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Controlling Hypertension Among Young Black Men In America: A Prescription Medication Alternative, Winston Charles

Walden Dissertations and Doctoral Studies

Despite the evident improvements in the awareness of hypertension among the adult population in the United States, disparities remain in the burden of the disease, its treatment efficacy, and its control when data are compared along age, gender, and race. The purpose of this study was to determine the strength of the relationship between blood pressure control and prescription medication and lifestyle modification (smoking cessation, changes in eating habits, and weight loss). The target population were adult young Black men, and the control variables were age, low socioeconomic status (SES), and disparities in health care. A convenience sample of Black …

Determinants Of Cervical Cancer Screening In Hiv-Positive Young Women In Swaziland, Marianne Calnan

Walden Dissertations and Doctoral Studies

In Swaziland, cases of cervical cancer among Human Immunodeficiency Virus (HIV)-positive adolescent girls and young women (AGYW) are increasing, but there is low uptake of cervical cancer screening. This study was conducted using the systems thinking theory to explore the relationships between the uptake of cervical cancer screening among HIV-positive AGYW in Swaziland and the availability of trained health providers, cervical screening services, and the provision of referrals for cervical screening. The study also investigated any differences in uptake of cervical screening based on age group. For this quantitative cross-sectional study, secondary HIV program data that were collected routinely between …

Strategies Healthcare Managers Use To Reduce Hospital-Acquired Infections, Yohannes Debesai

Walden Dissertations and Doctoral Studies

Every year, 2 million patients in the United States suffer with at least 1 hospital-acquired infection resulting in an estimated 99,000 deaths annually. The purpose of this exploratory single case study was to explore strategies healthcare managers in U.S. hospitals used to reduce hospital-acquired infections. The study included face-to-face, semistructured interviews with 5 healthcare managers from a hospital in Maryland who were successful in reducing these infections. The conceptual framework was human capital theory. Field notes, hospital documents, and transcribed interviews were analyzed to identify themes regarding strategies used by healthcare managers. The data analysis and coding process resulted in …

The Relationship Between Workspace And Office Placement And Workforce Productivity And Wellbeing, Mladen Cvijanovic

Walden Dissertations and Doctoral Studies

The quality of the physical workspace environment has been widely debated in research and corporate communities. Inadequate workspace conditions have been associated with elevated levels of work-related stress, productivity, and job satisfaction. However, scholarly literature offers very little on the relationship between workspace and office placement, and workforce productivity and wellbeing. The purpose of this non-experimental quantitative study was to examine the impact of customized workspace and strategic office placement on work related stress, productivity, and job satisfaction. Optimal distinctiveness theory and cognitive-motivational-relational theory provided the theoretical framework for this study. Nine research questions in this study were designed to …

Success Factors For Minority Small Business Sustainability, Tawny Barnes

Walden Dissertations and Doctoral Studies

Minority small business owners significantly contribute to national and local economies. Only 50% of small firm owners sustain their businesses longer than 5 years. The purpose of the multiple case study was to explore the management strategies that minority small business owners used to sustain their businesses for longer than 5 years. The study's population consisted of 4 minority small business owners in the midwestern region of the United States to explore management strategies necessary for maintaining minority small firm operations. The conceptual framework for the study was general system theory. Data sources included semistructured interviews, social media information, company …

Effects Of High-Fidelity Simulation On The Critical Thinking Skills Of Baccalaureate Nursing Students, Janine Roth Blakeslee

Walden Dissertations and Doctoral Studies

This project study addressed the decline in successful passing rates for the National Licensure Exam for Registered Nurses (NCLEX-RN) in a nursing program at a private university in the Midwestern United States. There is support from the literature for a connection between critical thinking skills of nursing students and successful passing of the NCLEX-RN. The purpose of this quantitative study was to examine whether significant differences existed in mean critical thinking skill scores across time within groups (pretest to posttest) and between groups (simulation versus written case studies), as measured by the Health Science Reasoning Test. Cognitive learning theory as …

A Systematic Review Of The Effectiveness Of The Nln Jeffries Simulation Framework, Angela Feeler

Walden Dissertations and Doctoral Studies

Simulation theoretical frameworks serve as guidelines for the development, planning, implementation, and evaluation phases during nursing simulation activities. Simulation frameworks provide a substantive foundation for research, education, and practices that contribute to the science of nursing education. The purpose of this systematic literature review was to evaluate and synthesize evidence-based research that can be used to recommend the National League for Nursing (NLN) simulation education framework for simulation activities. The Academic Center for Evidence-Based Practice star model of knowledge transformation and descriptive theory were used as frameworks to guide this systematic literature review. The practice question for this systematic literature …

Incorporation Of The Caring Moment In Scripting, Anita E. Barker

Walden Dissertations and Doctoral Studies

A large healthcare system in Texas mandated scripting as way to improve patient satisfaction. The purpose of this project was to incorporate a caring moment into scripting by the nursing staff to improve patient satisfaction. The project was guided by Watson's caring theory, the adult learning theory, and Lewin's planned change theory. All 35 nurses from the primary care and specialty care outpatient clinics of the Texas healthcare system participated in a staff development training to learn how to incorporate a caring moment into their script. Of these 35 nurses, 13 (37%) chose to complete the pre-education and postproject surveys. …

The Impact Of Critical Incident Team Training On Arrest And Diversion Rates, Richard Wayne Foss

Walden Dissertations and Doctoral Studies

The Critical Incident Team (CIT) training program equips police officers with knowledge regarding mental illness and practical skills for effectively interacting with a mentally ill suspect. In addition to improving officer and suspect safety by decreasing the number of violent encounters between police and the mentally ill, CIT goals include reducing the number of mentally ill individuals who are arrested and providing them with assistance through community resources. However, there is a lack of empirical research on whether CIT training decreases arrest rates and increases diversion rates for mentally ill subjects. The purpose of this quantitative study was to measure …

Impact Of Charter School Legislation On Public K-12 Education In Pennsylvania, Stuart Whiteleather

Walden Dissertations and Doctoral Studies

Charter and cyber charter schools were legislatively permitted to operate as publicly funded educational institutions in Pennsylvania with the passage of Act 22 of 1997. Examining the tuition payments from traditional school districts funding charter schools and resulting economic, operational, and programmatic impacts on traditional K-12 education was the purpose of this study. Conflict theory provided the theoretical framework which proposes that inequity and competition for limited resources is the result of powerful groups exerting their influence on the greater society. This study's research questions focused on determining the impact tuition payments to charter schools had on public K-12 student …

Exploring Education Needs For Heart Failure Patients' Transition Of Care To Home, Michelle D. Williams

Walden Dissertations and Doctoral Studies

Transitions of care is a model designed to ensure that patients have resources needed to assist them to care for themselves at home after hospital discharge, which helps to decrease preventable adverse events. For people with heart failure (HF) to transition home from the hospital successfully, specific education is needed that is individualized to the disease process, but most patients' educational needs after discharge are unmet. The purpose of this qualitative study, guided by the Meleis middle range theory of transition, was to explore the perspectives of people with HF about their educational needs in order to gather data that …

Instructional Reading Practices For Third Grade African American Males, Kimberly Dawn Whaley

Walden Dissertations and Doctoral Studies

African American males often struggle to read on grade level. However, 3 East Texas Title I schools demonstrated exceptionally high levels of reading proficiency with this population. This study addressed the knowledge gap of understanding the instructional practices linked to high reading achievement of third grade African American males in Title I schools in East Texas. Guided by Ladson-Billings's theory of culturally relevant pedagogy, which builds upon academic success, cultural competence, and development of critical consciousness, and supported by Vygotsky's theory of social and cognitive constructivism, the reading instructional practices of the 3 schools were investigated. Research questions focused on …

Hiv Testing And Black Men Who Have Sex With Men, Stephaun Elite Wallace

Walden Dissertations and Doctoral Studies

HIV incidence among Black men who have sex with men (BMSM) is extremely high in contrast to their estimated population size and compared to other racial groups. Researchers have established that a significant proportion of these new cases annually originate from HIV transmission by BMSM who are unaware of their HIV status. The purpose of the study was to assess the relationship between age, sexual behavior, social support, substance use, internalized homophobia, depression, and HIV test history in BMSM. Guided by the social ecological model (SEM) as the conceptual framework, a quantitative cross-sectional study was designed to analyze secondary data …

Obesity Epidemic In The Military: Implications For Veterans, Tracy Lewis

Walden Dissertations and Doctoral Studies

The purpose of this study was to examine the impact of overweight and obesity on veterans' careers. Obesity, once thought unproblematic for the military, is being recognized as a health concern that has expansive implications for the health and readiness of service men and women, as well as for veterans. There is an abundance of information on obesity within the general population, but research on the impact of obesity on military careers is limited. This quantitative, cross-sectional research study investigated how obesity is a challenge throughout a veteran's career, from enlistment to retirement, using an online survey to gather data …

Cybersecurity Strategies For Universities With Bring Your Own Device Programs, Hai Vu Nguyen

Walden Dissertations and Doctoral Studies

The bring your own device (BYOD) phenomenon has proliferated, making its way into different business and educational sectors and enabling multiple vectors of attack and vulnerability to protected data. The purpose of this multiple-case study was to explore the strategies information technology (IT) security professionals working in a university setting use to secure an environment to support BYOD in a university system. The study population was comprised of IT security professionals from the University of California campuses currently managing a network environment for at least 2 years where BYOD has been implemented. Protection motivation theory was the study's conceptual framework. …

Successful Strategies For Implementing Health Information Technology In Primary Care Practice, Samuel O. Otoo

Walden Dissertations and Doctoral Studies

Health information technology (HIT) owner-practitioners who adopt effective strategies for HIT implementation can improve primary facility care delivery and profitability. However, some HIT owner-practitioners have ineffective implementation strategies, so they have not realized the total revenue increases of more than 8%. Grounded in general systems theory, the purpose of this multiple case study was to explore successful strategies primary care practitioners (PCPs) use to implement HIT to improve primary facility care delivery and profitability. The participants included 6 owner-practitioners located in Queens County, NY, who successfully implemented HIT to improve facility care delivery and profitability. Data were collected through face-to-face …

Examining Family Hierarchy Through The Eyes Of Former Mac Baller Gang Members, Jerome Lee Rice

Walden Dissertations and Doctoral Studies

Criminal gang membership is growing, which corresponds to a continued breakdown of the family unit in the United States. Most of the young people who form gangs come from broken families or single-parent-headed households. This study explored the role of family hierarchy on gang membership. A qualitative case study approach was used to gather information on what motivates young people to join criminal gangs. A random sampling technique was used to recruit seven former members of the Mac Baller Brim gang. Ethical concerns were addressed to minimize the risks to the participants. The collected data from interviews were analyzed using …

Exploring Industry Cybersecurity Strategy In Protecting Critical Infrastructure, Mark Boutwell

Walden Dissertations and Doctoral Studies

Successful attacks on critical infrastructure have increased in occurrence and sophistication. Many cybersecurity strategies incorporate conventional best practices but often do not consider organizational circumstances and nonstandard critical infrastructure protection needs. The purpose of this qualitative multiple case study was to explore cybersecurity strategies used by information technology (IT) managers and compliance officers to mitigate cyber threats to critical infrastructure. The population for this study comprised IT managers and compliance officers of 4 case organizations in the Pacific Northwest United States. The routine activity theory developed by criminologist Cohen and Felson in 1979 was used as the conceptual framework. Data …

Improving Nurse Well-Being Through A Mindfulness-Based Education Strategy, Sandra Dearholt

Walden Dissertations and Doctoral Studies

Abstract

An estimated 33% to 54% of hospital nurses exhibit signs of emotional stress and

decreased well-being, which is associated with a negative impact on nurses’ health, job

performance, patient care outcomes, and healthcare cost. This project sought to improve

nurse well-being by providing nurses with education on mindfulness-based practices.

The practice question addressed whether implementing a mindfulness-based education

strategy for nurses improved nurse well-being. Three models informed this project: the

health promotion model, the andragogical model, and Kirkpatrick’s 4 levels of training

evaluation. Sources of evidence included the Maslach Burnout Inventory (MBI) and a

knowledge assessment administered to 10 …

Family Self-Sufficiency Program In Los Angeles County And Reduction In Welfare Dependency, Erica Hopkins

Walden Dissertations and Doctoral Studies

This quantitative study explored the impact of the Family Self-Sufficiency (FSS) program on welfare dependency over time, by evaluating participant income 5 years after completing the FSS program. The study was guided using the framework of the Personal Responsibility and Work Opportunity Reconciliation Act, which initiated welfare reform in an effort to decrease dependency on government assistance; and the Quality Housing and Work Responsibility Act, the law that initiated Public housing reform by reducing the high concentration of poverty. The research question examined whether the FSS Program in Los Angeles County reduced dependency on welfare overtime. The sample size for …

Medical Marijuana Policy Conflicts Within The District Of Columbia Private Workplace, Robert B. Kennedy

Walden Dissertations and Doctoral Studies

The District of Colombia poses a unique challenge to private employers because the passage of a local medical marijuana policy was instituted in a federalized district that is obligated to abide by federal Schedule 1 narcotic laws. Using punctuated equilibrium as the theoretical foundation, the purpose of this case study was to understand how managers maintain compliance and address the conflict between different levels of government. Data were collected from interviews with 8 private industry hiring personnel who operate within the District of Columbia. These interviews were transcribed, inductively coded using a 2 cycle coding procedure, and then subjected to …

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

Walden Dissertations and Doctoral Studies

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

Affordable Care Act And Racial Inequity In Breast Cancer Survival Rates, Nadine Terry-Lawrence

Walden Dissertations and Doctoral Studies

African American women are more likely than White women to be diagnosed with breast cancer after the disease has progressed to advanced stages. Further, African American women experience higher breast cancer mortality rates than White women at all stages of cancer diagnosis. The purpose of this quantitative comparative study was to examine differences between implementation of the Affordable Care Act (ACA) and 5-year breast cancer survival rates among African American and White women. The independent variable was African American women and White women who were survivors of breast cancer after the ACA implementation; the dependent variables were breast cancer survival …

Civility Promotion Actions And Decisions Of Prelicensure Baccalaureate Nurse Faculty, Brooke Stelle Russo

Walden Dissertations and Doctoral Studies

Acts of incivility in nursing education and practice settings are a growing concern. Previous research has indicated that uncivil behaviors, especially among nurses in the healthcare workplace, create toxic work environments and pose risks to patient safety. Uncivil behaviors among nurse educators and students were found to erode the learning environment and lead to poor program outcomes. Researchers provided evidence to show varied levels of incivility in academic and workplace environments and recommended solutions to improve civility, yet little evidence exists to show how nurse faculty approach civility promotion in their practices. This qualitative, descriptive study was designed to explore …

Primary Teachers' Knowledge And Beliefs As Predictors Of Intention To Provide Evidence-Based Reading Instruction, Brandi Harrold

Walden Dissertations and Doctoral Studies

Primary teachers in the United States accept responsibility for teaching children how to read, and the instruction they provide results in reading proficiency for approximately 37% of students. Although researchers have established a relationship between teacher-related factors and students' performance in reading, they have not yet been able to identify the combination of teacher characteristics that best predicts teachers' intention to provide evidence-based reading instruction. The purpose of this study was to examine the relationships among teacher knowledge, teacher beliefs, and intention to provide evidence-based reading instruction using a conceptual framework that integrated the theory of planned behavior with the …

Policy Implications Of Intentional Contamination Of The Retail Food Chain, James C. Mack

Walden Dissertations and Doctoral Studies

The retail food safety chain is vulnerable to deliberate contamination, yet food safety professionals and emergency managers typically respond to intentional contamination in different ways. Little is known about the practices of environmental health food safety professionals (EHFSP) as compared to emergency managers and whether those approaches can be combined to more successfully impede intentional food contamination. The purpose of this narrative policy analysis was to use routine activity theory to compare the narratives of EHFSPs and emergency managers to determine whether there are opportunities to better understand the relationship between vulnerability and resiliency of the retail food safety chain. …

Underrepresentation Of African American Female Community College Presidents In The United States, Nicole N. Tanner

Walden Dissertations and Doctoral Studies

African American women are significantly underrepresented in the role of community college presidents in the United States. Insufficient research has been conducted related to the reason behind the underrepresentation of African American female community college presidents in this nation, warranting an investigation that led to this study. The purpose of this qualitative study was to explore the lived experiences of 7 current and former African American women who are, or have held, the community college presidency role to gain an in depth understanding as to why, from their perspective, an underrepresentation of African American female community college presidents exists in …

Bullying On A College Campus: A Qualitative Study, Arnita D. Walls-Pickett

Walden Dissertations and Doctoral Studies

Bullying in higher education has become a global concern on college campuses and is occurring there in face-to-face encounters and through social media. Bullying contributes to hundreds of thousands of students dropping out of their higher education programs annually. This study brings more awareness to the uncivil behaviors occurring on college campuses. It uses for its conceptual framework the fourth of the Seven Vectors of Identity Development articulated by Chickering and Reisser: developing mature interpersonal relationships. This study's 2 guiding questions investigated whether bullying took place on a single college campus and how the bullying revealed itself. Further, this study …

Hiv/Aids And Behavioral Risk Factors Among Former Texas Prison Inmates, Scarlett Lusk-Edwards

Walden Dissertations and Doctoral Studies

As of the end of 2010, .9% (20,093) of the inmate population under the care of the U.S. Federal Bureau of Prisons and 1.7% (2,394) of the inmate population under the care of the Texas Department of Criminal Justice were living with HIV/AIDS. The purpose of this quantitative correlational study was to analyze the relationships between HIV/AIDS status and former inmate demographic characteristics, intravenous drug use (IDU), and social support networks. The behavior models of importation and deprivation formed the theoretical frameworks used to explore the relationship between HIV/AIDS and behavioral risk factors for released Texas prison inmates. Fifty former …

Program Evaluation Of The Employee Health And Wellbeing Program, Alicia Carmen Marlena Perez

Walden Dissertations and Doctoral Studies

Health promotion and disease prevention are a focus of population health management. Without ongoing and rigorous evaluation, these programs may be in jeopardy of continuing. The purpose of this project was to conduct a descriptive population health- focused evaluation of a large-scale health system's employee health and wellbeing program. Guided by the Center for Disease Control and Prevention (CDC) framework for program evaluation in public health and National Center for Organization Development guidelines, a nurse-led evaluation was conducted using 5 specific data sets emphasizing organizational structure, employee health offerings, employee surveys, Pathway to Excellence survey, and program contributions. A descriptive …