Digital Commons Network^™

Midwestern Artists' Responses To The Demands Of Entrepreneurial Management, Carolyn Melissa Nelson-Kavajecz

Walden Dissertations and Doctoral Studies

Artists have the potential to achieve higher levels of success in business management, leadership roles, and entrepreneurial endeavors if equipped with the proper knowledge. Although artists may have a creative perspective and could possess many of the attributes sought after by organizations and communities in need of innovative leaders, their approaches to entrepreneurial management differ from traditional business managers or community leaders. The problem was poor understanding of how artists in Midwestern regions of the United States respond to the demands of entrepreneurial management. The purpose of this qualitative multiple-case study was to understand how 20 individuals who self-identified as …

Physical Activity, Healthcare Use, And Medication Use In Diabetes Patients, Julie Kwon Evans

Walden Dissertations and Doctoral Studies

Physical Activity, Healthcare Use, and Medication Use in Diabetes Patients

by

Julie Kwon Evans

MS, The Chicago School of Professional Psychology, 2013

Dissertation Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Philosophy

Psychology

Walden University

November 2019

Factors Associated With Maternal Mortality In Greater Accra Ghana 2016: Case-Control Study, Edmund Sekyi Eghan

Walden Dissertations and Doctoral Studies

Maternal mortality is a critical area of concern globally, despite the availability of accessible preventive measures. The role of sociodemographic and service delivery factors in maternal mortality in the Accra Metropolitan Area of Ghana are important to examine. As part of the United Nations (UN) Millennium Campaign, the UN implemented 8 Millennium Development Goals (MDGs); maternal mortality reduction by 75% between 1990 and 2015 was among the fundamental MDGs to be achieved by 2015. The purpose of this case-control study was to use secondary data to assess the relationships between sociodemographic variables, service delivery factors, and maternal mortality among 8,171 …

Regulatory Independence And The Development Of The Telecommunications Sector In The English-Speaking Caribbean, Delreo A. Newman

Walden Dissertations and Doctoral Studies

Small developing states can use proper regulatory frameworks in policy and sector development to implement efficiency and consumer safeguards to the sector. However, sufficient research on the impact of telecommunications regulatory institutions on micro economies has not been conducted. Capture theory was used as the theoretical lens for this thesis. In doing so, a quantitative analysis was done using, cross-sectional pooled time series to determine how an independent telecommunications regulator impacted the telecommunications sector in the English-speaking Caribbean. All the data acquired for analysis were secondary yearly data collected from the International Telecommunications Union (ITU) from 1993 to 2012. Specifically, …

The Role Of The Economic Community Of West African States In Counterinsurgency And Conflict Resolution, Muhammed Touray

Walden Dissertations and Doctoral Studies

From 1991 to 2002, the Sierra Leone government and the Revolutionary United Front waged war against each other, subjecting Sierra Leone to a civil war. This war devastated the nation and resulted in many human casualties. Although many researchers have investigated the role of the Economic Community of West African States (ECOWAS) in counterinsurgency and conflict resolution, few studies have been conducted on the specific role of strategic processing tools used by ECOWAS during the Sierra Leone war to sustain a durable peace resolution in the country. Using Galula's conceptualization of counterinsurgency and conflict resolution as a guide, the purpose …

Effect Of Model Of Care And Comorbidities On Multiple-Drug-Resistant Tuberculosis Treatment In Nigeria, Oluremilekun Comfort Kusimo

Walden Dissertations and Doctoral Studies

Multidrug-resistant tuberculosis (MDR-TB) is a public health problem in several countries such as Angola, India, China, Kenya, and Nigeria. Due to the increasing high burden of MDR-TB, most of these countries do not have adequate capacities to manage MDR-TB patients effectively. This study investigated the effect of model of care; human immunodeficiency virus comorbidity; and demographic factors such as age, gender, and marital status on the treatment outcomes of MDR-TB patients in Nigeria. The study was based on the analysis of secondary data of 402 MDR-TB patients accessed from the data systems of the National Tuberculosis, Buruli Ulcer, and Leprosy …

Reducing Reliance On Government Funding In The Nonprofit Sector, Bryan K. Kieler

Walden Dissertations and Doctoral Studies

Many leaders of nonprofit organizations are challenged by limited and declining financial resources from government grants, while being asked by funders and their constituent base to provide better quality services to a larger population. Nonprofit leaders are exploring strategies to reduce their reliance on government grants by diversifying and growing alternative funding sources. The purpose of this single case study was to explore, through the conceptual lens of the balanced scorecard theory, strategies used by 4 leaders of a nonprofit organization in southern California who have experience managing and growing alternative revenue sources by creating a social enterprise. Semistructured interviews …

The Impact Of Parental Support On The Health Behaviors Of Transgender Young Adults, Jill Hingston

Walden Dissertations and Doctoral Studies

Paralleling recent increased public awareness of transgender issues, gender nonconforming youth are coming out at increasingly earlier ages. It is important to understand the impact that family acceptance or family rejection has on the health outcomes of transgender young people, who are at increased risk of discrimination, prejudice, harassment, victimization, violence, and possible mental health issues and who are understudied. This understanding can be framed within the minority stress model and Carl Rogers' theory of self, which provide insight into how minority groups experience negative reactions from both society and an internalized sense of congruence. The purpose of this descriptive, …

Closing The Gaps In Rural Healthcare In Texas: A Formative Bounded Case Study, Marianne Bogel

Walden Dissertations and Doctoral Studies

Maldistribution of healthcare professionals persists in remote and rural communities throughout the world. Adoption of a Community Paramedic (CP) program could improve access to quality healthcare for rural communities. The conceptual framework defined rural communities by their distinct characteristics — community efficacy, weaknesses, attitudes, assets, deficits, local culture, and the driving and restraining forces — and not defined by their small populations or distances to cities. The theoretical foundation was a synthesis of theories of Bandura, Rogers, and Lewin. This study assessed community characteristics that may influence the likelihood of success, sustainability, or program failure of the Australian CP model …

Program Evaluation Of The Rn Clinical Learning And Development Specialist, Brittany Montecuollo

Walden Dissertations and Doctoral Studies

The purpose of this project was to evaluate the impact of a quality improvement strategy to implement an RN clinical learning and development specialist (CLDS) with the intent to reduce high turnover in novice nurses and low nurse engagement. The CLDS served as expert, role-model, coach, and mentor. Benner'€™s model of novice-to-expert was used as the conceptual framework to monitor progression of nurses mentored by the CLDS. The Institute for Healthcare Improvement model for improvement was reviewed to assess the effectiveness of the CLDS on turnover rates and nurse engagement. At the time of program evaluation, the CLDS role had …

Trends In Prevalence And Predictors Of Undernutrition Among Children In South Central, Monica Kabahimba Zikusooka

Walden Dissertations and Doctoral Studies

Undernutrition is a global public health challenge. In Somalia, undernutrition is chronic with the situation often graded for emergency response. The purpose of this study was to provide contextual evidence regarding trends of prevalence and predictors of undernutrition in South Central Somalia. Following the UNICEF conceptual framework of determinants of undernutrition, the study examined which individual, household, and society factors were associated with undernutrition. Using secondary data from cross-sectional nutritional surveys implemented by the Somalia Food Security and Nutrition Analysis Unit from 2007 to 2012, a sample of 75,756 and 60,856 children aged 6-59 months was used in analyzing trends …

Prostate Cancer Screening Rates For Haitian Men Based On Demographic Characteristics, Wilgyms St-Hilaire

Walden Dissertations and Doctoral Studies

Cancer screening is useful for improving survival rates and treatment outcomes, which is why there are screening recommendations for the most prevalent types of cancer. Despite gains in the reduction of cancer-related mortality rate worldwide in the past few years, the Haitian community continues to experience high mortality rates due to cancer. The prevalence of prostate cancer in the Haitian population is among the highest worldwide at 767 per 100,000, with a mortality rate of 403 per 100,000. One of the causes may be the low prostate cancer screening rate in the Haitian community; however, no studies have been focused …

Resilience Building In Biracial And Multiracial, Bisexual Adults: An Interpretative Phenomenological Analysis, Melissa Gale Swartz

Walden Dissertations and Doctoral Studies

Until recently, society and science often ignored, erased, and avoided bisexual women and men and individuals with biracial and multiracial identities, and rarely considered these identities simultaneously. Prior research has shown that some lesbians and gay people of color exhibit resilience against sexual minority stress due in part to an inoculating effect of exposure to racism earlier in life. However, little is known about the lived experience of thriving, resilient bisexual multiracial individuals. In the tradition of positive psychology and context of intersectionality theory, this qualitative study explored how multiracial bisexual individuals develop and maintain flourishing well-€being despite sociocultural factors …

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 …

Key Performance Indicators' Effects On Public Sector Infrastructure Project Efficiency In Grenada, Kelvin Michael George

Walden Dissertations and Doctoral Studies

Grenada is 1 of 15 developing countries in Caribbean Community known as CARICOM. The infrastructure capital projects in these developing countries are plagued with an array of issues: unethical practices, inadequate supervision, lack of transparency and accountability, inadequate monitoring and evaluation, cost overruns, and inefficiencies. In the 1980s and 1990s, the International Monitory Fund and World Bank introduced a balanced scorecard engineered under the structural adjustment program, but it was unable to improve infrastructure project efficiencies. This qualitative case study sought to understand the role of management key performance indicators (KPIs) on public sector infrastructure capital project efficiency on the …

A Geographic Study Of Lung And Bronchus Cancer Rates In Kentucky, Gabriel Njoh Dikong

Walden Dissertations and Doctoral Studies

The average age-adjusted incidence and mortality rates of lung and bronchus cancer is 55% and 56% higher in Kentucky than the national averages in the United States, respectively. Populations with low income and educational attainment, and those who live close to the mining regions across Kentucky are more affected by the high prevalence and resulting mortality rates of lung and bronchus cancer. This study was conducted because of the high incidence of lung and bronchus cancer and resulting mortality rates in the state of Kentucky that may not be caused solely by social and demographic factors. The theoretical foundation for …

Diffusion Of Innovations And Labor Market Challenges: A Multiple Case Study From Angola, Édney Marco Cardoso Dos Santos

Walden Dissertations and Doctoral Studies

A gap exists in the literature between general diffusion of technological innovations and socioeconomic development that results in an ambiguous connection between theory, academia, and professional practice. To inform governments in sub-Saharan Africa on how to achieve the diffusion of innovation for economic development through the voices of regional stakeholders, this qualitative multiple case study was conducted to gain deeper understanding on the views of stakeholders on rapid technology diffusion and its implication on labor market challenges within their regions of Angola. Information from semistructured interviews with 8 adult participants, male and female, born and residing in impoverished communities in …

Geospatial Analysis Of Care And Mortality In The 2014 Liberia Ebola Outbreak, Marion Carlton Kinkade

Walden Dissertations and Doctoral Studies

The Ebola outbreak in West Africa in 2014 to 2016 had more than 28,000 suspected, probable, and confirmed cases. It was the largest Ebola outbreak in history. Of the 28,000 cases in the three Ebola-affected countries, Liberia had 10,000 cases with almost 5,000 deaths. The Ebola Virus Disease (EVD) entered Liberia along the border of Guinea and moved to the capital city of Monrovia where the virus spread. Ebola Treatment Units (ETUs) were constructed throughout the response in locations where there were available facilities versus distance to care challenges. This study examined the association of distance from villages to ETUs …

Lived Experience Of Tongans With Obesity And Diabetes, Gladys Adjei-Poku

Walden Dissertations and Doctoral Studies

People of Pacific Island descent are afflicted by obesity and diabetes more than other populations. Although interventions have succeeded in reducing these conditions among other groups, they have been unsuccessful among Tongans and other Pacific Islanders. Furthermore, little is known about the cultural perspectives of this population with a high rate of obesity and diabetes. Accordingly, this descriptive phenomenological study was conducted to investigate the lived experiences of Tongans with obesity and diabetes in a western metropolitan area of the United States to understand their predisposition toward these conditions and suggest appropriate interventions. Purposive sampling was used to recruit 11 …

Caribbean Students' Experience Of Readiness For The Secondary Education Certificate Exam, Cleon Pauline Athill

Walden Dissertations and Doctoral Studies

While there is general agreement about its importance, the construct of educational readiness is nebulous with much debate about what constitutes readiness. Readiness has been found to be a multidimensional psychological construct from a psychometric perspective. However, there is a growing awareness that this psychometric focus is lopsided, and that readiness does not only reside in the child. Further, there is an accompanying appreciation that readiness research may need to focus more on the subjective experience of individuals within the context of their environment. This phenomenological study, using Bronfenbrenner's social-ecological model, explored how Antigua and Barbudan students experienced readiness as …

Perceptions Of Female Genital Cutting Among Nigerian Immigrants In Portland, Oregon, Uche E. Ukachukwu

Walden Dissertations and Doctoral Studies

Female genital cutting (FGC) is the partial, or total excision of the female outer genitalia, or different forms of lacerations to the female genital organs for nonmedical reasons such as social, cultural, religious, or other nonmedical intentions. Many girls and women around the globe who have gone through FGC or are at the risk of being forced into it. The purpose of this qualitative case study was to explore the place of culture, religion, social beliefs, and men's views, attitudes, and knowledge regarding the FGC within the Nigerian immigrant community in the northwest US. The social convention theory served as …

Exploring Subcultural Perceptions That Influence Change Success Within A Hybrid Organization, Kevin Morgan Sorbello

Walden Dissertations and Doctoral Studies

Global change-failure rates remain over 70%, despite over a half-century of research, theory development, and mitigation strategies. Although researchers studying the problem of change failure recognize that subcultural perceptions influence change success, especially in hybrid organizations where subcultural differences are more profound, the perceptions that predispose a subculture to support or resist organizational change remain relatively unknown. The purpose of this exploratory case study was to address the problem of the high cost of change failure by identifying perceptions that influence change success within a maritime organization. The study'€™s conceptual framework was founded on the interpretive paradigm and social constructivist …

Millennials Leaving Religion: A Transcendental Phenomenological Research Study On Religious Disaffiliation, Elizabeth Ann Rainwater

Walden Dissertations and Doctoral Studies

Religious disaffiliation among Millennials has increased significantly in the past decade alongside rapidly changing social relationships amplified by social media applications. In the United States, many Millennials claim no religious identity with many leaving their religion for a variety of reasons. The purpose of this qualitative phenomenological study was to explore the lived experiences of religiously disaffiliated Millennials regarding their psychological health and well-being. Self-determination theory fulfilled the theoretical framework for examining the lived experiences of young adults regarding their well-being after religious disaffiliation. A purposive sample of 12 male and female religiously disaffiliated Millennials was recruited for semistructured interviews. …

Urban Development Of A City In Niger Delta Region Of Nigeria, Chinyere Emmanuel Igwe

Walden Dissertations and Doctoral Studies

The issue of indiscriminate urban expansion is not uncommon in Africa. It has created haphazard, unplanned, and unapproved development that negatively affected urban planning for cities in the Niger Delta Region in Nigeria. Using Stone's urban regime theory, the purpose of this phenomenological study was to explore from the perspective of developers, associations, and government agencies (referred to as stakeholders), the roots causes of indiscriminate urban development and their activities in the process in the Niger Delta Region. Data were collected through semi structured telephone interviews with 10 participants who had at least 5 years experience working in public and …

Sustainable Business Growth: An Exploration Of Ghanaian Small Business Survival, John W. Atanga

Walden Dissertations and Doctoral Studies

Small businesses are significant contributors to a nation’s job creation and employment. These enterprises face many challenges that often lead to failure within 5 years. Some small business owners fail because they lack the necessary strategies for maintaining a sustainable business operation. The purpose of this qualitative descriptive phenomenological study was to analyze how to overcome the high failure rate of small businesses in Accra, Ghana. The conceptual framework for this study was institutional and planned behavior theories. The research questions sought participant’s experiences with small business survival that may have led to sustainable businesses. Data were collected from 20 …

The Impacts Of Race, Residence, And Prenatal Care On Infant Mortality, Mary Christine Dorley

Walden Dissertations and Doctoral Studies

Tennessee ranks high for infant mortality (IM) in the United States. Despite public health efforts, the IM rate for Blacks is twice that of Whites mimicking what is observed nationally. Several risk factors for IM have been identified; however, it was still unclear how places of residence and prenatal care (PNC) affect IM for Tennesseans. The purpose of this study was to assess the relationship between places of residence (conceptualized by rurality and racial concentration), PNC, and IM among racial groups across Tennessee and to determine if race modified these associations. This was a cross-sectional study using data from the …

Lgb Help-Seeking For Mental Health And Substance Abuse Services In Rural Northern Michigan, Jennifer Towns

Walden Dissertations and Doctoral Studies

Lesbian, gay, and bisexual (LGB) individuals are often exposed to stressors based on their nonheterosexual status; they may have unique needs related to help-seeking for mental health in a rural area where more people identify as religious or as politically conservative. To date, there have been no studies on the mental health help-seeking experiences of LGB individuals in rural Northern Michigan. This qualitative, single case study was completed to explore the help-seeking experiences of 10 LGB individuals who were recruited through criterion and snowball sampling. In-depth, semi structured interviews were conducted. Transcribed interview data were entered into Nvivo software for …

Declining Enrollment Among Extra School Time Programs For Adult Students, Melanie Maniekee

Walden Dissertations and Doctoral Studies

In a Midwest school district, school personnel and students are concerned that the Extra School Time (EST) program student enrollment is declining. The purpose of this qualitative case study was to explore teacher, administrator, and adult age student perceptions to gain a deeper understanding of the problem leading to declining enrollment in the EST program. Using Lewin's holistic model of systemic leadership and evaluation of programs, teachers', students' and administrators' perceptions of factors, processes for support, curriculum needs, and actions to improve implementation of the EST program were explored. Using a qualitative case study, data were collected via semi-structured interviews …

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 …

An Examination Of The Student-Focused Transition Planning Process In A Rural Setting, Pamela Lynne Brezenski

Walden Dissertations and Doctoral Studies

In the local state special education transition aged postoutcome survey measurements, high school students with disabilities (HS-SWDs) continue to demonstrate problems with unemployment, independent living, and postsecondary education as they transition to adult life. HS-SWDs receive instruction from transition planning teams (TPTs) to address educational attendance, independent living, agency collaboration, and employment skills. When these knowledge and skills are not acquired, HS-SWDs cannot gain employment or attend postsecondary institutions. The purpose of this qualitative, bounded case study was to explore the TPT members' perspectives of the transition planning process. Kohler's transition taxonomy guided this study. The research questions were used …