Digital Commons Network^™

Physical Activity Improves Depressive Symptoms In Older Adults, Karen Lee Fahey

Walden Dissertations and Doctoral Studies

Engaging in physical activity can help older adults to take part in community activities, maintain relationships, and initiate new friendships, thus preventing loneliness and depression. The purpose of this quality improvement (QI) project was to evaluate whether participation in physical activity improved depressive symptoms in 15 older adults at a local senior center. Pender’s health promotion model was used to determine nursing and behavioral science views on components that affect health behavior. The Exercise Benefit/Barrier Scale (EBBS) survey was evaluated before implementation of the walking program to measure the benefits of and barriers to exercise. The EBBS results showed that …

Health Literacy Among Elderly Hispanics And Medication Usage, Wilda Parker

Walden Dissertations and Doctoral Studies

Health literacy among the elderly Hispanics is a problem for 44% who read at the lowest level due to issues with recognition, cognition, or vision. The purpose of this study was to determine the extent that elderly Hispanics have problems with medication adherence due to health literacy. The social cognitive theory was the framework for this study. Inclusion criteria consisted of being 65-75 years of age, and speaking and/or reading English and/or Spanish. Questionnaires from 156 individuals were completed in Cobb County/Atlanta GA and analyzed using multiple regression to determine the relationship between health literacy and medication usage. Medication adherence …

The Experiences Of Middle School Teachers With Integration Of Digital Media Into The Curriculum, Martha Sue Brothers

Walden Dissertations and Doctoral Studies

Middle school teachers at a school district integrated digital media into the math and literacy curriculum by using programs such as Success Maker and Reading 180 in the classroom. Teachers received training on best practices for integrating digital media in their teaching. No research had been conducted to examine the experiences of these middle school teachers with the integration of digital media into the curriculum. The purpose of this qualitative case study was to address that gap. The research questions focused on teachers' outlooks on digital media as a teaching tool and the instructional strategies they used. The conceptual framework …

How To Help Students Develop Projects Independently For Self-Directed Learning, Evelyn Kerstein Sears

Walden Dissertations and Doctoral Studies

Experiential learning in adult education is on the rise. A small private college in the southeast United States initiated a program that required 3 experiential learning projects to be completed in addition to coursework. The problem was that less than 8% of students had independently developed their first project. Instead, they completed a project proposed by faculty. This situation resulted in student dependency on faculty rather than promoting self-directed learning. The purpose of this study was to gain an understanding about how to help students develop independent projects for the self-directed learning program. Experiential and self-directed learning theories formed the …

Examining Maternal Psychological Recollections Of Children Diagnosed With Autism Spectrum Disorders, Christine Desiree Shoop

Walden Dissertations and Doctoral Studies

Mothers of children diagnosed with autism spectrum disorders (ASDs) experience symptoms of depression, anxiety, stress, and despair stemming from the challenges of raising offspring with behavioral, communicative, and socioemotional impairments. Researchers have shown that children diagnosed with ASDs exhibit symptoms within the first year of life (early-onset), while some exhibit normal development until the second year (regressive-onset), and some exhibit normal development until the second year but display abnormalities in the first year (mixed-onset). Despite the wealth of research on ASDs, there are few examinations of ASD symptom onset groups and the impact of those onset groups on parental psychological …

Examining Paraprofessionals' Use Of Video Self-Modeling In Teaching Students With Autism Spectrum Disorders, Derrainnya Raquel Fuentes

Walden Dissertations and Doctoral Studies

The number of autism spectrum disorder (ASD) cases has surged in the U.S. educational system since the mid-2000s. At the same, paraprofessionals who work with these students are not being given adequate training, especially in how to implement applied behavior analytic services. To address paraprofessional's inadequate training, new behavioral treatments have surfaced, including Video Self-Modeling (VSM). VSM is an effective intervention tool derived heavily from Bandura's social learning theory. VSM uses edited video clips in which paraprofessionals view him or herself correctly performing target skills. This study used a single-subject, modified multiple baseline design to evaluate whether VSM could improve …

Improving Reading Fluency Of Elementary Students With Learning Disabilities Through Reader's Theater, Tami S. Schoen-Dowgiewicz

Walden Dissertations and Doctoral Studies

Elementary teachers in a school district in a western state expressed concerns about the reading achievement of students with disabilities (SWDs). SWDs were not developing decoding, comprehension, and fluency skills to become proficient readers. Without mastering these skills, SWDs will experience diminished academic attainment in their school career. To address this problem, teachers in elementary learning centers (LCs) within the district implemented Reader's Theater (RT), an evidenced-based reading approach that incorporates repeated readings using drama-based activities. The purpose of this qualitative bounded case study was to explore elementary LC teachers' use and implementation of RT to improve reading performance with …

Social Studies Teachers' Use Of Differentiated Instruction To Help Struggling Learners, Nicole Waid

Walden Dissertations and Doctoral Studies

Students in a local rural northeastern high school have demonstrated decreasing academic performance in social studies courses for the past 5 years. The purpose of this bounded qualitative case study of the local social studies department was to investigate how social studies teachers and administrators for grades 7-12 describe differentiated instruction (DI) and professional development in DI. This study was grounded in the zone of proximal development, which stressed the importance of providing instruction at students' instructional levels, and DI, which emphasized tailoring instruction to address students' needs. Three research questions focused on how social studies teachers and administrators viewed …

High School Science Teachers' Perceptions Of Teaching Content-Related Reading Comprehension Instruction, Theresa D. Williams

Walden Dissertations and Doctoral Studies

In order to achieve academic success, students must be able to comprehend written material in content-area textbooks. However, a large number of high school students struggle to comprehend science content. Research findings have demonstrated that students make measurable gains in comprehending content-area textbooks when provided quality reading comprehension instruction. The purpose of this study was to gain an understanding of how high school science teachers perceived their responsibility to provide content-related comprehension instruction and 10 high school science teachers were interviewed for this study. Data analysis consisted of open, axial, and selective coding. The findings revealed that 8 out of …

Development And Content Validation Of An Emergency Department Ehr Safety Educational Program, Ursula Renee Jernigan

Walden Dissertations and Doctoral Studies

Emergency Department (ED) providers and staff experience challenges with using electronic health record (EHR) software to document and communicate about patient care. These difficulties are often caused by inadequate training in the use of the organization's EHR system. Challenges with EHR use have been linked to increased ED patient wait times, which impacts patient safety by delaying care and increasing the potential for medication errors. Providing education that addresses EHR software; EHR usability; and collaboration among staff, providers, and EHR system managers has been shown to reduce ED wait times and decrease the risk of medication errors. The purpose of …

Case Study Of Teen Mother Perceptions Of Their Influence On Preschoolers' Language Development, Mary Schmidt Duncan

Walden Dissertations and Doctoral Studies

Children born to teen mothers tend to score lower on language development assessments and to have school readiness delays. To support teen mothers and their children in improving language development, educators need information about mothers' daily interactions with their children and how they contribute to their children's language development. The purpose of this descriptive case study was to understand mothers'perceptions of how they influenced their children's language development through play, routines, and other informal interactions. Flavell, Vygotsky, and Bruner's views on how learners' construct knowledge informed the study. Research questions were focused on the mothers' perceptions regarding interactions during routines …

Public Health Leaders' Perceptions Of And Attitudes Concerning Eating Disorders, Karin L. Lightfoot

Walden Dissertations and Doctoral Studies

Eating disorders are associated with high mortality rates. Most eating disorder prevention research is conducted within the fields of psychology and psychiatry, not in public health. This gap in public health research can lead to insufficient attention to the root causes of eating disorders and minimal upstream prevention efforts. The purpose of this phenomenological study was to identify public health leaders' perceptions of and attitudes concerning eating disorders as a public health issue. Objectification theory was used to describe how societal expectations have created an environment in which people's self-worth is based on their outward physical appearance. Ecological theory was …

Early Childhood Educator Experiences Building Relationships With Families In Military-Connected Schools, Yolanda Seabrooks Brown

Walden Dissertations and Doctoral Studies

Early childhood educators working to establish and maintain productive parent-teacher relationships are essential to the success of school-community partnerships in military- connected schools. The purpose of this study was to seek understanding of what early childhood educators had experienced while working with military families. Epstein's model of school, family, and community partnerships provided the conceptual framework for this study. The questions that guided this case study were designed to explore how early childhood educators established and maintained relationships with military families. Data collection consisted of semi-structured interviews with 8 early childhood educators in military-connected schools. Inductive data analysis was used …

Teachers' Perceptions Of The Use Of Small-Group Tutorial, Karen Y. Johnson

Walden Dissertations and Doctoral Studies

This study addressed the implementation of the tutorial program currently in use at an urban school district in Mississippi. Because successful completion of assessments is a graduation requirement, the study site implemented the tutorial program to help at-risk students improve their academic outcomes on state-mandated assessments in Biology I, United States History, English II, Algebra I. The purpose of this study, guided by Bloom's theory of mastery learning, was to examine the perceptions of the teachers who served as tutors in the program. Using the narrative inquiry method, the research focused on the implementation of the tutorial program, the perceived …

Factors Affecting Involvement Of Urban School District Parents In Their Child's Education, Megan Stewart

Walden Dissertations and Doctoral Studies

Parental involvement in children's education has been found to have a positive impact on academic achievement. Because the state has mandated that academic achievement in the study district needs to increase, identifying means of increasing parental involvement is important. Guided by the work of Epstein, this quantitative study was conducted to explore demographic factors related to parents' involvement in the education of their children. Specifically, research questions examined differences in parental involvement by socioeconomic status (SES), barriers to involvement for parents, and school strategies to improve parental involvement. Parents of all 5th grade students (n = 935) from a large …

Online Training Impact On Adjunct Faculty Compliance And Satisfaction With Professional Development, Elizabeth Pete

Walden Dissertations and Doctoral Studies

The problem addressed by this project study was low levels of adjunct faculty compliance and satisfaction with the professional development program at a local college. The purpose of the study was to determine if an alternative delivery method would yield higher levels of compliance and satisfaction than would a traditional professional development workshop. The guiding research question was whether an alternative delivery method would yield higher levels of compliance and satisfaction than a traditional professional development workshop. The theoretical base included andragogy, self-directed learning, and connectivism. Using an experimental design, the project examined archival data concerning compliance and satisfaction for …

The Relationships Among Job Satisfaction, Length Of Employment, And Mentoring Of Nursing Faculty, Zelda Suzan

Walden Dissertations and Doctoral Studies

The shortage of faculty in nursing education programs has been well documented by the National League for Nursing. Job satisfaction is important in retaining nurse educators, and one New York nursing program was interested in examining the potential impact of mentoring on satisfaction. The purpose of this quantitative study was to examine job satisfaction, measured by the Job Descriptive Index/Job in General scale (JDI/JIG), between nurse faculty participants in formal mentoring programs compared to participants receiving an informal type of mentoring. In addition, the length of employment was examined as a possible factor in predicting job satisfaction. The theoretical framework …

The Effectiveness Of An Organizational Hospital-Acquired Pressure Ulcer Prevention Workshop On Pressure Ulcer Prevalence Rates, Stacey Johnson

Walden Dissertations and Doctoral Studies

The goal of this project was to evaluate a hospital acquired pressure ulcer (HAPU) prevention program implemented in a New York City hospital in 2012. The program objective was to encourage collaboration of team members to prevent HAPUs in order to reduce prevalence rates to national target benchmarks. The program provided caregivers information about epidemiology, etiology, prevention, and treatment of HAPUs, and presented HAPU prevention as a collaborative process in order to foster greater awareness in each participant's role as an agent of change by emphasizing the importance of communication between members of the health care team. This project evaluated …

Educating Nurses About Spirituality's Effects On Quality Of Life With Chronic Illness, April Gant

Walden Dissertations and Doctoral Studies

Spirituality has been associated with wholeness, inner peace, and key elements of well-being or quality of life. Spirituality support is particularly important for patients with chronic illness and patients who view spirituality as a way of coping with suffering. Evidence-based education is lacking in schools of nursing and in places of nursing employment on spirituality interventions that nurses can use to improve patient quality of life. The purpose of this project was to determine whether an educational intervention would increase knowledge of spiritual care in a small sample of clinic nurses (n = 37). This project used Watson's caring theory, …

Improving Quality Of Life In Older Adults With Depression And Diabetes Through Medication Compliance Education, Valreen Hinds-Beharrie

Walden Dissertations and Doctoral Studies

Improving Quality-of-Life in Older Adults with Depression and Diabetes through Medication Compliance Education

by

Valreen Hinds-Beharrie

MSN, Adelphi University, 1997

BSN, Adelphi University, 1986

Project Submitted in Partial Fulfillment

of the Requirement for the Degree of

Doctor of Nursing Practice

Walden University

March 2016

Diabetes and depression are prevalent diseases that cause morbidity and mortality. Diabetes is a heterogeneous metabolic disease in which hypoglycemia is a central feature. Depression is associated with increased counter-regulatory, hormone release, and alteration in glucose transport function. Depression occurs in some individuals with diabetes and is associated with poor metabolic control, inadequate control of diet, …

Multicultural Competence For Teaching Diverse Students As Experienced By Preservice Teachers, Cheryl Lynn Lehman

Walden Dissertations and Doctoral Studies

The gap between increased diversity of students and the level of multicultural competence of preservice teachers at a local university was investigated in this qualitative case study. The purpose of this study was to describe preservice teachers' experiences with multicultural competence in teaching diverse students. The study's conceptual framework was based on Dewey's theory of experience, Knowles's theory of adult learning, Kolb's theory of experiential learning, and Gay's culturally responsive teaching. Two models incorporating cultural competence by Mason, Benjamin, and Lewis and Pedersen were used to frame professional practice and develop understanding, acceptance, and skills in working with diverse students. …

An Integrative Review Focusing On Accuracy And Reliability Of Clinical Thermometers, Julie Black Black

Walden Dissertations and Doctoral Studies

Technological advances in clinical thermometers have resulted in a variety of minimally invasive devices that give rapid results but may not have the accuracy necessary for use in acutely ill adults. Inaccurate temperatures can result in missed opportunities for the early identification and treatment of infection and sepsis. Following the methodology outlined by Whittemore and Knafl, the purpose of this project was to conduct an integrative review of the research on the accuracy of clinical thermometers used for acutely ill adults. The evidence was categorized using the Hierarchy of Evidence for Interventional Studies, and the quality of the studies was …

Community College Basic Skills Math Instructors" Experiences With Universal Design For Learning, Sunny Greene

Walden Dissertations and Doctoral Studies

Multiple approaches have been used in U.S. community colleges to address the learning needs of postsecondary students who are underprepared in basic skills math. The purpose of this exploratory interview study was to gain a deeper understanding of community college basic skills math learning through instructors' lived experiences using the Universal Design for Learning (UDL) approach and its technology tool, a computerized pen. The conceptual framework for this study used Knowles's adult learning and Kolb's experiential learning theories with UDL principles. The central research questions investigated the professional development and teaching experiences of community college basic skills math instructors in …

Evaluation Of Low Immunization Coverage Among The Amish Population In Rural Ohio, Christine Marie Kettunen

Walden Dissertations and Doctoral Studies

Amish communities have persistently low childhood immunization rates. Prior to this study, reasons for low rates had not been clearly identified. Researchers have speculated that access to health care, religious factors, and fear might be reasons that Amish parents refuse childhood immunizations, but more empirical evidence was warranted.The purpose of this study was to gather that empirical evidence regarding the knowledge, attitudes, opinions, and beliefs of Amish parents residing in Ashtabula County Ohio, an additional purpose was to examine how these factors influence timely immunizations of Amish children. The theoretical framework was the PEN-3-Cultural Model, focusing on cultural influences, beliefs, …

Combining The Sonday System And The Developmental Reading Assessment To Improve Struggling Readers' Standardized Test Scores, Daphne Tinglin-Jarrett

Walden Dissertations and Doctoral Studies

Struggling students' poor reading and comprehension skills have continued to be a national problem. A New Jersey Department of Education report showed that of 311,628 middle school students tested in language arts, 26.2% scored at the partial proficiency level and 58.5% scored at the proficiency level. Further review of the middle schools in a local school district revealed that 57% of the students struggled to read and were unable to pass the Benchmark and New Jersey Assessment of Skills and Knowledge (NJASK) tests. The purpose of this study was to compare the NJASK test scores when the Developmental Reading Assessment …

Examining The Relationship Between Bullying, Attendance, And Achievement In Schools, Peter Michael Mullvain

Walden Dissertations and Doctoral Studies

Bullying is a widespread problem in American schools. Researchers have suggested a relationship between bullying, school attendance rates, and achievement levels. This study was conducted in a suburban school district in Georgia that identified bullying as a problem in its schools during the 2011-2012 school year. The purpose of this correlational study was to identify potential relationships between the primary predictor variable of bullying and the outcome variables of attendance and achievement as measured by the College and Career Ready Performance Index (CCRPI). Secondary predictor variables suggested by research were socioeconomic status and number of limited English proficiency students. These …

Environmental Leadership: Exploring Environmental Dissonance Involving Natural Resource Consumption And Ecosystem Degradation, Thomas L. Tochterman

Walden Dissertations and Doctoral Studies

As the corporate world, communities, and individuals become more globalized and demands on natural resources increase, a new emphasis on environmental leadership including a new pragmatic environmental ethos is needed to meet certain basic human needs of future generations. The research problem addressed in this study was the lack of knowledge concerning how environmental cognitive dissonance influences consumption practices related to inefficient resource utilization and ecosystem degradation. The purpose of this study was to provide an understanding of the breadth and depth of environmental cognitive dissonance among visitors to the Kruger National Park in South Africa. The research questions addressed …

Health Literacy Program Proposal For Health Care Workers, Shevon Naomi Howard

Walden Dissertations and Doctoral Studies

Health information literacy influences patient health outcomes, yet almost 90% of adults

struggle to understand health information. This study explored the impact of an education course in health literacy on healthcare professionals' methods of providing information to patients in order to increase effective communication and improve patient outcomes. This study drew from an integrated theoretical framework that suggests development and validation of tools to measure health literacy. Access to and understanding of reliable, high-quality health care information equalizes many other variables that impact health outcomes, including age, economic class, and cultural background. This study analyzed survey data collected from 2 …

Teachers' Perceptions Of English Language Learners And Reading Instruction, P. Pualani Jackson

Walden Dissertations and Doctoral Studies

The growing population of English language learners (ELLs) in an urban school district in the southwest United States has maintained low achievement scores in the K-5 grades. Students who do not attain reading proficiency at least by the end of 3rd grade are at risk of continued academic failure through high school. Research shows that teachers' knowledge and preparedness to teach reading has an influence on student performance. The purpose of this qualitative study was to explore the readiness of mainstream classroom teachers to teach reading to ELLs. Guided by the sociocultural frameworks of Bruner and Vygotsky, this study explored …

Exploring Millennial Retention Strategies And Methods In The Workplace, Alphonso Simmons

Walden Dissertations and Doctoral Studies

Many U.S. organizations fail to retain Millennials for longer than 3 years. The purpose of this case study was to explore the strategies and methods leaders have used to retain Millennial employees within a small business in the Washington, DC, metropolitan area. The leaders of this small business have retained their Millennial employees for the last 3 years. The conceptual frameworks for the study were Bass's transformational leadership theory and von Bertalanffy's general systems theory. Data were collected from semistructured interviews with 4 participant leaders with a successful record of retaining Millennials. In addition, company documents including policies, training records, …