Digital Commons Network^™

Determining Criteria For Distinguishing States Of Consciousness, Barry Matthew Klein

Walden Dissertations and Doctoral Studies

Even though there are many views on consciousness theory in the pertinent literature, there remains a need for a unifying framework for specifying the features of specific states of consciousness. In order to know what kinds of experiences conscious states have in common, researchers need to elicit testimony that is more direct and finer-grained than has been previously available. This dissertation endeavors to fill a gap in current research by addressing concepts and methods for making requisite distinctions. This research illuminates the question of whether specific states of consciousness can be reliably and validly distinguished from each other. In order …

Managerial Strategies For Maximizing Benefits From Electronic Health Record Systems, Jarrod Borek

Walden Dissertations and Doctoral Studies

In 2009, the U.S. government allocated $27 billion to health care agencies for electronic health records (EHRs) implementation. The increased use of EHR systems is expected to drive down health care costs and increase profits. To meet this anticipated return on investment (ROI), hospital managers need to be able to successfully design, deploy, and manage EHR systems. The purpose of this single case study was to explore organizational management strategies that hospital managers can use to ensure their investments in EHRs meet targeted ROIs and work efficiency goals. The conceptual framework for this study was based on the technology acceptance …

Teacher Perceptions Of Professional Learning Communities' Impact On Math Critical Thinking Pedagogy, Elizabeth Ann Daly

Walden Dissertations and Doctoral Studies

U.S. educational leaders struggle with declining mathematics achievement among students as compared to other countries. The problem for this study was low standardized mathematics scores in one district in a major city in the Southwestern United States. The purpose of this sequential explanatory mixed method project study was to analyze the effectiveness of professional learning communities (PLCs) on the mathematics critical thinking pedagogy among teachers in 2 elementary schools. The conceptual framework focused on work by Olivier, Hipp, Huffman, and Hord on the efficacy of PLCs for improving teacher pedagogy. Research questions addressed in this study were designed to explore …

The Relationship Of Location And Educational Achievements To Vision Impairment In Asians, Sonali Trivedi

Walden Dissertations and Doctoral Studies

Introduction: Increasing incidence of vision impairment in the United States reinforces the urgent need for research and public health awareness. Eye diseases are of common concern in Asian and other ethnic groups globally. Glaucoma, cataracts, macular degeneration, myopia, and retinitis are types of eye diseases and common causes of vision impairment in Asians. This study addressed the current gap in knowledge regarding vision impairment prevalence among Asian-Americans by geographical location and level of education. Socio-ecological theory was used as the theoretical foundation.

Method: A cross-sectional secondary dataset from U.S. Census Bureau included 3,916,947 participants' survey responses from 2011 through 2015 …

Implementation Of A Standardized Approach To Diabetes Education, Stacey Williams Porter

Walden Dissertations and Doctoral Studies

The Centers for Disease Control and Prevention (CDC) report that Type 2 diabetes

mellitus (T2DM) is a serious health issue affecting over 24 million Americans. Adults with T2DM are 2 to 4 times more likely to experience complications of the disease such as heart disease and stroke. Efforts are needed to control the condition and prevent the complications. At a local community hospital in the southeast United States, a 2-year assessment revealed over 10,000 patients admitted with diabetes or diabetes-related complications. Staff nurses at the site were responsible for diabetes self-management education for T2DM patients at discharge; however, no standardized …

Elementary Teachers' Perspectives Of The Support Facilitation Instructional Model, Deborah Afolabi

Walden Dissertations and Doctoral Studies

The problem in an elementary school in Southern Texas was poor reading performance on grade level and progress monitoring tests for students with disabilities (SWDs). SWDs may learn to read proficiently when reading instruction is provided using the support facilitation model (SFM) that features a special educator who helps SWDs in literacy or mathematics in inclusion settings. The purpose of this bounded qualitative case study was to explore the perspectives of special and general education teachers about SFM. The universal design for learning framework, used to plan lessons based on how students learn, guided this study. The research questions focused …

Increasing Collaboration, Shared Values, And Authentic Teaching Practices Through Technological Professional Development, Jennifer Louise Blackford

Walden Dissertations and Doctoral Studies

The purpose of this outcome-based program evaluation project study was to investigate how professional development (PD) influenced the shared values of 25 district teachers regarding instructional technology and their collaboration and instructional practices using instructional technology. Inclusion criteria included (a) participants had to be 18 years or older and (b) participants had to be a certified teacher. Guided by Mishra and Koehler's TPACK theory and Guskey's model for PD evaluation, the research was designed to determine (a) how teachers demonstrate collaboration using instructional technology as a result of PD, (b) what shared values teachers have adopted regarding instructional technology as …

Parent Aggression Level As A Predictor Of Attitudes Toward Bullying, John Bradley

Walden Dissertations and Doctoral Studies

The focus of this study was on parents of elementary and middle school age children and how the variables of age, gender, and level of education influence their attitudes toward bullying. The gaps in literature support the notion that additional empirical research on the different sociological factors that influence, support, and encourage bullying is required. The purpose of this study was to determine if parental level of aggression, as measured by the Modified Overt Aggression Scale, can predict a parent's attitude toward bullying as measured by the Parental Attitudes to Bullying (PAB) scale. In addition, this study investigated whether other …

Admissions Criteria And First-Year Completion Rates In An Associate Degree Nursing Program, Allison Divine

Walden Dissertations and Doctoral Studies

Students in associate degree nursing (ADN) programs in the United States experience high attrition rates in the first year. The purpose of this quantitative correlational study was to examine the relationship between preadmission factors and first-year ADN program completion rates at one college in the south central United States. Constructivist theory provided the framework for the study. Archival data for 228 students from one ADN program were analyzed using binary logistic regression. Results indicated a statistically significant association between prerequisite grade point average (GPA) and first-year program completion. An increase in the number of incoming students ages 25 years and …

Pre-Expose Prophylaxis And Non-Monogamous, Hiv Negative Gay Men In Serodiscordant Relationships, Robert Dale Gallagher

Walden Dissertations and Doctoral Studies

HIV transmission continues to increase for Gay men, especially for those Gay men in nonmonogamous serodiscordant relationships. As the use of PreExposure Prophylaxis (PrEP) increases, much less is known about how PrEP is creating social meaning and transforming the sexual behaviors of HIV negative, non-monogamous Gay men. Accordingly, the purpose of this study was to investigate the meaning making experiences of Gay men in nonmonogamous serodiscordant relationships. Using the Minority Stress Model, Resiliency Theory, and Queer Theory as theoretical frameworks, the research question for the study focused on how HIV negative Gay men who are on PrEP and involved in …

Leaders' Endorsement Of Idiosyncratic Workplace Fun, Organizational Playfulness Climate, And Organizational Creativity, Krasimir Karamfilov

Walden Dissertations and Doctoral Studies

Emotionally disconnected employees, about 70% in the U.S., do not experience positive affect at work, are disengaged, and not creative. The purpose of this quantitative quasi-experimental study was to investigate the effects of leaders' endorsement of idiosyncratic workplace fun (independent variable) and organizational playfulness climate (independent variable) on organizational creativity (dependent variable). Complexity-based theoretical perspectives on organizational creativity framed this quantitative study. Data were collected via three survey instruments at two data points from 7 project teams, divided into two experimental groups, at 6 companies in northwestern United States. One group received an intervention for 1 month. Pearson's correlation analysis …

Social Capital And Academic Achievement Of African American Male High School Students, Sabreen Ayesha Mutawally

Walden Dissertations and Doctoral Studies

Although more researchers have focused on academic deficits of male African American students, it is also important to understand the social factors that contribute to those who perform at a proficient level. Drawing on social capital theory as forwarded by Coleman and Putnam, this qualitative case study of 3 African American male high school students examined how their parent(s), teacher, mentor, peer or sibling, and pastor or community leader influenced the creation of social capital surrounding the students' academic achievement. Interview protocols and research interview instruments were developed and used to collect data from a total of 16 research participants, …

Community College Professors' Engagement And Perceptions Of Professional Development In Remote Environments, Norma-Jean J. Nielsen

Walden Dissertations and Doctoral Studies

Research shows that consistent, supportive, and relevant professional development (PD) is an action that empowers educators to change. In the east central region of Canada, the sustainability of community colleges had been linked to program collaboration and internationalization which requires implementation of high-quality PD for its professors. Guided by Mezirow's adult transformative learning theory, the purpose of this study was to understand the PD practices of full-time professors by investigating the connections between professors' level of engagement in PD and their perceptions of the resources and processes that may improve their instructional practices. This single-phased, concurrent mixed-methods study was conducted …

Comparison Of Malaria Control Interventions In Southern Africa, Ferdinand Nsengimana

Walden Dissertations and Doctoral Studies

There is lack of evidence on which of the two highly recommended malaria prevention methods, insecticide treated bednets and indoor residual spraying, is more effective than the other. There is also limited peer reviewed literature that compares the characteristics of people who use the two malaria prevention methods. Based on the Health Belief Model, the research questions tested whether there is any relationship between the use of mosquito bednet or the use of indoor residual spraying and contracting malaria, and whether there is any relationship between sociodemographic and socioeconomic factors and the use of malaria prevention methods. Using a quantitative …

Decreasing Acute Diabetes Complications Through Self-Management Education, Eugene O. Okafor

Walden Dissertations and Doctoral Studies

Diabetes mellitus is a chronic disease that affects millions of people in the United States. The purpose of this project was to develop a guideline to help clinical staff provide clear and concise diabetes self-management instructions to patients in a community setting. Orem's self-care deficit theory (SCD) and health belief model (HBM) provided a platform to assess how patients' self-care deficit contributes to illness and the effect of patients' perception of illness. SCD theory and the HBM provided the framework for the development of the guideline to decrease diabetes acute complications through self-management education. The practice-focused question was whether the …

Stress, Anxiety, And Depression: Role Of Campus Connectedness, Social Support, And Coping Among Nepalese Nursing Students, Priscilla Samson

Walden Dissertations and Doctoral Studies

High levels of stress, anxiety, and depression (SAD) can adversely influence physical health, psychological well-being, and academic and clinical performance of nursing students. Numerous studies have identified the factors associated with SAD; however, a paucity of empirical research addresses the relationship of SAD with campus connectedness (CC), perceived social support (PSS), and coping. The purpose of this quantitative cross-sectional study, guided by Lazarus and Folkman's theory of stress, coping, and adaptation, was to determine the prevalence of SAD and examine its relationship with CC, PSS, and coping among undergraduate nursing students of Nepal. Survey research was conducted using depression anxiety …

Perceptions Of Nursing As A Career By African American College Students Attending Historically Black Colleges And Universities, Brenda Marie Owens

Walden Dissertations and Doctoral Studies

Previous studies and official organizations have indicated that African Americans are underrepresented in the healthcare workforce and that patients belonging to minority groups feel they are treated slightly differently in healthcare settings. Limited research examines perceptions of the nursing profession among a variety of demographic groups, and exploratory investigations into the perceptions of nursing as a career by African Americans are limited. The purpose of this quantitative descriptive study was to explore perceptions of nursing as a career by African American students who attend an undergraduate program at a historically black college or university (HBCU) in an attempt to further …

Offender Families As Victims And Their Role In Offender Reintegration, Catherine Warren Pfeiffer

Walden Dissertations and Doctoral Studies

Ninety-five percent of all offenders are released, most of whom return to family members who have suffered greatly from their loved one's criminal behavior; yet, research on their victimization and trauma is rare. Additionally, families anticipate a role in the offender's reintegration; however, little research has explored their own recovery and insights on their reintegrative efforts. This qualitative phenomenological study sought to discover a deeper understanding of the lived experiences of 13 offender family members in Texas. Participants were recruited through community organizations and selected through a purposeful sampling strategy to ensure diversity. The data were collected through screening and …

Marital Status And Burdensomeness As Risk Factors Of Suicide Ideation In Poststroke Patients, Froso Andreou

Walden Dissertations and Doctoral Studies

Suicide ideation, suicide attempts, and suicide (SISAS) are increased in poststroke patients, yet not everyone who has suffered a stroke is at risk for SISAS. Two risk factors for SISAS, marital status and burdensomeness, may be of particular relevance to poststroke patients. The majority of poststroke patients have a disability that may require help from a family member with basic functions such as dressing and bathing. It was not known if being married decreases risk of SISAS for stoke victims as shown in studies with nonpoststroke subjects or increases risk for SISAS due to its influence on feelings of burdensomeness. …

Relating Teacher Attendance To Student English Language Arts And Math Achievement, Daryl Kubilus

Walden Dissertations and Doctoral Studies

On average, teachers in the United States are absent for 9.6 days of student instruction per school year, while in this study's rural Northeast Ohio school district, teachers averaged 16.2 absences in the 2015-16 school year. Teacher absence is a concern because the classroom teacher is often considered the most crucial school-related influence on student achievement. Guided by Bowlby's attachment theory, the purpose of this study was to examine the possible predictive relationships between teacher absences for sick/personal and professional leave as well as other teacher-related variables, including teaching experience, teacher education level, and teacher evaluation results, with the outcome …

Educational Development Needs Of Higher Education Faculty Working With Ells, Kevin Joseph Martin

Walden Dissertations and Doctoral Studies

This study was undertaken to examine the educational development (ED) needs of higher education (HE) faculty who have English language learners (ELLs) in their mainstream courses but do not have specialized training in teaching such students. A quantitative approach was used to explore the impact of any existing ED and areas that might need improvement. This study, guided by andragogy, examined the pedagogical needs of these HE faculty. A cross-sectional analysis of online survey data using a multiple analysis of variance (MANOVA) and multiple analysis of covariance (MANCOVA) examined the ED needs and available resources of faculty with respect to …

Meeting The Needs Of English Language Learners In Mississippi Through Professional Development, Delore Nelson

Walden Dissertations and Doctoral Studies

The problem addressed in this study is that Native American and Hispanic English language learners (ELLs) in a rural Mississippi school district are not performing at the same level as non-ELLs. The purpose of this qualitative case study was to investigate the perceived causes of ELL failure and low academic performance on district and state assessments and in general education classes. Guided by Vygotsky's theory of development, which supports teachers and students remaining active in the learning process, research questions focused on what instructional practices general education teachers use to provide instruction for Spanish/Choctaw-speaking ELLs. General education teachers' use of …

Academic Challenges And Success Strategies Of Students With Dyslexia Seeking A Two-Year College Degree, Mary Joyce Taylor-Talley

Walden Dissertations and Doctoral Studies

Dyslexia is a learning disability that hinders a person's ability to process elements of reading and writing. Although younger students with dyslexia often receive remedial education and accommodations, dyslexic college students may not receive assistance targeted to their individual needs. The purpose of this qualitative case study was to ascertain the challenges that might impede the academic success of college students with dyslexia and identify strategies used by academically successful dyslexic students at a 2-year college. Knowles's theory of informal adult education and self-direction provided the conceptual framework for the study. Using a case study design, 10 current college students …

Improvement In The Retention Of Graduate Nurses In A Long-Term Acute Care Hospital, Angie Lim Torres

Walden Dissertations and Doctoral Studies

The high turnover rate of graduate nurses is a challenge in the United States' hospitals because of high job dissatisfaction rates. The premature disaffiliation of the graduate nurses is costly for organizations and can significantly affect the quality and safety of patient care due to the inadequate supply of adequately prepared staff nurses, particularly in the long-term acute care hospitals. The purpose of the project was to decrease the turnover rate of graduate nurses in a long-term acute care setting from 40% to 20% through modification of the nurse residency program by applying an intervention based on Bauer and Erdogan's …

Organizational Strategies To Reduce Hospital Readmissions, Steven Warchol

Walden Dissertations and Doctoral Studies

Reducing hospital readmissions is critical to the success and sustainability of both hospitals and the communities in which they reside. The purpose of this multiple case study was to explore organizational strategies hospital leaders use to reduce hospital readmissions. The study was limited to hospitals in Southwest Missouri with readmission rates below the state average. Complex adaptive systems was the conceptual framework for the study because of the complex nature and numerous stakeholders of the healthcare system. Data were collected from a purposive sample of 15 hospital leaders via semistructured interviews and an analysis of organizational artifacts. Member checking was …

A Case Study On Learning Transfer In A Social Service Organization, Cynthia A. Barnes

Walden Dissertations and Doctoral Studies

Support from managers, training specialists, and human resource development specialists is needed if social service employees are to transfer learning to their organizations. There is a gap in the literature about managers, training specialists, and HRD specialists familiarizing employees with learning transfer expectations. This study addressed the way social service employees transferred what was learned after attending normal training classes. The research questions focused on learning transfer expectations for the employees, conditions that addressed during the learning transfer, processes that are in place where there was not a learning transfer initiative, and the way learning was used by employee. The …

Perceptions Of First-Time Antiguan And Barbudan Mothers Towards Breastfeeding And Weaning, Janelle Dion Charles-Williams

Walden Dissertations and Doctoral Studies

Antigua and Barbuda, in the eastern Caribbean, is one of several countries with exclusive low breastfeeding rates and premature weaning. Researchers have demonstrated that babies exclusively breastfed for the first 6 months of life are better protected from childhood diseases and experience a better quality of life into adulthood, while early weaning is associated with morbidity and mortality. However, at 6 weeks postpartum, only 30% of Antiguan and Barbudan mothers are exclusively breastfeeding. Researchers have explained why mothers in general cease exclusive breastfeeding prematurely: insufficiency of breast milk, returning to paid employment, lack of social support; but an explanation specific …

Teachers' Perspectives Of Low Student Achievement Within Social Promotion Practices, Denise Monifa Connor

Walden Dissertations and Doctoral Studies

Researchers have reported the positive and negative effects of social promotion and retention. The problem at a large elementary school in the southeastern United States was inadequate achievement scores of 70% of socially promoted students in grades 3 through 5 on mandated state tests. The purpose of this case study was to explore the perspectives of teachers on social promotion, grade retention, and how to improve achievement in grades 3 through 5. Tomlinson's differentiated instruction was used as the conceptual framework. Twelve teachers from Grades 3 through 5, who had been at the school at least 1 year and represented …

Community College Transitioning Experiences Of Dual Enrollment Students, Sandra Lucille Fuline

Walden Dissertations and Doctoral Studies

Dual enrollment transitioning experiences of students are poorly understood, leaving higher education stakeholders without the proper information to smooth the transitioning process and keep students in college. This basic qualitative study using interviews explored how 10 dual enrollment students described their transitioning experiences from high school to community college by investigating their motivations, ability to acknowledge self-efficacy, and understanding of social interactions using Badura's self-efficacy model and Keller's motivational theory and the attention, relevance, confidence, and satisfaction model. Data were analyzed through an open coding method to categorize themes and patterns as well as discrepant information. Key findings indicated that …

Patient Navigation Program In Oncolgy Clinical Practice, Mercy George

Walden Dissertations and Doctoral Studies

Cancer diagnoses affect millions of people in the United States each year. Today, cancer patients face many challenges when trying to navigate the complex healthcare system. Patient navigation programs were developed to address and overcome barriers patients may face as they make their way through the healthcare system. The purpose of this project was to provide an analysis and discussion of the current published literature to provide evidence for improving care coordination and patient satisfaction in the oncology clinical setting with a patient navigator program. The practice-focused question for this project asked if a patient navigator program for adult cancer …