Digital Commons Network^™

Inclusion Of Social Workers In End-Of-Life Discussions In Intensive Care Units, Olivett D. Underwood-Mobley

Walden Dissertations and Doctoral Studies

Clinical social workers have roles in providing end-of-life care in the United States. Although clinical social workers are present in the intensive care unit (ICU) setting and have expertise to address end-of-life care dynamics, social workers are not consistently included in end-of-life discussions in the ICU setting. The purpose of this action research study was to explore the barriers that prevent clinical social workers from being included in end-of-life discussions in the ICU and how clinical social workers perceive their roles in end-of-life discussions in the adult ICU setting. Open-ended questions were used to gather data by facilitating 4 focus …

The Effects Of Computer-Assisted Language Learning On English Language Proficiency, Rachelle Ysquierdo

Walden Dissertations and Doctoral Studies

The Every Student Succeeds Act of 2015 requires high standards, but academic achievement among English Language Learners (ELL) falls below that of their peers in Texas. These students' lower academic achievement may lead to their dropping out of high school, not going to college, or being underemployed, a problem that led to this study. The purpose of this study was to evaluate whether computer-assisted language learning (CALL) helps ELLs improve their English language proficiency compared to traditional learning approaches. Levy's theoretical framework on the implementation of CALL guided this study. A nonequivalent, pretest-and-posttest design was used to examine mean differences …

The Impact Of Technology Innovations In High School Biology Courses On Science Learning For Hmong Students, Thai Xiong

Walden Dissertations and Doctoral Studies

Hmong high school students struggle in science courses and have difficulty using technology, leaving them behind other ethnic groups in science performance. There is lack of research regarding Hmong students' struggle in technology-focused science courses, especially regarding the experiences of Hmong students with using science technology and teachers' experiences with these students. This single case study was designed to explore how technology innovations in high school biology courses impact science learning for Hmong students based on Gu, Zhu, and Guo's technology acceptance model. Both Hmong student and science teacher interviews as well as reflective journal data were collected to better …

Educational Manager Perceptions Towards Integrated Management Information System Implementation In Yemen, Mahfood Hussain Alkaabi

Walden Dissertations and Doctoral Studies

The government of Yemen has been developing government offered services designed to improve the quality of education management. Yemen's managers of education and managers of higher education in the Ministry of Education (MOE) and the Ministry of Higher Education (MOHE) have sought to improve quality of education, reduce costs, and provide timely information for decision-making processes by implementing an integrated management information system (IMIS). The problem was the lack of understanding the barriers that hinder successful IMIS implementation by the MOE and MOHE, and the role that lack of collaboration has played in prior unsuccessful attempts. The purpose of this …

The Impact Of Transformational Leadership On Nonprofit Volunteer Engagement And Commitment, Victoria Bohannon Buck

Walden Dissertations and Doctoral Studies

Nonprofit leadership attributes exert a significant effect on the nonprofit volunteer workforce to provide optimal service delivery to communities. Meeting the local community demands challenges nonprofit leadership to model inspirational behavior and attitudes that may motivate workers to transcend personal aspirations to support organizational goals more effectively. The purpose of this quantitative, correlational study was to determine whether transformational leadership influences the level of commitment and engagement of volunteer workers in nonprofit organizations. A theoretical framework based on transformational leadership guided the research. The research questions addressed the relationships between transformational leadership and nonprofit volunteer engagement and commitment. A sample …

Levels Of Income And Quality Of Care For Adults With Type 2 Diabetes, Lorna Bowen

Walden Dissertations and Doctoral Studies

Type 2 diabetes impacts the lives of adults in the low-income, middle-income, and high-income brackets in the United States and globally. More research was needed on how adults 45 years and older in Marion County managed their diabetes and the care they received based on their income. This case study involved investigating how adults 45 years and older in Marion County self-managed their diabetes and the quality of care they received based on their income. The health belief model supported the conceptual framework for the study. Data were collected through face-to-face and telephone interviews with 15 purposefully selected participants. Data …

College Instructors' Perceptions On Coteaching, Theresa Da Costa

Walden Dissertations and Doctoral Studies

Coteaching is a teaching strategy that requires 2-teachers to collaborate in developing a course syllabus, selecting materials, and assessing students' work. The research problem, addressed in this study, was an appeal to educate the diverse adult population whose needs could not be addressed through traditional instructions at Rex College. Because of a high number of enrolled adult students, coteaching at Rex College was used to improve student success for academically underprepared students in a Set for Success program. The purpose of this study was to examine the coteaching strategies used at Rex College so that teaching guides and/or professional training …

Teachers' Perceptions Of Student Engagement In A Hybrid Learning Environment, Dimika N. Smith

Walden Dissertations and Doctoral Studies

Today, educators in several U.S. states use a variety of instructional tools in their classrooms to engage students in a hybrid learning environment. The problem for this study was a disconnect in teachers' perceptions of student engagement in a hybrid high school learning environment. The purpose of this study was to explore teachers' perceptions of student engagement in a hybrid learning environment in 10th-12-grade classes. The conceptual framework was derived from Astin's theory of student involvement and the idea that student engagement is instrumental in academic performance. The central research and sub-questions addressed how teachers perceive student engagement affects hybrid …

Direct Supervisor Influence On Nurse Engagement, Kelly Elaine Tapp

Walden Dissertations and Doctoral Studies

Nurse engagement is essential for organizational success. If organizations can engage nurses, they may be able to improve organization and patient outcomes. The purpose of the evidence-based practice project was to use current evidence of direct supervisor influence on nurse engagement to create an educational program for clinical leads to use in their interactions with direct reports. The relationship-based care model was used as a framework for the project, and concepts included work engagement, nurse engagement, recognition versus meaningful recognition, professional development, communication, transformational leadership, and authentic leadership. Before and after attending the education program, clinical leads were given a …

Relationships Of Gender On Mathematics Achievement In High Achieving Military-Connected Children, Randi Kay Rose Dalton

Walden Dissertations and Doctoral Studies

The purpose of this quantitative correlational study was to describe the relationship between gender and grade level to mathematics achievement for high achieving military-connected students in Grades 3 through 9 who attended American public schools between 2012 and 2016. The theoretical framework was based on Sax's research on gender differences in learning. The research questions were: if there was a statistically significant difference between the percentage of military-connected students scoring in the top 2 quartiles (at or above the national average) for normal curve equivalent (NCE) mathematics scores on the Terra Nova Third Edition (TNTE) using gender as a predictor; …

Strategies Certified Project Management Professionals Use To Prevent Counterproductive Behavior, Lisa Annika Christin Hansson-Vazquez

Walden Dissertations and Doctoral Studies

Project managers who fail to apply strategies to prevent counterproductive work behavior in information technology projects could negatively affect users, budget costs, timelines, or projects. The purpose of this multiple case study was to explore strategies that project managers used to prevent counterproductive work behavior that put project success at risk. Social learning theory was the conceptual framework for this study. Data were collected through document review of published Project Management Institute (PMI) material as well as semistructured interviews with 10 project managers who were members of a PMI chapter in the southeastern United States, and who held a project …

Public Policies Involving Pregnant And Parenting Secondary Students From Perspectives Of Educators, Tomecole Hilliard-Carlton

Walden Dissertations and Doctoral Studies

Despite a significant drop in the number of pregnant adolescents and reforms to fight

gender discrimination under Title IX, teen pregnancy and risk factors including poverty,

stigma, and substance abuse, which may lead to different negative outcomes, such as

depression, social isolation, and lowered self-esteem remain a persistent problem in the

United States. Due to these factors, pregnant and parenting teens have been noted to drop

out of high school prematurely. Using incrementalism as a theoretical framework, the

purpose of this qualitative exploratory case study was to explore and describe Title IX

compliance and local policies and practices of educators …

Achieving Glycemic Control In Rural Clinics, Gayla Diane Mclaughlin

Walden Dissertations and Doctoral Studies

Diabetes is the 7th leading cause of death in the United States and is the main cause of chronic kidney failure, nontraumatic limb amputations, blindness, myocardial infarction, and stroke. Many patients with diabetes do not meet goals for at least 1 control measure of blood sugar, blood pressure, or cholesterol. The purpose of the project was to implement a template for documentation--a toolkit for patient care management-to improve blood glucose and blood pressure levels in a rural health clinic in central Texas for 33 patients with diabetes during a 6- to 8-week timeframe. The practice-focused question asked whether management of …

Competitive Strategies Of Minority-Owned Small Businesses, Peter George Smith

Walden Dissertations and Doctoral Studies

Leaders of minority-owned businesses earn less revenue on average than their nonminority counterparts, even when both sets of leaders operate in the same industries. Among the factors leading to this earnings discrepancy is the lack of access that leaders of minority-owned businesses have to high-revenue opportunities. The purpose of this multiple case study was to explore the strategies that some leaders of minority-owned small businesses use to compete for contracts in high-revenue industries. The study population comprised 3 owners of minority-owned small marketing consultancy firms headquartered in the Southeastern United States. Teece and Pisano’s dynamic capabilities view served as the …

Influence Of Self-Assessment Scripts On Self-Regulated Learning And Students' Performance In A Multimedia Environment, Guillermina Viruet

Walden Dissertations and Doctoral Studies

Multimedia learning may be more effective than text-only methods. Researchers have not examined the effects of metacognitive strategies on self-regulated learning (SR) within multimedia learning environments (MLE). The purpose of this quasi-experimental study was to examine potential differences in learning and SR skills between students who use a script as a self-assessment tool and students who do not, while creating a conceptual map. The cognitive-affective theory of learning with media was used to frame the study. The sample included 87 secondary school students from a public school in Puerto Rico, enrolled in 11th and 12th grade English courses. Control and …

Strategies To Reduce Maquiladora Employee Absenteeism In Mexico, Antonio Jose Cachazo

Walden Dissertations and Doctoral Studies

Employee absenteeism is a costly problem, affecting organizations' ability to deliver products and services. Finding strategies managers use to help reduce employee absenteeism is critical to sustain operational capacity, control labor costs, and to achieve organizational success. Drawing from the Herzberg 2-factors theory, the purpose of this qualitative case study was to explore strategies implemented by six business organizations to reduce employee absenteeism in the maquiladora industry in Mexico. Through semistructured interviews, 11 management participants shared strategies implemented to reduce absenteeism. In addition, other data sources, such as organizational policies, management graphs, and meeting minutes were used. Data were coded …

Geographic Variations In Antenatal Care Services In Sierra Leone, Eunice Nyambura Chege

Walden Dissertations and Doctoral Studies

Despite antenatal care presenting opportunities to identify and monitor women at risk, use of recommended antenatal care services remains. Barriers preventing use of antenatal services vary between countries, and limited knowledge exists about the link between geographical settings and antenatal service use. The objective of this cross-sectional quantitative study was to explore geographical variations and investigate how social demographic characteristics affect use of antenatal care for women in Sierra Leone using the Andersen behavioral model. The data used were from the 2016 maternal death surveillance report of the whole counrty (N =706). Logistic regression analysis was used to determine the …

Racial/Ethnic Differences In The Treatment Of Elderly Non-Small Cell Lung Cancer Patients, Cheryl Mokrzecky

Walden Dissertations and Doctoral Studies

Racial and ethnic disparities related to lung cancer treatments and outcomes are not fully understood but may be due to individual or institutional factors. Following established national cancer treatment guidelines may improve patients' quality of life, outcome to treatment, and facilitate the eradication of lung cancer. There are limited data on the real-world treatment of racial/ethnic groups with non-small cell lung cancer (NSCLC) according to clinical practice guidelines, therefore this population-based cohort study examined the receipt of first line treatment for advanced or metastatic NSCLC according to the National Comprehensive Cancer Network (NCCN) practice guidelines. The Social Cognitive Theory served …

The Sexual Identity Development Of Gay Men In China, Stephen Pijanowski

Walden Dissertations and Doctoral Studies

Limited research describes the impact of ethnic groups and mores, especially those of Asian ethnicities, on the development of a global queering theory of sexual-identity development. The purpose of this grounded-theory study was to investigate the sexual-identity development of homosexuals in a non-Western collectivist culture and the extent of influence Western gay expatriates have on Chinese gay males' sexual-identity development. Five identity-development models served as the theoretical foundations of this study: Cass, Troiden, McCarn and Fassinger, D'Augelli, Gock, and the conceptual theory of global queering. NVivo aided in data organization, while coding and analysis were applied to the data. Individual, …

A Qualitative Grounded Theory Approach To Reducing Breast Cancer Disparities In The Latina Population, Dbora Schrett

Walden Dissertations and Doctoral Studies

Breast cancer is the leading cause of death among Latinas. Several barriers persist when accessing health care and utilization of healthcare services such as annual mammograms, leading to a late-stage diagnosis or death related to breast cancer illness. Consequently, this study was important to further examine potential risk factors such as beliefs, cultural context, health insurance, and socioeconomic status for this population. Further, gaps in research provide limited evidence of risk factors adversely influencing high morbidity and mortality incidence. The purpose was to focus on disparities in breast cancer experiences within Latina communities in the United States. A qualitative foundation …

Community Public-Private Partnership Leadership Synergy In Tanzania, Hawa Yatera Mshana

Walden Dissertations and Doctoral Studies

Although the public-private partnership (PPP) concept in health and social health has been politically accepted as the best pathway to improving health outcomes in many developing nations, implementation lacks leadership synergy. Lack of awareness and engagement of community leaders about PPP interventions and their benefits affect accountability and ownership of health and social care interventions. The purpose of this study was to better understand factors that could promote partnership leadership synergy to enhance ownership and accountability for community health and social welfare initiatives in Tanzania. A qualitative empirical case study design was used; diffusion of innovation and the public-private integrated …

Adherence To Antiretroviral Medicines Among Adolescents And Young Adults In Benue State, Nigeria, Amom Tor-Anyiin

Walden Dissertations and Doctoral Studies

Adherence to ARV medicines is essential to halt HIV progression, increase CD4 counts, decrease virologic impact, and improve quality of life for the infected people. However, sustaining good adherence among adolescents and young adults (AYA) has been a challenge caused by various problems such as distance to clinic, improved CD4 count which lead to complacency in adherence, and the nature of the environment. This was a quantitative, retrospective, correlational, cross-sectional study anchored by the transtheoretical model, which was used to understand how adherence rate among the study population was impacted by the predictive factors. Secondary data was collected from patient's …

Knowledge, Beliefs, And Perceptions About Tuberculosis Among Haitian Immigrants And Haitian Americans Living In Miami-Dade County, Florida, Leslie Barbour

Walden Dissertations and Doctoral Studies

Tuberculosis (TB) kills 1.7 million people each year, and 1/3rd of the world's population is estimated to have latent TB. It was once the deadliest disease in the United States but is now relatively rare and, if treated properly, it is curable. Migrants from TB-endemic countries, such as Haiti, are one source of TB transmission to the US, and the prevalence of TB remains high and is increasing in Little Haiti, Florida. Data on the knowledge and perceptions of Haitian immigrants and Haitian Americans about TB is inadequate. The purpose of this qualitative research was to study the TB-related knowledge, …

Maternal Socioeconomic Status And Human Papilloma Virus Vaccine Uptake, Shawn Lockett

Walden Dissertations and Doctoral Studies

There are more than 79 million people in the U.S. currently infected with human papillomavirus (HPV), with an estimated 14 million new infections annually. There is a lack of knowledge about the maternal socioeconomic influences and uptake of the HPV vaccine series. Infection with HPV can cause cervical cancer in women, and there are over 11,000 cervical cancer diagnoses in the U.S. responsible for 4000 deaths annually. Vaccination coverage to prevent HPV infection does not meet the Healthy People 2020 goals of an 80% vaccination rate in the U.S. In this study, associations were tested between maternal SES variables and …

Effect Of Attendance On The Performance Of Day And Evening Students, Kerry-Ann Alicia Barrett

Walden Dissertations and Doctoral Studies

Several studies posit a positive relationship between class attendance and student performance. Grades for students enrolled in Introduction to Management during the fall 2015 semester at a community college in Jamaica revealed that evening students on

average scored a grade higher than students enrolled in the day sections. Lecturers noted day students missed more classes than evening students but the relationship between attendance and performance was not known. The purpose of this correlational study was

to determine the relationship between attendance and performance, measured by grades. Guided by Knowles's theory that adults are self-directed, this study was designed to explore …

Assimilation For Hispanics, Generational Standing, Education And Income: A Correlational Empirical Study., Tammy B. Burroughs

Walden Dissertations and Doctoral Studies

Latino immigrants who lack assimilation into U.S. society often experience discrimination and immigrant backlash. The purpose of this exploration was to better understand the historical lack of assimilation of Latino immigrants, so they may avoid discrimination and have more access to goods and services. Self-determinism helped explain why the Latino immigrant group has a problem assimilating due to exclusionary practices, while segmented assimilation offered explanations on why assimilation is difficult. In this study, assimilation was measured according to English mastery by Spanish speakers. The research question was focused on what extent the level of generational standing, education, and income relate …

Factors Influencing Alzheimer's Disease Healthcare Utilization Patterns In Puerto Rico, Carlamarie Noboa

Walden Dissertations and Doctoral Studies

Alzheimer's disease (AD) is associated with substantial healthcare utilization costs, resulting in a public health priority. In this study, the relationship between the demographic characteristics of age, gender, and type of health insurance; the presence of comorbidities of older Puerto Rican residents diagnosed with AD; and their healthcare utilization patterns (i.e., medical office and emergency room visits and hospital admissions) was examined using Andersen's behavioral model. Data from the 2013 Puerto Rico Health Study was used in this retrospective cohort design study. All AD cases aged -?¥ 60 years were extracted using systematic random sampling. One-way ANOVA-WELCH, Mann-Whitney U test, …

Strategies To Minimize Profit Loss From Small Business Enterprise Credit Rejections, Alfred Nwagbo

Walden Dissertations and Doctoral Studies

Institutional policies or terms and conditions of credit allocation complicate the demand and supply of small business enterprise (SBE) credit, causing lost profits. Banks leaders losing 28% of profitable projects because of the high rejection rate of credit applications for SBE loans is a concern. The purpose of this multiple case study was to explore strategies Southeastern Nigerian state bank leaders use to minimize lost profit from SBE credit rejections. The conceptual framework that grounded this study was credit rationing focused on the lender-borrower relationship. Data collection involved reviews of company documents and face-to-face semistructured interviews of 6 participants from …

Psychosocial Impacts On Young Adult Haitian Immigrant Students In The United States, Lucien Eugene Pierre, Ph. D.

Walden Dissertations and Doctoral Studies

Abstract

Many young adult Haitian immigrant students (YAHIS) move to the United States

hoping to achieve better lives. This growing population faces many challenges when

acculturating to a new country and educational system. Some obstacles include

inadequate family and social support, language barriers, limited education, distinct

cultural values, a lack of academic materials, a shortage of Haitian teachers, and

inadequate educational programs. These psychosocial factors often prevent Haitian

immigrants from succeeding in U.S. schools. This study explored YAHIS' experiences of

acculturation and education as they relate to these psychosocial factors. Qualitative

phenomenological techniques, guided by Adlerian theory, revealed the assumptions, …

Health Literacy And Hypertension Management In Haitian Immigrants, Suzie Jean

Walden Dissertations and Doctoral Studies

Patient compliance and health care communication are impacted by health literacy. Poor health choices, frequent hospital visits, noncompliance with health regimens, and higher health costs are all associated with low health literacy. The purpose of this cross-sectional study was to determine whether there was an association between health literacy as measured by primary language spoken in the home (Creole vs. English) and hypertension self-management as measured by regular use of medication and cutting down on foods high in salt, and whether there was an association between Haitian men, women, their education level, or level of poverty in relation to health …