose of this quantitative study was to determine the influence of the First-Year Experience (FYE) course in improving student retention and promoting student success. Rodger’s student development theory and Tinto’s theory on retention guided this study. A causal-comparative design was used to examine the difference in retention rates and GPA between students enrolled …

Teachers’ Perceptions And Strategies Implementing The Alabama Reading Initiative To Teach Literacy, Latanya Williams-Collins

Walden Dissertations and Doctoral Studies

A report from a 2015 descriptive study of the Alabama Reading Initiative (ARI) showed that 85% of the participants who were trained in strategies to address students’ reading difficulties in high school were not implementing them. Teachers’ implementation of ARI was the focus of this study. Pragmatism was the epistemological framework of the study, and Roger’s diffusion of innovation theory was the conceptual framework used to support the study. The purpose and corresponding research questions examined the extent of ARI implementation, reasons for not implementing those strategies, and ideas for future professional development in ARI. Six content-area teachers who taught …

Third-Grade Reading Teachers' Views On Achieve3000 For The Florida Standards Assessment Test, Ennis L. Brinson

Walden Dissertations and Doctoral Studies

Educators are challenged with meeting the academic needs of students, particularly in the subject area of reading. School districts purchase tools such as Achieve3000 to help students improve their proficiency in reading; however, implementation of such interventions has not been explored from the educators' perspective. This study explored 3rd grade reading teachers' views on Achieve3000 as a tool for improving reading proficiency and preparedness for the Florida State Standards English Language Arts assessment. The conceptual framework included the theory of social validity and current research as it related to differentiated instruction. This study utilized a basic qualitative approach to answer …

Maintaining Confidentiality Among Hiv Infected Couples: Physicians' Patterns Of Decision In Nigeria, Francess Uju Ayaebene

Walden Dissertations and Doctoral Studies

Policies mandating HIV status disclosure to decrease incidence create ethical challenges for physicians on whether to breach or maintain infected patients' confidentiality. In Sub-Saharan Africa where HIV incidence is high, there is a need for clear guidelines/policies on making confidentiality decisions. The purpose of this quantitative quasi experiment was to determine whether the gender, gender orientation, and sexual relationship of an infected patient and physicians' demographics predicted physicians' decisions to breach confidentiality. In Plateau State, Nigeria, 222 physicians were given vignette questionnaires containing 6 different descriptions of gender, gender orientation, and sexual relationships of a hypothetical patient. Each physician decided …

Oromo Ethiopians Perceptions Of The Prevalence, Causes, Treatment And Prevention Of Trachoma, Linda L. Gross

Walden Dissertations and Doctoral Studies

In Ethiopia, one of the primary contributors to blindness is trachoma, which is an infectious ocular disease. There is no record of any prevention programs in rural Ethiopian villages of Oromia, where the prevalence of trachoma is high. The original purpose of this phenomenological study was to explore the perceptions of rural Oromo villagers in Ethiopia on the causes, treatment, and prevention of trachoma, using the health belief model and the social-ecological model as a theoretical framework. Due to a security situation in Ethiopia, final interviews were conducted with immigrant Ethiopians in the US, all of them from the trachoma-endemic …

The Effect Of Stem And Non-Stem Education On Student Mathematics Ability In Third Grade, Elke Hyacinth

Walden Dissertations and Doctoral Studies

Although early mathematics instruction is predictive of future mathematics achievement, the effects of STEM-based mathematics instruction on mathematics gains in elementary school have been largely unexplored. The purpose of this quantitative study was to determine whether mathematics scores from third grade student state-mandated standardized mathematics test differ between students who were enrolled in STEM schools and students who were enrolled in non-STEM schools in the largest school district located in a Southwestern state in the United States. Polya's problem-solving heuristics formed the theoretical framework because of their relevance to concepts on the third grade mathematics test. Two research questions focused …

Predictive Factors Of Drug Court Completion For Female Participants, Shannon Jordan

Walden Dissertations and Doctoral Studies

Women comprise one of the fastest growing populations of the criminal justice system, yet little research exists concerning the success of these women completing a coed pretrial drug court diversion program. Trauma theory was applied to inform the variables in this quantitative correlational study. The predictive nature of age, educational level, marital status, violent criminal history, and mental health problems for women were examined in relation to completion of a coed pretrial drug court diversion program. A convenience sample from secondary, archival data was obtained from a criminal justice agency in Washington, DC. The dataset included women who participated in …

Collaboration And Collective Inquiry Goals In An Elementary School Professional Learning Community, Susan Lazor

Walden Dissertations and Doctoral Studies

K-12 schools in the United States face challenges to close the achievement gap, improve student learning and teacher instruction, and increase students' and educators' accountability. A professional learning community (PLC) was implemented to improve instruction and student learning at a K-5 elementary school located in the Western region of the United States. A bounded qualitative case study was used to conduct a modified formative objectives-oriented program evaluation to determine whether the collaboration and collective inquiry goals were met. This study was guided by DuFour's PLC framework. Research questions focused on how PLC team members developed and maintained the PLC goals …

High School Drop Outs With Learning Disabilities In The U.S. Virgin Islands, Tanya M. Lockhart

Walden Dissertations and Doctoral Studies

A decline in high school dropout rates of students with learning disabilities (SWLDs) has been reported in the U.S. Virgin Islands (USVI). Of the2 school districts in the USVI, St. STT/STJ and STX, the researcher examined high school experiences of SWLDs who dropped out and did not attain a high school diploma in STX. Utilizing the conceptual framework of Maslow's hierarchy of needs, participants' personal high school experiences were examined in an effort to understand factors leading to their choice to drop out. The researcher interviewed 12 participants who were drop out SWLDs, ages 18 years and older. Interview data …

Strategies To Reduce Job Dissatisfaction Within 911 Call Centers, Gary Marshall

Walden Dissertations and Doctoral Studies

In 2017, more than 6.9 million employees parted ways with their employer because of voluntary employee turnover, layoffs, or terminations. Emergency call center supervisors who fail to implement adequate job satisfaction strategies experience reduced productivity and increased voluntary turnover. The purpose of this multiple case study was to explore the strategies some southern Ontario 911 call center supervisors used to reduce job dissatisfaction. The conceptual framework supporting the study was the competing values framework. The population included 6 supervisors of 911 call centers in the province of Ontario, Canada, who successfully implemented job satisfaction strategies. Data were collected from interviews …

Effects Of Psychiatric Hospital Closures On Local Jail Administrators, Correctional Staff, And Inmates, Mark Christian Lasko

Walden Dissertations and Doctoral Studies

A series of psychiatric hospital closures has led to a movement of care for individuals with mental illness from state-run facilities to managed care centers. Many of the individuals who no longer reside in psychiatric hospitals have become ensnared in the criminal justice system. Correctional facilities have an increased burden to care for the needs of the mentally ill, but lack the training and facilities to do so adequately. In this study, the lived experiences of correctional staff who have experienced the process of a hospital closure were examined. Psychiatric rehabilitation and gatekeeper theories served as the theoretical framework for …

Nurses' Lived Experiences Of Oppression And Power Dynamics In The Hospital Setting, Khadijatu A. Leary

Walden Dissertations and Doctoral Studies

The persistent and chronic nursing shortage presents an urgency to understand the root causes of nurses' increasing mobility and movement within and outside of the nursing workforce. A key to understanding nurses' dissatisfaction is to explore the work environment in which they practice. The purpose of this heuristic, phenomenological study was to understand nurses' experiences of oppression and the power dynamics in the hospital setting, which may provide insight to nursing turnover. The conceptual framework was Harvey's civilized oppression theory. Data were collected from semistructured interviews of 9 registered nurses by phone that met inclusion criteria of having more than …

Law Enforcement Seat Belt Use: Impact Of Policy And Phenomena On Use, Zach Loken

Walden Dissertations and Doctoral Studies

Studies show that seat belt use by law enforcement officers is estimated to be at 50%, well below the national average. The purpose of this study was to explore what may be leading to reduced seat belt use by law enforcement patrol officers while also determining if different types of policies effect the level of seat belt usage by this population. The theoretical framework used in this study was Shafritz, Ott and Jang's theory of organizational culture and change. This quantitative study was conducted using a casual, quasi-experimental design; the research questions focused on understanding what phenomena may be occurring …

Factors Associated With Prostate Cancer Screening Intentions Among Adult Men In Nigeria, Ifeanyi N. Malu

Walden Dissertations and Doctoral Studies

Timely detection of prostate cancer (PCA) with prostate-specific antigens (PSA) and digital rectal examinations (DRE) are essential in optimizing incidence, minimizing prevalence, and reducing mortality rates. Given the low levels of participation in cancer screening, this study was conducted to examine the factors men consider when deciding whether to screen for PCA in Nigeria. A cross-sectional, online-based survey of 180 consenting Nigerian men 50 years old and older was carried out. Logistic regression analysis and descriptive statistics were used to analyze the data. Based on the data, there was a moderate positive association between the health belief model constructs and …